Dr. Choi Yong-hoon's Stories on Saving Natural Teeth

2026-11-13

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #ToothPreservation #DrChoiYongHun

A dentist recounts extracting a severely decayed tooth intact, even though he expected it to break. The post explains that periodontal ligament health is the key factor in tooth preservation.

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #ToothPreservation #DrChoiYongHun
[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
Title card: “A very lucky patient – a tooth that amazingly came out without breaking,” with an X-ray, the extracted tooth and the dentist.

Strangely, I end up facing teeth that are even harder and more challenging than the ones I dealt with when I was a university professor.

I accept it as my fate.

The thing I say most often in the treatment room is:

"You won't know until you try. You have to be fully prepared before going in to find out."

I tell patients this, and about 80% of cases go exactly as expected. Easy cases are easy and difficult cases are difficult, so they are easy to accept.

About 10% of cases I brace myself for, expecting them to be very hard, but once I start, they turn out not to be that difficult.

In those situations, I often tell patients to go buy a lottery ticket.

That's because the anxiety I felt from expecting difficulty disappears completely.

The last 10% is the problem.

These are the cases where I never expected it to be this bad: the tooth won't come out, or it breaks.

When I run into a case that is far harder than I expected, it's tough on the patient, but I feel like crying.

Especially when a tooth seems like it's about to come out but still won't budge, that's when I feel like I'm about to lose my mind.

Because I know it will break if I push harder, I find myself silently pleading with the tooth in my heart.

This tooth was one that, at first glance, seemed strange not to break.

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
X-ray with an arrow: the root is fully decayed and the tooth is on the verge of breaking.

As anyone in dentistry knows, the tooth had broken down so severely that I went in having to accept that even if one root broke, there was nothing to be done.

But the best outcome, of course, is for the roots not to break, so I pulled the tooth out very carefully, almost as if praying, moving it little by little.

I had resigned myself to the idea that if it broke, it couldn't be helped. But it started to come out bit by bit, and amazingly, the whole tooth came out intact without breaking at all!

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
The extracted tooth: its crown and neck were all decayed, yet amazingly it came out without breaking.

Even so, I was genuinely amazed, and I kept thinking how remarkable it was that it didn't break.

What surprised me even more was that the decay was far worse than I had expected...

Since the patient is still in their 30s and very determined to keep their natural teeth, I think my prayers may have reached heaven.

The decay is severe, but the periodontal ligament at the root is healthy, so this tooth's prognosis is good.

In tooth preservation, the most important factor is the condition of the periodontal ligament.

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
The decayed extracted tooth (left) and the same tooth after its damaged part was rebuilt (right).
[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
Text: Because the periodontal ligament is intact, if the broken part is treated well, the tooth becomes firmly fixed again.

When I proudly showed the patient the extracted tooth and said I had managed to pull out such a badly damaged tooth so well, the patient said they couldn't tell what was what even after looking at it.

That was a bit of a letdown, but since the treatment turned out well, I am very satisfied.

Quite literally, I think the appeal of this field is that you can't know the outcome until you actually treat the tooth.

I have many heart-pounding experiences.

I believe it's important to prepare every treatment thoroughly and be ready for any unexpected situation.

And when you do that, I think heaven gives you a little help.

I'm sharing this because a treatment I thought wouldn't work out went well, and I'm really happy about it.

That's all.

In Korea, implants are the standard treatment.

Tooth preservation is not an easy or simple procedure.

Also, once a tooth passes a certain point, it can no longer be saved.

Cases involving multiple missing teeth or multiple loose teeth are difficult to treat with the tooth-preservation approach I practice.

I recommend that you thoroughly review my blog and YouTube channel to see whether your case fits.

Dr. Choi Yong-hun Clinic Introduction Video: https://www.youtube.com/watch?v=YCiCJLrG1J8

[A Treatment That Left Me Amazed] Good Heavens, Did I Really Pull Out This Tooth Without Breaking It? #Replantation #Too
Quote: “A dental clinic is not a place to pull teeth, but a place to save them.” – Director Choi Yong-hoon

#CrackedTooth #Replantation #ToothReplantation #FracturedToothReplantation #PeriodontalDiseaseReplantation #DrChoiYongHun #ToothPreservation

Frequently Asked Questions

Is tooth preservation possible for every patient?

No. It is not a treatment that works for every patient. The author explains that it is difficult in cases of multiple missing teeth or multiple loose teeth. Because a tooth can no longer be saved once it passes a certain point, the author recommends checking the blog and videos to see whether you qualify.

Can the outcome of tooth preservation be known in advance?

No. The author explains that the result cannot be known until the treatment is actually carried out. Most cases proceed as expected, but some turn out to be far more difficult than anticipated, so the author stresses the importance of preparing thoroughly for every treatment.

What is the most important factor in tooth preservation?

The author explains that the condition of the periodontal ligament is the most important factor in tooth preservation. They describe a case with severe decay where the outcome was good because the periodontal ligament around the root was healthy.

What do you focus on most when extracting a tooth?

The author explains that they focus most on moving the tooth gently without applying extra force, so that the root does not break. Because applying more force could fracture the tooth, they handle it with great care. They note that in this case, the tooth came out whole without breaking.

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