Your dentist may use a bright light or a magnifying glass to find the crack. They may also use a special dye to follow the course of the crack. Broken, chipped, cracked, or fully removed — all not-so-great situations, but they can get much worse if not taken care of properly. A tooth with a minor crack or chip can wait for medical attention, but you will want to be cautious about eating foods that are tough to bite or chew.
Use over-the-counter pain meds as needed. In the meantime, these steps should be taken:. This is a dental emergency and will need immediate attention. If the tooth was fully removed, make sure to handle the removed tooth by the crown. DO NOT grab the tooth by the root. A tooth that was completely knocked out could cause severe nerve damage. Do not let a broken tooth go untreated. The damaged area will be susceptible to tooth decay.
Untreated cracks and chips can lead to teeth breaking off at the root, which is an extremely painful condition requiring emergency root extraction. Depending on the condition of your broken tooth, you may need a crown or extraction followed by replacement with a bridge or implant crown. If your tooth is only slightly chipped, bonding or a porcelain veneer may be all you need. With minor fractures, your tooth may need only a filling to be repaired.
For front teeth, a dentist will use a tooth-colored composite resin to repair teeth, called bonding. First, the dentist roughens the tooth and then adds the adhesive. Last, the dentist will use an ultraviolet light to harden the material. A root canal is necessary when the crack in a tooth extends into the pulp.
If you are experiencing tooth sensitivity, swelling, or a toothache, you are likely in need of a root canal. This treatment involves removing the nerve and decayed tooth matter. Then, the root canal is cleaned and sealed. If necessary, a crown will be added. Without immediate treatment, it can cause the infection to spread and lead to other serious health problems.
Dental veneers are usually used for damaged front teeth, as this treatment provides the most realistic and attractive results. A thicker section is applied to replace the fractured part of the tooth. Then, impressions of the tooth will be taken and sent to a dental lab to make your veneer, which will take a couple of weeks.
Once ready, the surface of teeth must be etched and roughed with liquid. The veneer is placed on the tooth using a special cement, and your dentist will use a special light to activate the chemicals and harden it.
In this case, the entire tooth must be extracted. Then, you can receive your dental implant to take the place of your missing tooth. This procedure often takes several months as it requires your bone to heal around the titanium frame or post. Once complete, dental implants act as roots for an artificial tooth, securely placed in your jawbone. Crowns are a common form of restorative treatment for fractured or broken teeth.
Permanent crowns can be made of a variety of materials each with their own benefits: porcelain, ceramic, metal, porcelain fused to metal, or resin.
If the root of the tooth is still intact after breakage, your dentist may need to perform a root canal and build up the structure before adding a dental crown. First, they may take an x-ray to examine the surrounding bone and roots.
If there are no issues found, the dentist will numb the tooth area, remove some of the remaining tooth, and prepare the area for a crown.
You may also need a filling to build up the tooth if there are large chips or breaks in the tooth. Then, an impression of your tooth will be made along with the opposing tooth you use to bite down.
Flush the inside of your mouth with warm water, and apply cold compresses to the outside area every few minutes to keep down the swelling. You can also apply clove oil to the area. The oil contains eugenol, a numbing agent with anti-inflammatory properties.
If your tooth has a small chip and a jagged edge, you can apply dental wax over the edge to keep it from slicing your tongue or damaging your mouth. Avoid chewing on the side with the damaged tooth, and try flossing around the tooth to reduce pressure and irritation. The most common teeth to break are the molars of the lower jaw, probably due to their pointy cusps grinding powerfully into the grooves of the molars at the top of the mouth, according to a article published in the European Journal of Dentistry.
However, any tooth can break with injuries that range from slight cosmetic damage to serious injuries. Cracks may not be visible, hiding inside the tooth or below the gum. Some cracks and chips have no symptoms or symptoms that may be confused for cavities, sensitivity, or periodontal disease.
In general, the deeper and wider the damage, the more extensive the treatment needed. A dentist can diagnosis the extent of the damage by examining the tooth with or without a magnifying glass, performing a bite test and sometimes using dental X-rays. Not every crack or chip is serious enough to warrant treatment, and some are quite common. For instance, craze lines are small cracks that occur in the enamel only and are common, according to a review of the literature.
There are no effective home remedies to prevent further injury to your teeth and mouth, and the sharp edges of a cracked tooth could cut your soft tissues, causing more pain, infection, and potentially costlier treatment. In some cases, untreated damage could lead to a root canal , tooth loss, or other complications due to infection. While you can wait until an appointment for many types of tooth injuries, others may require emergency treatment.
If you knock out a tooth, for instance, the ADA advises that you may be able to save it if you can find it, put it back in the socket, and visit your dentist right away. Temporary broken tooth repair kits are available in drugstores and online and can be helpful while waiting to see a dentist.
Some kits include dental wax to cover jagged edges, and others contain material that can be molded into the shape of a tooth to fill in gaps left on broken or missing teeth. They should not be substituted for proper dental care. Check out these products available online.
Treatment will depend on how big the crack or break is and where it is. Possible treatments include:. Surface lines and tiny cracks may not require treatment, but a study indicated that cavities, a lot of pain, and X-ray evidence of a crack were all strong predictors that endodontists would perform restorative procedures. If the damage is slight, a dentist may polish the surface or smooth a broken or jagged edge.
This is called cosmetic contouring. They may also use dental bonding to fill in gaps and fissures. In bonding, dentists slightly abrade the tooth, dab on a conditioning liquid, and then apply tooth-colored composite resin.
The dentist can also sometimes reattach a broken bit of tooth. A crack or chip that goes deeper than the surface will need more extensive repair. When you get a crown, this prevents you from losing your tooth. At our dentist office, we use crowns created from tooth-colored porcelain to create a natural, uniform look. Our crowns are created for each patient and made to match your tooth perfectly.
First, you will be given anesthesia to make the procedure more comfortable. You can also use sedation to relax even more if you want. Our dentist office offers safe, relaxing sedation dentistry. Then, they tooth must be prepared. Some tooth structures will likely need to be removed to make room for the crown.
After the tooth is prepared, the dentist will take impressions, which will be sent to a lab and used to make the permanent crown. A temporary one will be provided in the meantime. When the permanent one is ready, it will be cemented to the remaining tooth structure. If you have a crack in your tooth that has extended into the pulp, the tooth can be treated with a root canal. Some time after the root canal, a crown can be placed to protect the crack from spreading.
Until then, you will be given a temporary crown to wear. Getting a root canal involves clearing out the decayed tooth matter and removing the nerve. This procedure has a bad reputation for being painful. If you have a toothache, sensitivity, or swelling, you may need a root canal. Left untreated, infection can spread, causing abscess, bone loss, and other serious problems. Our office will take x-rays to determine if your tooth is infected. Next, you will receive and anesthetic to minimize discomfort.
The entire therapy will most likely take more than one dental appointment. You will need a tooth extraction, which means your tooth will need to be pulled. And then, you can get a dental implant to replace your natural tooth. Dental implants take the place of your missing teeth. Biocompatible titanium screws are surgically placed into the jawbone and act as the new root of your tooth. Some time will need to pass so the bone fuses with the titanium screws, allowing for a tight, lasting foundation.
After about 12 to 16 weeks, we will take an impression of your teeth to make sure your treatment is running as it should. During this treatment, our dentist, Dr. Silverman, will customize the abutment and create the dental crown, which will be placed on top of the implant. During another appointment, Dr. Silverman will place your permanent crown and ensure a comfortable, secure fit.
Silverman can perform a bone graft procedure.
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