Fractured Teeth & Saving Teeth FAQs

At The Center for Oral Surgery & Dental Implants, we understand that dental emergencies and concerns about tooth damage can be stressful. Whether you’ve experienced a fractured tooth or are worried about saving a tooth in need of treatment, it’s important to have the right information to make informed decisions about your oral health. This FAQ page is designed to address some of the most common questions about fractured teeth and the various methods available to save damaged or compromised teeth. 

Frequently Asked Questions: Fractured Teeth & Saving Teeth 

• How do I know I have a fractured tooth? 

A fractured tooth may present itself through several symptoms, including pain when chewing or biting, sensitivity to temperature changes (hot or cold), and discomfort in the affected area. Sometimes, you may not feel any pain right away, but the fracture could still cause problems, such as damage to the tooth's pulp or nerve. Visually, a fractured tooth may have visible cracks or chips, though some fractures are only detectable through dental X-rays. If you're experiencing any of these symptoms, it’s important to see a dentist to evaluate the extent of the damage. 

The type and severity of the fracture can vary, and in some cases, the tooth might only experience minor cosmetic issues, such as small chips. In other situations, the fracture could be deeper, affecting the tooth’s root or pulp, which could cause significant pain or infection. An experienced dentist will perform a thorough examination, possibly using advanced imaging techniques like X-rays or a CT scan, to diagnose the fracture accurately. 

• Can a fractured tooth heal on its own? 

Unfortunately, a fractured tooth cannot heal by itself. Once a tooth is fractured, professional dental treatment is typically required to prevent further damage or complications. In many cases, a fractured tooth will not repair itself, and the issue can worsen over time, especially if the tooth's pulp or nerve becomes exposed. If the fracture is not treated, it can lead to infections, abscesses, or more significant structural damage, eventually necessitating a root canal or extraction. 

The severity of the fracture plays a role in the treatment plan. Minor cracks may only require smoothing and cosmetic restoration, such as a filling or bonding. However, more severe fractures might need crowns, root canals, or even tooth extraction. Seeking timely dental care is essential for preserving the tooth and preventing further complications. 

• What are the different types of fractured teeth? 

Fractured teeth come in various forms, ranging from simple chips to more complex cracks that extend deep into the tooth. Some common types of fractures include: 

• Craze lines: Superficial cracks in the enamel that do not affect the tooth’s structure or cause pain. These are usually cosmetic and do not require treatment. 

• Fractured cusp: The pointed part of the tooth, usually a molar, may break off. This can be painful but often can be repaired with a dental crown. 

• Cracked tooth: A vertical crack that may extend into the tooth’s root, causing pain when chewing or biting. A cracked tooth can often be saved with a crown, and in some cases, a root canal may be necessary. 

• Split tooth: When a tooth splits into two or more pieces. This typically results in the loss of the tooth, but in some cases, it may be saved with a root canal and crown. 

• Vertical root fracture: A crack that begins in the root of the tooth and extends upward. This type of fracture usually leads to the need for extraction unless the fracture is detected early. 

A dentist can diagnose the type of fracture through an examination and X-rays, determining the best course of treatment. 

• What should I do if I fracture a tooth? 

If you fracture a tooth, it's crucial to seek immediate dental care. Rinse your mouth with warm water to clean the area and remove any debris. If there is any bleeding, apply gentle pressure with a clean cloth or gauze to stop it. Avoid chewing on the side of the fractured tooth, and if possible, save any pieces of the tooth that have broken off and bring them to the dentist. 

Until you can see a dentist, you can take over-the-counter pain medication, such as ibuprofen, to manage discomfort. If the fracture exposes the tooth’s pulp or nerve, you might experience significant pain, and your dentist may need to perform a root canal to prevent further damage or infection. The sooner you seek treatment, the more likely it is that the tooth can be saved. 

• Can a fractured tooth cause infection? 

Yes, a fractured tooth can lead to infection if the fracture extends into the tooth’s pulp, which houses the nerves and blood vessels. When the pulp is exposed to bacteria from food or saliva, an infection can develop, causing swelling, pain, and abscess formation. Infections in the tooth can spread to surrounding tissues and lead to serious complications, so it’s crucial to seek dental care immediately after experiencing a fractured tooth. 

If an infection is present, your dentist may recommend a root canal procedure to remove the infected tissue and prevent further damage. In some cases, if the infection is too severe, the tooth may need to be extracted to prevent the spread of infection. Proper dental treatment and prompt attention can help minimize the risk of infection and save the tooth. 

• How does a dentist treat a fractured tooth? 

The treatment for a fractured tooth depends on the type and severity of the fracture. For minor cracks, a dentist may apply a filling or bonding material to restore the tooth's appearance and function. If the fracture is deeper or more significant, a crown or cap may be placed over the tooth to protect it and restore its strength. In cases where the fracture extends into the tooth’s pulp, a root canal may be necessary to remove the damaged tissue before placing a crown. 

For more severe fractures, such as a vertical root fracture or split tooth, extraction may be necessary if the tooth cannot be saved. A dental implant or bridge may then be used to replace the missing tooth. The goal of treatment is always to preserve the natural tooth whenever possible while ensuring the health and function of the surrounding teeth. 

• Can a fractured tooth affect my bite? 

Yes, a fractured tooth can affect your bite, especially if the fracture compromises the tooth’s ability to function properly during chewing. A broken or cracked tooth may cause discomfort when biting or chewing, and you might unintentionally favor one side of your mouth, leading to an uneven bite. Over time, this can lead to further dental issues, including temporomandibular joint (TMJ) problems, misalignment, and uneven wear on other teeth. 

