Prosthodontist Questions Chipped tooth

In a fall, my tooth broke off in half. How can this be fixed?

I fell down the stairs at work and I hit my tooth so hard, that half of it broke off. What can be done to fix this?

8 Answers

The broken tooth and surrounding teeth should be X-Rayed immediately to determine if the nerve was also damaged. If nerve damage has occured you may notice the tooth begins to turn dark over time, indicating that the nerve is damaged and the tooth may need a Root canal. Please follow up with a dentist asap
This depends on the severity of the fracture. Often times this can be fixed with simple composite filling bonding to the tooth structure. Sometimes a crown is needed or a root canal and crown if the nerve is exposed. In severe instances, not enough tooth structure maintains or the root is fractured in which case an extraction and implant placement is recommended. Examination and radiograph if recommended in this circumstance.
If you broke your tooth, it is best to see an expert dentist near you asap. After his evaluation, he will advise you in regards to saving your tooth, either with dental bonding, veneer, or possibly crown and root canal. After 38 years in practice of dentistry, I highly advise you salvage your tooth no matter what vs. removal and placing a dental implant.
Your dentist will make an X-ray determination of how severe the fracture is and whether or not it needs additional support in the form of pins placed judiciously around the margins of the fracture and the resin placed over the tops of the pins to give both strength and rigidity as well as allow enough bolt contour to the exact shape of the portion that was broken. This will be cured with an ultraviolet light, or possibly not using a light, but an auto polymerizing material which is tooth-colored and will give you the fabulous aesthetic result you're looking for.
This is a common occurrence especially with kids and teenager when playing sports. It is a true emergency because most people get embarrassed by the hole that is created and who wants to be seen like that? There is no simple answer. It depends on how hard to the tooth was hit, how much of the tooth broke off. Most of the time a white filling can be bonded to the tooth to make it look like a tooth again. The treatment is different when there is a lot of trauma to the tooth. The nerve could be damaged a root canal will have to be done to save the tooth and prevent an infection.
First check the adjacent structures like your lips, gums and other teeth to make sure no other damage occurred. Second try to find the other half to the tooth and keep it hydrated in water, milk, saline...
Seek professional help. An exam will be necessary with radiographs (X-Rays) to assess the damage. The fix can be just bond the other half back on or build the tooth back with bonded composite (tooth colored material used in filings), a porcelain veneer or even a crown. Most importantly is to test the tooth vitality to verify you won't need a root canal. Know that whenever a tooth receive trauma there is an increase chance of the tooth become darker. In this case a porcelain veneer or crown should mask the tooth color. There is also the possibility of tooth whitening. All these options to be determined by a Dentist. Hope this helps!
Ouch! How horrible fracturing your front tooth! The restoration of this tooth involves many options. Depending upon how much tooth was lost, a crown or a veneer will be the best long term option and look the most natural. If you decide to go this route, as the dentist to see photographs of previously made anterior restorations. Matching the color for a single tooth can be difficult and require a dentist with some expertise. Though most durable, these types of restoration will also come with the greater initial cost because of the lengthy process. It will last indefinitely making long term costs cost effective, but initial expense will be significantly greater. If cost is the primary concern, then have the tooth restored with composite which is primarily acrylic plastic. It is easier to apply, will cost less initially but will not last long term eventually requiring its replacement. So long term costs are greater and appearance is not as excellent.
There are many options, however, to give you accurate possibilities for treatment, you need to see a dentist to evaluate how much tooth structure is left, if any vital structures are at risk (such as the nerve and jaw bone health). Some cases of fractured teeth may only need a veneer to repair, others may need root canal therapy and crowns.