How to Deal with an Exposed Tooth Root

How to Deal with an Exposed Tooth Root

An exposed tooth root can lead to persistent discomfort and sensitivity. If left untreated, it can lead to serious infections. Don’t wait for the problem to get worse—acting quickly can save time, money, and discomfort later.

Understanding Exposed Tooth Roots

Before exploring why tooth roots may be exposed, it’s helpful to understand what a “tooth root” actually is. Each tooth has two main parts: the crown (the part of the tooth above the gum line) and the root (which remains anchored within the jawbone). Typically, the gums and the surrounding bone protect and cover the root, keeping it out of sight. However, when gum tissue recedes or is damaged, the root can become partially exposed. Because it lacks the protective layer of enamel on the crown, the softer root is exposed to everything in your mouth, often with serious side effects.

Common symptoms of an exposed root include sharp sensitivity to hot, cold, or sweet foods and drinks. Some people also notice a dull ache, throbbing pain, or visibly lower gum lines. While it may seem minor at first, an exposed tooth root can lead to heightened discomfort, so it’s wise to monitor any changes in your gum line and seek help early.

Common Causes of Exposed Tooth Roots

  1. Receding Gums
    The most frequent culprit behind an exposed tooth root is gum recession, where gums pull back from teeth. Gums can recede due to gum disease (periodontal disease), which causes the tissue and bone supporting the teeth to break down. Even without gum disease, overly aggressive brushing with a hard-bristled toothbrush can wear away at the gum line over time. Smoking, aging, and genetic predisposition also play roles in gum recession, making it a widespread issue.
  2. Misaligned Teeth and Shifting
    Teeth that are crooked or crowded are more prone to gum recession in certain areas. Misaligned teeth may put extra pressure on the gums or make it difficult to clean properly, leading to plaque buildup, inflammation, and gum recession.
  3. Tooth Decay and Injury
    Cavities and other forms of decay can progress beneath the gum line, exposing the root if not treated promptly. Dental injuries—from sports, accidents, or biting down on hard objects—can also damage the protective enamel, hastening the exposure of the root.
  4. Other Contributing Factors
    Lifestyle and oral hygiene habits, such as teeth grinding (or “bruxism”), using an excessively stiff toothbrush, or consuming highly acidic foods, can increase the rate at which the gums pull back, leaving roots exposed.

When to Seek Professional Help for Exposed Tooth Roots

If you’re experiencing persistent tooth sensitivity, noticing a significant change in your gum line or that your tooth root is showing, or seeing blood while brushing or flossing, it’s time to consult a dental professional. Even if you suspect something minor, seeking an examination early can save you from more invasive treatments down the road.

Serious symptoms—such as ongoing pain, visible pus, or significant gum swelling—could indicate an infection or advanced gum disease that requires immediate attention. Routine cleanings and checkups not only keep your teeth free of plaque and tartar but also give your dentist a chance to identify early signs of receding gums or other potential problems.

Dentists and periodontists have the tools and expertise to diagnose the exact cause of your exposed roots. Depending on the severity, they may suggest specialized cleanings, prescribe medicated rinses, or recommend surgical procedures. Remember, the longer you wait, the greater your risk of tooth loss, extensive gum damage, and infections that could spread to other organs.

What to Know About Exposed Tooth Root Treatment

When it comes to addressing an exposed tooth root, there’s no one-size-fits-all solution. Exposed tooth root treatment depends on the cause and severity of the issue and each individual’s oral health needs. Below are some common approaches:

Professional Dental Treatments

  • Gum Grafting: A dentist or periodontist may recommend gum graft surgery in cases of significant recession. This procedure involves taking tissue from another part of your mouth (often the palate) or using donor material to cover the exposed root.
  • Bonding or Fillings: If a small part of the root is exposed or there’s a cavity near the gum line, your dentist might use composite resin to cover the root, providing a barrier against sensitivity and decay.
  • Orthodontic Adjustments: For patients whose misaligned teeth contribute to gum recession, braces or aligners can help reposition teeth, relieving pressure and allowing gums to heal or be repaired more effectively.
  • Treatment for Decay or Damage: If tooth decay or physical trauma caused the exposure, your dentist will remove the decay and restore the tooth with a filling, crown, or other suitable restoration.

Home Care for Relief and Prevention

  • Gentle Brushing and Flossing: Switching to a soft-bristled toothbrush and practicing proper brushing techniques can prevent further gum damage.
  • Desensitizing Toothpastes: Specialized toothpastes designed for sensitive teeth help build a protective layer over areas where dentin is exposed.
  • Mouthwashes and Rinses: Fluoride and other medicated rinses can strengthen tooth structure and promote healthier gums.

Lifestyle Modifications

  • Reducing Aggressive Habits: If you grind your teeth, consider wearing a night guard or practicing stress reduction techniques.
  • Diet Adjustments: Minimizing sugary and acidic foods helps protect both enamel and gum tissue, slowing recession and sensitivity. Additionally, consuming plenty of Vitamin C and Omega-3 fatty acids helps keep gums healthy, and calcium and vitamin D are key to tooth health. 

Talk to a Dentist About Exposed Tooth Roots

If you’ve noticed any pain, bleeding, or other worrisome changes in your gums, reach out to a dental professional promptly. Early diagnosis can help prevent complications, such as infections or the need for more extensive corrective work down the line. With proper attention and a tailored treatment plan, you can protect your oral health and restore comfort to your daily routine.

Find a dentist who can help with exposed tooth roots today with the Dental Health Society.