Is it possible to save the tooth 36 in the pic? (Phtoo)

Question

I would like to ask you if it's possible to save the tooth 36 (left lower 2nd premolar). I broke it. Is it possible to rebuild the broken part between the roots of the tooth? Thank you in advance for your reply.

Miller Vieira Paula, DDS · Answer

Based on your query and the X-ray, the possibility of saving the fractured tooth (36) depends on several factors. Here's an evaluation of your case:
Key Considerations:Extent of the Fracture:
If the fracture extends below the gum line or affects the root structure significantly, it may complicate restoration or make the tooth unsalvageable.Fractures involving the furcation (area between the roots) or deeply into the root may require extraction.
Periodontal Health:The surrounding bone and gums need to be healthy to support any restoration.Bone loss or periodontal issues in the area could affect the prognosis.
Structural Integrity:If there is enough remaining tooth structure above the gum line, the tooth may be rebuildable with a post and core restoration, followed by a crown.
Root Canal Status:If the tooth is vital, a root canal may be required before any restoration.A fractured tooth often leads to pulpal damage, necessitating endodontic treatment.
Specialized Techniques:For fractures extending below the gum line, techniques like crown lengthening or orthodontic extrusion can expose more of the tooth for restoration. These procedures, however, require additional time and may affect aesthetics.
Options:
Restoration:If the fracture is manageable and above or near the gum line, the tooth can be rebuilt with a post and core, followed by a crown.
Extraction and Replacement:If the fracture is severe and extends too deep, the tooth may need extraction.After extraction, options like a dental implant, bridge, or removable partial denture can replace the tooth.
Consultation with a Specialist:A prosthodontist or endodontist should evaluate the tooth for restorability. An oral surgeon may also assess if extraction and implant placement are required.
Next Steps:Have a clinical examination to determine the full extent of the fracture.If salvageable, proceed with endodontic and restorative treatment.If not, discuss replacement options with your dentist.Please consult your dentist or specialist for a detailed evaluation based on clinical findings.
Best RegardsDr. Miller Vieira Paula

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