Rotten Wisdom Tooth Broke at the Gum Line: Is It Risky?

My lower left wisdom tooth decayed, and last week it broke off at the gum line. I can’t see any part of the tooth that may be left. Am I at risk if I don’t see a dentist to get the tooth removed? Thanks. Dianne from Chicago

Dianne,

Based on your description, your tooth’s condition probably isn’t an emergency. Although many dentists would still advise an exam to confirm what’s going on, the tooth is probably nearing the end of its life cycle. Once the crown is gone, the rest of the tooth usually deteriorates rapidly. Without enamel, decay progresses quickly, and the remaining structure often resolves on its own.

Reasons to See a Dentist After a Decayed Tooth Deteriorates

Although the risk of infection spreading into the jawbone is relatively low once the tooth is fully open, allowing decay to progress this far is not ideal. You were fortunate to avoid a significant infection as the decay progressed.

This may also be a sign that other teeth need attention. If it’s been a long time since you’ve seen a dentist, dental problems are much easier to manage with early detection. We encourage you to get a routine exam and X-rays to identify and treat any concerns and prevent complicated treatment later.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post. Read about his efforts to provide some of the best dental care in Rocky Hill.

My Wisdom Tooth Broke, But I Can’t Afford Extraction

My lower left wisdom tooth cracked over a year ago. I couldn’t and still can’t afford surgery, so the tooth is crumbling. I can see the pulp in the tooth even though it’s partially impacted. It doesn’t hurt, but the tooth is very sensitive to cold and heat. Will it eventually fall out? – Thanks. Shem from MD

Nathan,

We would need to examine and x-ray your tooth to determine its condition, so see a dentist as soon as you can.

Left untreated, a decaying wisdom tooth can lead to severe complications. It may eventually fall out independently but that can be painful and risky. Infection can spread to the surrounding bone, resulting in a painful abscess. To prevent these issues, extraction is often recommended

However, some general considerations can be made:

• Pulp Exposure and Infection: If the pulp is exposed, it’s likely infected and non-vital. This can lead to sensitivity, particularly when biting down.
• Sensitivity to Cold or Air: This suggests the pulp may still be alive, though potentially inflamed.

What Can You Do If You Can’t Afford Wisdom Teeth Removal?

If you can’t afford wisdom teeth removal, below are a few options to explore:

• Monitor and Wait: If there’s no significant swelling or pain, you may monitor the tooth and hope it decays naturally. However, be aware of potential complications and be prepared to see a dentist if symptoms worsen.
• Dental Clinic: Many communities have low-cost dental clinics that provide emergency services, including extractions. Contact local dental societies or health departments for discounted or free services. They may offer discounted fees if you live near a university with a dental school.
• Deferred Treatment: Discuss potential treatment plans with a dentist if you can’t get an immediate extraction. They may recommend a more conservative approach, such as pain management or antibiotics until you can afford the extraction.

Unique Considerations for Wisdom Teeth

Wisdom teeth, particularly lower ones, often have more straightforward extraction procedures. The lower jawbone provides easier access to administer anesthesia, reducing the risk of complications associated with infected tissue. A dentist’s treatment recommendations would differ if another tooth were in question.

We haven’t examined your teeth or seen X-rays, so see a dentist promptly.

Rocky Hill, Connecticut, dentist Dr. Thaddeus Michalski sponsors this post. Read how he provides some of the best dental care in Rocky Hill. Ask us about financing to help you pay for treatment.