
Is it necessary to extract a tooth with an inflamed root?
I am a 40-year-old male. Recently, I have been experiencing tooth pain, especially around the root area. After visiting the hospital for an examination, I was diagnosed with root inflammation (apical periodontitis). May I ask if a tooth with an inflamed root must be extracted?

Root inflammation does not necessarily require tooth extraction. Root inflammation is usually caused by pulp infection or periodontal disease, and the treatment method depends on the severity and specific cause of the inflammation. Mild to moderate root inflammation can often be treated with root canal therapy. Root canal treatment removes infected material from the pulp chamber, fills the root canals to prevent reinfection, and thus preserves the tooth. If root inflammation is caused by periodontal disease, it can often be effectively controlled with treatments such as scaling, root planing, and local medication. Tooth extraction may be considered only when the root inflammation is extremely severe and cannot be resolved by other treatment methods. Extraction is usually the last resort, as retaining the natural tooth is more beneficial for oral health.
If root inflammation occurs, it is recommended to seek prompt dental care. A qualified dentist will perform a comprehensive examination and develop an appropriate treatment plan. The dentist will decide whether root canal treatment or other conservative treatments are necessary based on the individual situation. During treatment, maintain good oral hygiene by brushing at least twice daily, using dental floss to clean between teeth, and attending follow-up appointments regularly to monitor healing. Additionally, avoid eating excessively hard or hot foods to reduce irritation to the affected tooth. If your dentist recommends root canal treatment, cooperate fully and complete all treatment steps on schedule.