Key guidance to read first

Saving natural teeth, at a glance

What is this treatment?
No matter how perfect the treatment or how good the materials, the best is the natural tooth. Before deciding on extraction, we confirm the possibility of preservation.
What concerns are addressed?
I was told at another clinic that I must extract. I had root canal treatment but it still hurts and pus is coming out.
What precautions are there?
After treatment there can be sensitivity, pain, bleeding, gum changes, or need for retreatment. Risks and recovery for each treatment method are individually explained during the consultation.

Related clinician: Director Kang Do-wook · Periodontics · Integrated Dental Medicine specialist

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BEFORE YOUR VISIT

Preparing for your consultation

A few things to consider before booking.

Tell us during your consultation

  • The affected area, symptoms and when the discomfort began
  • Previous treatment and your main questions now
  • Dates you are available to visit

Helpful items to prepare

  • A list of your medications
  • Previous treatment records or images, if available

Questions to ask

  • Which assessments and treatment choices are relevant to my condition?
  • How can I learn about precautions, costs and appointment schedules for each option?
Contact the clinic

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The Good Morning Dental Clinic 02-969-3776

Read the related guidance
01 / YOUR CONCERNS

Do you have these concerns?

I was told at another clinic that I must extract.
I had root canal treatment but it still hurts and pus is coming out.
The tooth fractured below the gum line.
My tooth is loose due to periodontitis; can it be used longer without extraction?
I was told there is a cyst at the root tip.
I do not want implants yet.
02 / UNDERSTAND YOUR CARE

What is saving natural teeth?

No matter how perfect the treatment or how good the materials, the best is the natural tooth. Before deciding on extraction, we confirm the possibility of preservation.

We do not decide extraction based on looseness alone

We assess remaining alveolar bone amount, root condition, extent of root-tip inflammation, and remaining tooth structure together. Even if another clinic recommended extraction, we re-evaluate the current condition and explain possible methods and limitations.

Treatments considered to save the tooth

Retreatment of root canal cleans infection inside the canal again. Apicoectomy directly removes inflammation at the root tip and seals the root end.

Crown lengthening secures height for a prosthesis on a tooth broken below the gum line. Guided tissue regeneration, periodontal surgery, and bone grafting are applied after assessing remaining supporting tissue; in some molars, removal of only the problematic root is also considered.

There are cases that cannot be saved

Vertical root fracture, almost no remaining tooth structure, or extensive loss of alveolar bone may make preservation difficult. In such cases we will honestly explain and plan next steps together. We do not insist on low-probability treatments.

Limits and precautions to know

After treatment there can be sensitivity, pain, bleeding, gum changes, or need for retreatment. Risks and recovery for each treatment method are individually explained during the consultation.

03 / THE GOOD MORNING WAY

How The Good Morning provides care

  1. It is our principle to assess preservation possibility before extraction.
  2. We consider gum, root, and remaining tooth structure together.
  3. If preservation is not possible, we honestly say the chances are low.
04 / STEP BY STEP

From diagnosis to aftercare: the treatment course.

  1. 01Re-examine residual bone amount · roots · fractures · extent of inflammation
  2. 02Explain restorability and required procedures · limitations
  3. 03Options such as retreatment of root canal · apicoectomy · periodontal treatment
  4. 04Protect with the required prosthesis and perform regular follow-up observations

Actual sequence and number of visits are adjusted according to test results and recovery.

Consultation tailored to your condition
05 / YOUR QUESTIONS · 10 QUESTIONS

Questions you might have before care.

01Another clinic recommended extraction. Can the tooth be saved?
In some cases, it may be possible. We reassess the remaining tooth structure, roots and supporting bone, and explain the possibilities and limitations of preservation. If preservation is difficult, we explain why and discuss alternatives.
02Can vertically fractured roots be saved?
Mostly difficult. Longitudinal root splits allow bacteria in and are hard to reattach. Exact decision made by exam.
03If pus appears after root canal, can it be saved?
Possible in some cases. Perform retreatment to re-clean root canal or root-end surgery to remove apical inflammation.
04If broken below gum line can it be crowned?
Crown lengthening can reshape gum and bone to secure height for prosthesis in some cases. Even if told to extract, first check options.
05Must all mobile teeth be extracted?
Not necessarily. Decide based on cause and degree of mobility and remaining bone. Periodontal treatment may stabilize some.
06Will resorbed jawbone regenerate?
Does not recover naturally. But tissue regenerative procedures can sometimes achieve partial recovery.
07If saved, how long will it last?
Depends on remaining bone and root condition. We honestly explain expected range and decide together.
08If I end up getting an implant is it a loss?
While preserving natural tooth has advantages, poor prognosis or persistent infection can harm surrounding tissues. We do not push treatment when unlikely to help and compare expected benefits and risks.
09Can conservative treatments be done under sedation?
Conscious sedation may help but is not suitable for everyone. Decide after evaluating systemic condition, medications, airway risk and treatment scope; refer to higher-level institutions if needed.
10Is it covered by insurance?
Insurance coverage depends on age, oral condition, treatment purpose and current item criteria. After diagnosis, get a breakdown of covered and non-covered items. Check costs of treatments and sedation separately.

Explore this treatment further

Treatment questions: 10Director’s explanatory videos

Also see related treatments

Root canal treatment +Crown +Periodontitis +Gum treatment +Gum line · gum grafting +Dental terms glossary +
Treatment case publication guidance

This information is for general understanding and does not replace clinician diagnosis. Treatment methods, durations, effects, and side effects vary by individual and require sufficient consultation before care.