Chicago Dentist - Tooth Fractures

TOOTH FRACTURES

Tooth fractures can involve the crown, the root(s), or both. A fracture of the crown can be confined to the enamel or include the dentin and/or the pulp. Injury to the pulp demands the most involved treatment. Although fractures of the crown may be the most obvious, it is important that you recognize the symptoms of other types of fractures so that you know to seek prompt dental care.

Broken Tooth (Complete Crown Fracture)

If your tooth breaks:

• Gather the broken pieces (if you can) and bring them to your dentist. Sometimes they can be bonded back onto the tooth.
• Rinse your mouth gently with warm water to remove dirt or debris from the injured area.
• If your tooth breaks, swelling may occur. Apply ice wrapped in a towel or a cold compress to the face around the area of swelling.
• Call your dentist and follow instructions.

Fractures of the Enamel Only

Many times these fractures are not visible and can only be diagnosed by symptoms. Symptoms include:

• Discomfort when chewing
• Discomfort if the fracture has penetrated the enamel completely
• Discomfort if the sharp edges of the fractured enamel touch and irritate your lips and/or tongue

Call your dentist as soon as possible. Even though a fracture involving only the enamel seems small, it can, at times, result in permanent damage to the tooth.

Fractures of Both Enamel and Dentin

Symptoms are:

• Discomfort with chewing
• Sensitivity to changes in temperature
• Loose tooth fragments

Call your dentist immediately. The treatment the dentist provides will depend on the location and severity of the fracture. The dentist may clean and dry the tooth and then place a protective barrier over the exposed dentin to protect the pulp from further irritation. The tooth is usually restored temporarily with composite material. After six to eight weeks the tooth may be restored permanently.

Fractures Involving the Pulp

These fractures require the most immediate attention. You may even be able to see the pulp. The symptoms associated with fractures involving the pulp are generally the most severe and include:

• Discomfort with chewing
• Sensitivity to changes in temperature
• Loose tooth fragments

Call your dentist immediately. Treatment varies, depending on a number of factors, including how much of and how long the pulp has been exposed. Treatments may include pulp capping, pulpotomy, root canal therapy, or extraction.

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