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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does A Broken Tooth In The Socket Cause Any Complications?

Hello hi doctor .. Hasanin Mubarak 22 years - dental student I'm also a dental student .. Yesterday I extracted the upper premolar in a 40 years old lade .. The tooth was broken whille removing it .. I searched for the remaining fragments till I found it .. My question is .. What is the complication that is going to take place id a part of a tooth left behind in the socket ?
Fri, 20 Jun 2014
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Dentist 's  Response
Hello!Thank you for posting in HCM.

Broken roots is common during extractions.Very small as much as 3 mm or less resorb during remodelling.They at times get expelled from the socket which appear on the mucosa nearly after 3 months.
Removal of the fragment can be decided based upon the pros and cons like infection,risk of sinus perforation, proximity to nerve.Patient will experience chronic pain if the extracted tooth is infected.
In case of extractions like orthodontic purposes, patient will be symptom free.
This can be decided based upon the x-rays.It is always safe to explain the patient if you decide to leave a fragment in the socket.

Best wishes.
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Dentist Dr. Khusboomodi's  Response
hi.... nice to meet you . when ever you fell your tooth is broken always better to take x-ray. see if you blindly tried to remove that broken part then you may push that broken part to sinus. then that pt may start with sinus problem. so complication will depend on size of broken part and whether it was infected or not . keep pt on heavy antibiotic and pain killer and call that pt back have x-ray then try. if very small part you have left then it will resorb on itself . bt if its big then you need to remove... so have x-ray and contact your senior .
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Does A Broken Tooth In The Socket Cause Any Complications?

Hello!Thank you for posting in HCM. Broken roots is common during extractions.Very small as much as 3 mm or less resorb during remodelling.They at times get expelled from the socket which appear on the mucosa nearly after 3 months. Removal of the fragment can be decided based upon the pros and cons like infection,risk of sinus perforation, proximity to nerve.Patient will experience chronic pain if the extracted tooth is infected. In case of extractions like orthodontic purposes, patient will be symptom free. This can be decided based upon the x-rays.It is always safe to explain the patient if you decide to leave a fragment in the socket. Best wishes.