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Fractured Tooth

Fractured Tooth

  • June 14, 2021

Are you in pain and feel like you have a fractured tooth? Do you need to know what treatments are available? Do you need to know if you should have the tooth fixed or pulled? A fractured tooth can be very painful and it is important to know where to find the right information for getting it fixed in a timely manner. Read below where Experts have answered similar fractured tooth questions.

What is a fractured tooth?

A tooth can become fractured when the outer tooth layers (enamel and dentin) are chipped or cracked. A serious tooth fracture occurs when the dentin and pulp are exposed. The most severe fractures involve the root (portion of the tooth under the gum line) that can leave the tooth loose and lead to pulp death and tooth infection.

What causes a tooth to fracture?

A tooth can become fractured for a variety of different reasons such as biting a hard piece of food or object. The tooth may also have become weakened due to previous dental work such as fillings. A less common cause is a congenital structural defect within the tooth. A fracture will occur when the forces sustained by the tooth exceed its structural strength.

What treatment would be used for a tooth that is slightly fractured at the edge but still attached under the gum line?

It is likely that the tooth has suffered a vertical fracture that is extending a little bit under the gum line. The part that is fractured is probably the piece still attached to the gum and likely the reason it hasn’t fallen out. Fractured tooth repair will be dependent on how deep the crack is and how far down the length of the tooth. If pain is not prominent then the fracture probably doesn’t transect the pulp. If the fracture is shallow and there is no pulpal involvement then the tooth may be saved but require a crown. Treatment will also be based on a formal assessment of the tooth condition. If anything else is found then treatment may vary.

Could a crown be used instead of a root canal on a tooth that is fractured and 40% has fallen out?

If no symptoms of hot/cold sensitivity, pain, infection, decay, etc. exist the fractured tooth may be crowned. A tooth can be crowned even with 80% missing and not require root canal therapy. If a crown is placed without a root canal and symptoms arise down the road, then a root canal may be needed at that point. X-rays will be needed of the tooth to ensure the fracture did not break below the gum line, that there are no other fracture lines, or any infection or decay before definitively diagnosing the problem and providing the proper treatment.

Would a vertical root fracture repair involve a crown or a root canal?

If a vertical tooth fracture occurred on the root then no repair will be needed as the tooth will need to be pulled. This kind of fracture transects the dental pulp and will cause infection that would stop any effort of root canal therapy eliminating the infection. Efforts would be likely wasted if repair of this type of fracture was performed. With vertical root fractures the tooth is not salvageable.

What fractured tooth treatment is recommended for a front tooth that sustained trauma?

Trauma such as a dramatic blow to a tooth has the potential to devitalize the pulp or fracture the tooth under the gum. Treatment will be determined based on what exactly is injured. It can be possible that only the enamel is chipped. If the pulp is injured then a root canal may be needed along with a crown. If the tooth root is injured extraction will be needed.

How long should gauze be kept on the site of a fractured tooth extraction?

The purpose of using gauze after an extraction of a fractured tooth is to apply pressure to the site to stop the bleeding and promote clotting. This should only be needed for fifteen to thirty minutes given that clotting is working properly.

What is recommended for fracture tooth pain?

A fractured tooth should be fixed to prevent additional issues down the road. Pain associated with a fractured tooth can be calmed by using a temporary filling material that can be found over-the-counter at most pharmacies such as Walgreens. Soft wax can be used as an alternative if the temporary filling material cannot be found. Ibuprofen, Tylenol, and eugenol oil can also be used to treat fracture tooth pain.

A fractured tooth problem may leave you feeling ill equipped or unprepared when you don’t have the right kind of information or understanding about this dental issue. Verified Experts can help answer questions about fractured tooth care or treatment options that may work best.

Do you have a fractured tooth? Contact MY-DENTISTRY for an immediate appointment with one of your local dental healthcare professionals.


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