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Oral Surgery/Upper 2nd molar root left after extraction


I had a root canal treatment on my right upper 2nd molar during the treatment the dentist fractured it and told me the only option is extraction, during the extraction he left the roots and he referred me to an oral surgeon and on the xray there is a continuity of the roots on the maxillary sinus, my question is, is this complicated procedure? Can it be done under local anesthesia? Or is it really needed to remove the roots considering its a dead tooth or will it come out by itself? I really appreciate your answer. Thank you very much.

Tony -  First of all, the roots definitely need removal or an infection invading the sinus could occur.  You need to see the surgeon to remove them.  A skilled surgeon should be able to remove the roots with causing a problem with your sinus.  Even though the tooth is dead, there are bacteria in the area and removal is important.

So get the roots removed as soon as possible.

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Joel S. Teig, DMD, Diplomate ABOMS, retired


I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.


Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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