Exposed tooth roots should not be ignored. They can be painful, and if left untreated, they can lead to more severe complications. They are not always a same-day emergency, however. If you notice pain, sensitivity, swelling, or a tooth that suddenly looks longer, it is time to call your dentist. Read on to learn more about when exposed roots are urgent and when they can be handled with a regular dental visit.
What is an exposed tooth root?
An exposed tooth root means the lower part of the tooth is no longer covered by the gums. This usually happens when the gums recede. Gums can recede for many reasons, but the most common is gum disease.
The root of a tooth is more sensitive than the top of the tooth. It does not have the same hard enamel covering, so cold drinks, hot foods, sweets, or brushing can cause discomfort when exposed.
Is it always an emergency?
An exposed tooth root is not always an emergency. If you only have mild sensitivity and no swelling or severe pain, you can usually schedule a dental appointment as soon as you can get in, rather than seeking immediate emergency care. That does not mean you should put it off. Exposed roots often get worse over time, especially if gum disease, decay, or grinding is causing the problem. The sooner your dentist sees it, the easier it may be to treat.
When is it an emergency?
An exposed tooth root may be an emergency if there is severe pain, swelling, pus, bleeding that will not stop, fever, or a bad taste in the mouth. These can be signs of infection and should be treated urgently. A loose tooth is another serious warning sign. If the tooth feels like it is moving, the bone or gum support around it may be affected. You should also seek urgent care if the exposed root happens after an injury, such as a fall, sports accident, or broken tooth.
How are exposed roots treated?
Treatment for exposed tooth roots depends on the cause. If the root is only mildly exposed, your dentist may recommend a soft toothbrush, gentler brushing, desensitizing toothpaste, or fluoride treatment.
If gum disease is present, the dentist will likely recommend a deep cleaning to remove plaque and tartar below the gumline. If the root has decayed, the tooth may need a filling or a crown. If the infection has reached the inside of the tooth, a root canal may need to be performed.
In more serious situations with significant gum recession, a gum graft may be used to cover the exposed root. If the tooth is too damaged to save, extraction may be the best option.
What does this mean for me?
If you have an exposed tooth root, the first thing is to assess the degree of the symptoms. Exposed tooth roots are not always an emergency, but they do need dental attention. Mild sensitivity can usually wait for a scheduled appointment. Severe pain, swelling, infection, a loose tooth, or injury should be treated right away. If you are unsure, call your dentist and explain your symptoms. They can tell you how quickly you need to be seen.
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