A super erupted tooth, a common dental condition, often raises concerns about its long-term viability. Fortunately, modern dentistry offers various approaches to address this issue, making it possible to preserve the affected tooth in many instances. The ability to save a super erupted tooth depends on several factors, and a thorough dental evaluation determines the most appropriate course of action.
Understanding Super Eruption
Super eruption describes a condition where a tooth extends beyond the normal occlusal plane, appearing longer than its neighboring teeth. This typically occurs when a tooth loses its opposing counterpart in the opposite jaw, removing the natural resistance that keeps it in alignment. Without an opposing tooth to bite against, the tooth continuously moves out of its socket. This phenomenon can lead to various problems, including an uneven bite, increased risk of gum issues, exposed root surfaces, and heightened tooth sensitivity. Food can also become trapped more easily around super erupted teeth, increasing the risk of plaque buildup, cavities, and gum disease.
Factors Influencing Savability
The potential to save a super erupted tooth is determined by several diagnostic factors a dentist considers during examination. The extent of eruption is a primary consideration; a greater degree can complicate treatment. Remaining root length and surrounding bone support are also important for stability after treatment. The health of the gum tissue, including any signs of periodontal disease, plays a role in the overall prognosis. Also, the general condition of the tooth, such as decay, cracks, or previous dental work, influences the decision. These factors guide the dental professional in selecting the most suitable treatment to preserve it.
Treatment Options for Saving Teeth
Various dental procedures can save a super erupted tooth and restore proper bite function. Orthodontic intrusion involves gradually moving the tooth back into its correct position within the dental arch using braces or aligners. This method applies gentle, consistent forces to reposition the tooth.
Another option is crown reduction, where a portion of the tooth’s biting surface is reshaped to create space for the opposing arch. If significant tooth structure needs removal, a root canal treatment may be performed to remove the tooth’s nerve, followed by the placement of a crown. In some cases, a combination of these treatments, such as crown lengthening with a crown or orthodontic intrusion followed by restorative work, may be necessary. The primary goal is to re-establish a stable and functional bite.
What Happens if a Tooth Cannot Be Saved
If a super erupted tooth is deemed unsalvageable, or if a patient chooses not to pursue corrective treatment, several implications can arise. Leaving the tooth untreated can lead to continued bite problems, further misalignment of surrounding teeth, and an increased risk of decay. Extraction of the super erupted tooth may be necessary to alleviate pain and prevent further complications. Following extraction, replacement options like a dental implant or a fixed bridge can be considered to restore the missing tooth and prevent other teeth from shifting. This helps maintain the integrity of the dental arch and ensures proper chewing function.