Fedoricw, Massoumi, & Kolbig

Broken Tooth: Types, Causes, and How to Fix It

Dealing with a broken tooth

Imagine enjoying your favorite snack or engaging in a friendly game of sports, only to suddenly feel a sharp pain and realize you’ve broken a tooth. This common dental emergency can happen to anyone, and knowing how to respond is crucial for minimizing damage and discomfort. In this blog, we’ll delve into the causes of broken teeth, outline the immediate actions you should take, and discuss the best treatments available to restore your tooth’s function and appearance. Additionally, we’ll provide valuable advice on how to prevent such incidents and keep your teeth strong and healthy. With the right knowledge and preparation, you can handle a broken tooth with confidence and ensure your smile remains intact.

In This Blog: 

  • What is a Broken Tooth?
  • How Dentists Fix Broken Teeth

What is a Broken Tooth?

A broken tooth occurs when there is a fracture, chip, or crack in the tooth’s structure, which can affect any part of the tooth, including the enamel, dentin, or pulp. The severity of the break can vary from minor cosmetic damage to significant structural issues that require urgent dental care. Here’s a closer look at what constitutes a broken tooth:

Types of Tooth Breaks

  • Craze Lines: These are tiny, superficial cracks that affect only the outer enamel. They are generally harmless and don’t cause pain, but they can be treated for cosmetic reasons if they become noticeable.
  • Fractured Cusp: This type of break usually occurs around a dental filling and affects the chewing surface of the tooth. It typically does not involve the pulp and may not cause significant pain.
  • Cracked Tooth: A crack that extends from the chewing surface toward the root. It can vary in depth and may cause pain when chewing or when the tooth is exposed to temperature changes. Early treatment is essential to prevent the crack from worsening.
  • Split Tooth: A more severe form of a cracked tooth, where the tooth is split into distinct segments. This often requires extensive treatment or extraction.
  • Vertical Root Fracture: This type of fracture starts at the root and extends upward toward the chewing surface. It may not cause noticeable symptoms initially but can lead to infection and damage to surrounding bone and gum tissue.

Symptoms of a Broken Tooth

  • Pain and Sensitivity: A broken tooth often results in sharp pain or sensitivity, especially when biting down, chewing, or consuming hot or cold foods and beverages.
  • Visible Damage: You may see a visible crack, chip, or missing part of the tooth. In some cases, the break might be felt with your tongue before it’s visible.
  • Swelling and Gum Irritation: Swelling around the affected tooth and irritation of the surrounding gum tissue can occur, especially if the break is severe or if there is an underlying infection.
  • Difficulty Chewing: A broken tooth can make chewing difficult or uncomfortable, and you might find yourself avoiding using the affected side of your mouth.

Causes of a Broken Tooth

  • Physical Trauma: Accidents, falls, or sports injuries are common causes of broken teeth. A direct impact on the mouth can easily result in a fracture.
  • Chewing Hard Objects: Biting down on hard foods like ice, hard candy, or nuts can cause teeth to crack or break, particularly if the teeth are already weakened.
  • Dental Decay: Teeth weakened by decay are more susceptible to breaking. Untreated cavities can lead to significant structural damage.
  • Teeth Grinding (Bruxism): Chronic grinding or clenching of teeth, often during sleep, can wear down teeth and lead to fractures over time.
  • Large Fillings: Large or old fillings can weaken the integrity of the tooth, increasing the likelihood of breaks and cracks.

Understanding the different types of breaks, recognizing the symptoms, and knowing the causes can help you take prompt action if you experience a broken tooth. Early intervention and professional dental care are crucial to preventing further damage and ensuring a successful treatment outcome.

How Dentists Fix Broken Teeth

Dentists use a variety of treatments to repair broken teeth, depending on the severity and location of the break. These include: 

Dental Bonding

One common method is dental bonding, where a tooth-colored resin material is applied to the broken or chipped part of the tooth. The dentist shapes and molds the resin to match the natural contours of the tooth, then hardens it with a special light. Dental bonding is ideal for minor chips and cracks and usually requires just one visit.

Dental Crowns

For larger breaks or when a significant portion of the tooth is missing, dentists often use dental crowns. A crown is a cap that covers the entire visible portion of the tooth, providing strong, long-lasting protection and restoring the tooth’s shape, function, and appearance. Crowns can be made from porcelain, ceramic, metal, or a combination of materials and are custom-made to fit over the damaged tooth.

Dental Veneers

Dental veneers are another option, particularly for fixing the appearance of broken or chipped front teeth. Veneers are thin, custom-made shells of porcelain or composite resin that cover the front surface of a tooth and are bonded with a strong adhesive. They can also correct other cosmetic issues, such as discoloration or slight misalignment.

Dental Fillings

For moderate breaks, especially those caused by decay, dental fillings are a common solution. Fillings use materials like composite resin, amalgam, or gold to fill cavities and restore the integrity of a damaged tooth. Composite fillings are particularly popular for their natural appearance.

Root Canal Therapy

In cases where the break exposes the pulp or when the tooth is severely damaged and infected, root canal therapy may be necessary. This involves removing the damaged or infected pulp, cleaning and disinfecting the root canals, and then filling and sealing them. A crown is usually placed over the tooth to provide additional protection.

Dental Implants

When a broken tooth cannot be saved and must be extracted, dental implants provide a permanent, natural-looking replacement that functions like a real tooth. Implants are artificial tooth roots made of titanium that are surgically placed into the jawbone, with a crown attached to replace the missing tooth.

Dental Bridges

For replacing one or more missing teeth, dental bridges are used. A bridge consists of one or more artificial teeth anchored to adjacent natural teeth or implants, cemented in place to fill the gap left by a missing tooth.

Temporary Treatments

Temporary treatments, such as dental cement or temporary crowns, can protect the broken tooth and provide relief until a permanent solution is available. These are used when immediate, permanent treatment is not possible, protecting the tooth and reducing discomfort while waiting for a definitive procedure.

Conclusion

Experiencing a broken tooth can be an unexpected and distressing event, but with the right knowledge and preparation, you can handle it effectively and minimize any lasting impact. By understanding the causes of broken teeth, taking immediate and appropriate actions, and knowing the best treatment options, you can ensure prompt and effective care. Preventive measures, such as wearing mouthguards during sports and avoiding hard foods, play a crucial role in maintaining the strength and health of your teeth. Remember, timely intervention by a dental professional is key to restoring your tooth’s function and appearance, allowing you to keep your smile intact. Armed with the insights and advice from this blog, you can confidently navigate the challenges of a broken tooth and maintain optimal oral health.

Dr.-Roman-Fedorciw
Dr. Roman Fedorciw has been in private practice in Cromwell since 1991. He is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and the American Dental Association. He is also a member of the Connecticut Dental Association and Middlesex County Dental Association. Dr. Fedorciw has been acknowledged by his peers as one of the “Top Dentists” in Hartford County by Hartford Magazine and in the state of Connecticut by Connecticut Magazine.
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