Your dentist will assess how the fracture affects your bite and may recommend restorative treatments such as crowns or bonding to help restore proper function. In severe cases, if the fracture is not treatable, the tooth may need to be extracted to avoid further complications with your bite. 

• Can a fractured tooth be crowned? 

Yes, many fractured teeth can be successfully crowned. A crown is a cap placed over the entire tooth, helping to restore its strength, appearance, and function. Crowns are typically used for fractures that affect a significant portion of the tooth, such as a fractured cusp or cracked tooth. They can also be used after root canal treatment to protect a weakened tooth. 

To place a crown, your dentist will first remove any damaged or decayed portions of the tooth. An impression of the tooth is then made to create a custom crown that fits snugly over the remaining tooth structure. Once placed, the crown will restore the tooth’s function and protect it from further damage. 

• Can a tooth be saved if it’s severely decayed? 

Yes, a severely decayed tooth can often be saved, depending on the extent of the damage. If the decay hasn’t reached the tooth’s root, it can typically be treated with a filling or crown. In cases where the decay is deep and has infected the pulp (the soft tissue inside the tooth), a root canal may be required to remove the infected tissue and restore the tooth with a crown. 

Early intervention is key to saving a decayed tooth. If left untreated, decay can lead to abscesses or tooth loss. Regular dental checkups can catch decay before it becomes severe, allowing your dentist to take steps to restore the tooth and prevent extraction. 

• What is a root canal, and how does it save a tooth? 

A root canal is a procedure used to save a tooth that is severely infected or damaged, typically due to deep decay or trauma. During the procedure, the dentist removes the infected or damaged pulp from the tooth, cleans and disinfects the root canals, and then seals them. A crown is often placed on the tooth afterward to protect it and restore its function. 

Root canals are highly effective in saving teeth that might otherwise require extraction. By removing the infection and sealing the tooth, a root canal prevents further damage, allowing you to keep your natural tooth and avoid the need for an implant or bridge. 

• Can a cracked tooth be saved? 

Yes, many cracked teeth can be saved, depending on the type and severity of the crack. For minor cracks or chips, a dentist may apply a dental filling or bonding material to restore the tooth’s appearance and function. For deeper cracks that reach the pulp, a root canal and crown may be necessary to preserve the tooth. 

If the crack extends into the tooth’s root or splits the tooth into multiple pieces, it may not be able to be saved, and extraction might be the best option. Timely treatment can prevent further complications and increase the chances of saving the tooth. 

• How can I save a tooth that has been knocked out? 

If a tooth is knocked out, there is a chance it can be saved if immediate action is taken. First, pick up the tooth by the crown (the top part) and rinse it gently with water—do not scrub or remove any tissue still attached. If possible, try to place the tooth back into its socket or keep it moist by storing it in a glass of milk or a tooth-preservation kit. It’s crucial to see a dentist as soon as possible—ideally within 30 minutes to an hour. 

In some cases, the tooth can be successfully re-implanted, but if too much time has passed or the tooth is too damaged, a dental implant may be recommended instead. Quick intervention is vital for the best chances of saving the tooth. 

• Can dental bonding help save a tooth? 

Dental bonding is a procedure used to restore the appearance and function of teeth that are chipped, cracked, or have cavities. The dentist applies a tooth-colored resin material to the damaged area and then hardens it using a special light. Bonding is an effective and minimally invasive option for saving teeth with minor cosmetic damage or decay. 

While bonding is not suitable for more extensive damage or structural issues, it can help protect the tooth and restore its function in many cases. Bonding is often a good option for saving front teeth or teeth that are not subjected to heavy chewing pressure. 

• What is a dental crown, and how does it save a tooth? 

A dental crown is a custom-made cap that covers a damaged or weakened tooth to restore its shape, size, and function. Crowns are commonly used to save teeth that are cracked, decayed, or have undergone a root canal. The crown helps protect the remaining tooth structure from further damage and restores its ability to chew and bite properly. 

Crowns can be made from various materials, including porcelain, ceramic, and metal. A dentist will assess the tooth’s condition and recommend the most appropriate material to ensure durability and a natural appearance. Crowns are an effective way to save a tooth and prevent extraction. 

• Can teeth with gum disease be saved? 

Yes, teeth affected by gum disease can often be saved with prompt treatment. In the early stages of gum disease (gingivitis), the condition can typically be reversed with professional cleaning and improved at-home oral care. However, if gum disease progresses to periodontitis, more extensive treatment may be necessary. 

Treatments like scaling and root planing (deep cleaning), antibiotics, or surgical procedures such as flap surgery or bone grafting may be required to save teeth with advanced gum disease. The key is to address the issue early to prevent tooth loss and preserve the health of your gums and teeth. 

• Can dental implants help when a tooth cannot be saved? 

While dental implants cannot save a natural tooth, they are an excellent solution when a tooth is beyond saving. If a tooth is severely decayed, cracked, or infected, and extraction is necessary, a dental implant can replace the missing tooth. A dental implant involves placing a titanium post into the jawbone, which acts as a replacement root for a custom crown. 

Dental implants are a long-term solution that provides a strong, natural-looking replacement for a lost tooth. They also help preserve bone structure and prevent surrounding teeth from shifting. Although dental implants cannot save a natural tooth, they are an ideal way to restore both function and appearance after tooth loss. 

Wish to learn more? Visit The Center For Oral Surgery & Dental Implants at 9713 Northcross Center Court, Suite 100, Huntersville, NC 28078, or call (704) 875-8833 and take the first step toward reclaiming your smile and confidence.