“Dental breakage” can refer to anything from a minor cosmetic chip to a serious structural problem. The right treatment, and whether the natural tooth can be saved, depends on the details.
Whether a broken tooth can be saved depends on the extent of the damage, whether the crack extends below the gumline, and whether the tooth's root and supporting structure remain healthy. A dentist can determine this with a visual exam and x-rays.
When a Tooth Can Often Be Saved
Many broken teeth are treatable rather than a lost cause. Dr. Keith Polizois can typically save a tooth when:
- The crack or chip is limited to the enamel or outer tooth structure
- The break doesn't extend below the gumline
- The tooth's root remains healthy and stable
- There's enough remaining tooth structure to support a filling, crown, or bonding for restored strength and appearance
When a Root Canal May Be Needed
If a break extends deep enough to expose the tooth's inner pulp, the tooth, while still structurally intact, may become painful or infected. In these situations, a root canal can save the tooth by removing the damaged tissue and sealing it with a crown. This restores function and aesthetics while preserving the natural tooth.
When Extraction Becomes Necessary
Unfortunately, not every broken tooth can be saved. Extraction may be recommended when:
- The crack extends deep below the gumline or into the root
- The tooth is severely fractured with insufficient structure remaining
- Infection has caused significant bone loss around the tooth
- The tooth is too unstable to support a restoration long-term
How Dr. Polizois Determines the Right Path
Using a clinical exam combined with x-rays, Dr. Polizois evaluates the location and depth of the break, the health of the surrounding bone and gum tissue, and whether a restoration will hold up long-term. This evaluation determines whether saving the tooth or extraction offers the better outcome.
Don't Wait for a Check-up
A broken tooth will not improve on its own. Delaying treatment can turn a savable tooth into one that requires extraction. If you've broken a tooth, prompt evaluation gives you the best chance of preserving it.
Effective, Conservative Care for Broken Teeth in Annapolis, MD
If you're in Annapolis and want to learn more about treatment options for a broken tooth, contact Dr. Keith Polizois and the Chesapeake Bay Dentistry team to schedule a consultation.