Understanding tooth resorption: diagnosis, treatment and prevention

Tooth resorption might sound like a complex dental term, but if you’ve experienced tooth sensitivity or unexplained pain, it’s a condition worth understanding. While less commonly discussed than cavities, root canal therapy or gum disease, resorption is a serious condition that can significantly impact your oral health if ignored. In this blog post, we'll discuss tooth resorption and what it means for your oral health.

What is tooth resorption?

Tooth resorption is the process where your body breaks down and absorbs parts of your tooth structure, including the enamel, dentin and even the root. While resorption is a natural process for baby teeth, it can become problematic when it affects permanent teeth.

Types of tooth resorption

Internal resorption

This occurs within the tooth, starting in the pulp chamber. It’s often painless early on but can lead to visible discoloration or a "pink" appearance in the tooth.

External resorption

This begins on the outer surface of the tooth, usually at the root. It can be aggressive and progress without noticeable symptoms until significant damage is done.

Common causes of tooth resorption

Several factors can trigger tooth resorption. Some of the most common ones include:

Trauma to the tooth

Accidents or injuries can damage the root, leading to resorption over time.

Orthodontic pressure

Intense pressure from braces or improperly aligned teeth can cause external resorption.

Inflammation or infection

Lingering infections in the gums or root can accelerate resorption.

Symptoms to watch for

Tooth resorption often progresses silently. However, symptoms like sensitivity, unexplained tooth discoloration or visible damage to the tooth could signal a problem. Regular dental checkups are vital for catching resorption early before it causes irreversible damage. Here are a few signs that could manifest:

  • Small pink spots, usually near the gum line

  • Cavity-like brown or gray lesions

  • Deep holes or cracks on the outer surface

  • Dark or pinkish discoloration 

  • Abnormal spacing

  • Loose teeth

Diagnosing and treating tooth resorption

Early diagnosis of tooth resorption is critical for saving the affected tooth.

At WFW Endodontics, we don't mind bragging a bit to say our state-of-the-art technology sets us apart in diagnosing and treating tooth resorption. Utilizing advanced diagnostic tools to detect resorption with precision, we ensure treatments are effective, efficient and as comfortable as possible for our patients. Here’s a look at the essential technologies we have at West Fort Worth Endodontics to ensure treatments are effective, efficient and as comfortable as possible for our patients:

  • Operating microscopes: These provide exceptional precision, allowing us to locate and treat even the tiniest signs of resorption.

  • GentleWave® technology: This minimally invasive alternative to traditional root canal procedures cleans and preserves teeth more effectively.

  • 3D imaging tools: Our diagnostic equipment allows us to map every detail of the tooth's structure, ensuring accurate treatment planning.

  • X-Rays: Basic X-rays can reveal early signs of resorption, including changes to the tooth structure.

  • Cone-Beam CT scans: For a more comprehensive view, we use cone-beam CT scans to examine the tooth and surrounding structures in 3D. This helps us assess the extent and severity of the resorption.

Why early detection matters

Catching tooth resorption early increases the chances of preserving the tooth. Once damage becomes extensive, treatment options become more limited and extraction might be the only solution.

Treatment options for resorbed teeth

The treatment for tooth resorption varies depending on whether it’s internal or external and how advanced the damage is.

Treating internal resorption

Root canal therapy (RCT)

If internal resorption is caught early, a root canal can remove the damaged tissue and stabilize the tooth.

Tooth restoration

Once the root canal is complete, the tooth can be restored with a crown or filling to protect it.

Treating external resorption

Restoration

For minor external resorption, the resorbed portion can be removed and restored with durable dental materials.

Tooth extraction

If damage extends below the gum line or the tooth becomes unsalvageable, extraction might be necessary. However, we’ll explore all preservation options before recommending this step.

Preventing tooth resorption

Prevention is always better than repairing and there are several steps you can take to reduce your risk of tooth resorption.

Tips for preventing tooth resorption

Regular dental checkups

Routine dental visits make it easier to catch early signs of problems like resorption. Dentists and endodontists work together to create quick treatment and recovery plans for optimal client outcomes.

Wear a mouthguard during sports

If you play contact sports, using a protective mouthguard can prevent dental trauma.

Address orthodontic issues early

Misaligned teeth or excessive orthodontic pressure can increase your risk of resorption. Prompt corrections can help.

Treat dental injuries quickly

If you injure a tooth, don’t delay treatment—damaged teeth are more likely to develop resorption.

By staying proactive about your oral health, you can significantly lower your chances of experiencing tooth resorption.

Reach out to us at West Forth Worth Endodontics for your tooth resorption treatment

When it comes to diagnosing and treating tooth resorption, expertise matters. Here’s why WFWE is your trusted partner in dental health:

Specialized expertise

Our team, including Dr. Nieves and Dr. Fitzhugh, has extensive experience handling even the most complex cases of tooth resorption.

Patient-centered care

We take the time to understand your symptoms, concerns and goals to provide personalized treatment.

Cutting-edge technology

From diagnostic tools to minimally invasive techniques, our advanced approach ensures exceptional outcomes.

Tooth resorption is a condition that requires timely intervention and expertise to preserve your natural teeth. By understanding the signs, seeking early diagnosis from a board-certified endodontist and pursuing the right treatment, you can protect your smile for years to come.

If you’re experiencing symptoms or have concerns about your oral health, don’t leave it to chance. Contact WFWE today to schedule a consultation with our expert team. Your smile deserves nothing less than the best.

WFW Endodontics Team

News, knowledge and know-how from the West Fort Worth Endodontics team.

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