What Causes a Tooth To Be Unsalvageable?

We were recently asked on Facebook “At what point does a tooth become unsavable?”. Since many might have this same question, we decided to answer this question in a series of blog posts starting with a post about the common causes of an unsalvageable tooth.

What Is an Unsalvageable Tooth?

First off, let’s define an unsaveable tooth. An unsalvageable tooth, also referred to as a “non-restorable” or “dead” tooth, is one that cannot be saved through standard dental treatments. At this point, extraction is often the only option to prevent further complications.
A tooth can become unsalvageable due to severe tooth decay, advanced periodontal disease, or trauma. Left untreated, these conditions can lead to infections or complications that impact your broader oral health.

Common Causes of an Unsalvageable Tooth

Several factors and conditions can render a tooth beyond saving. Here’s a closer look at the primary causes:

  1. Severe Tooth Decay
    One of the most common culprits is extensive decay. When cavities affect the inner structures of the tooth, including the pulp and nerve, they weaken the overall integrity. If the decay reaches a point where the tooth structure is too compromised even for advanced restorative treatments like a crown or root canal, extraction becomes necessary.
  2. Advanced Periodontal (Gum) Disease
    Progressive gum disease can wreak havoc on the supporting structures of your teeth, such as the gums and jawbone. When the disease is left untreated, the bones holding the teeth in place deteriorate, leading to loosening or shifting teeth. If the support is irreversibly lost, the tooth becomes unsalvageable.
  3. Trauma or Injury
    Traumatic accidents that result in cracked or broken teeth can sometimes make a tooth unsalvageable. If the fracture extends below the gum line or into the root, restorative options may no longer be viable.
  4. Repeated Dental Procedures
    Previously treated teeth that have undergone multiple procedures (such as root canals or fillings) may weaken over time. This can increase the likelihood of fractures or infections, making them more difficult to save.
  5. Untreated Abscesses or Infection
    If a dental abscess or infection is left untreated for too long, it can significantly damage the surrounding tissues and bone. The result? A tooth that’s no longer viable.

Next month we will be diving into the signs that a tooth has become unsaveable. Stay tuned!

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