All about broken teeth and treatments

The tooth can resist strong forces, but if a strong force is applied to one point of the tooth at a time, there is a possibility of breaking the tooth. Teeth can crack from anywhere. The depth of the cracks (the degree of penetration into the tooth structure), their length or spread, and where they start are different. The tooth cracks for various reasons, such as chewing hard food and gnashing. Tooth fractures are coupled with pain when chewing, pressure when teeth are stacked, tooth sensitivity to cold and heat, and discomfort of unknown tooth origin.

Keep in touch with StrAIberry to know all about cracked or broken teeth and treatments.


Tooth fracture

If the crack is short and only damages the hard outer layer of the tooth, the enamel, it is enough to polish the tooth or partially modify it with tooth composite to make it look better. But if the fracture has passed through the enamel, you need more specialized treatments to prevent a gum infection or deeper fracture.

Methods such as veneers, denervation, or tooth extraction are recommended depending on the severity and depth of tooth cracking. Specialists sometimes use special filling materials to repair tooth fractures, and by placing veneers, they prevent the fractures from becoming more severe and the teeth from falling apart.

To read more: Never miss teeth whitening in StrAIberry App


Types of Tooth fractures

In cracked teeth, proper treatment depends on the type of fracture which includes:

  • Linear cracks

Small cracks form on the enamel and usually do not require treatment. It warns you to be more careful while chewing or biting.


  • Deeply cracked tooth

In this case, the chewing surface of the tooth cracks into the pulp chamber, but the tooth does not split. If the crack reaches the pulp, the root canal is needed to repair the tooth.


  • Split teeth

In this case, the tooth has a crack that moves from its surface to below the gum line. In fact, the tooth can divide into two parts. With such a wide crack, you can rarely save the whole tooth, but your dentist may be able to save part of it.


  • Fracture of the tooth cusp

This kind of crack happens around the filled tooth. A cusp fracture is usually not painful and may just be sensitive. In this case, the tooth is repaired with zirconia veneer or tooth filling.


  • Vertical root fracture

Cracking begins not at the chewing surface but at the root of the tooth. This type of fracture is usually treated with tooth extraction and implant placement, although it is sometimes possible to preserve a tooth with root canal surgery.

To read more: 10 Common Dental Problems


Classification of tooth fracture

According to the modified Ellis classification and criteria for scoring, there are 8 classes of tooth fracture.

Type Criterion
0 No Trauma
1 Simple fracture of crown, involving little or no dentin
2 Extensive fracture of crown, involving considerable dentin, not the pulp
3 Extensive fracture of crown, involving considerable dentin, exposing pulp
4 Nonvital tooth, without loss of crown structure
5 Total tooth loss
6 Displacement of tooth, without fracture of crown or tooth
7 Fracture of the entire crown and its replacement

Signs of tooth fracture

Broken teeth come with symptoms such as pain when chewing or overlapping teeth, tooth sensitivity, and pain at high or low temperatures. For example, the patient experiences toothache when drinking cold or hot beverages. Broken teeth do not cause persistent toothache, and the pain is mostly on and off. Tooth sensitivity indicates that the tooth is alive and needs shorter treatment. Chewing pain is a sign of a deeper problem and involvement of the tooth nerve.


Causes of cracked teeth

Cracking or breaking a tooth does not have a unique cause. The most common causes of broken teeth are:

To read more: Dental Care app allows dentists manage patient records


Clenching puts too much pressure on one tooth due to improper and unilateral teeth overlapping. This intense pressure causes the teeth to crack.


Untreated tooth decay makes a hole under the tooth surface and collapses under slight compression of the tooth surface.


Root canal. This treatment dries the dentin tissue of the tooth. Therefore, it is recommended to place a dental veneer on the tooth after denervation.


High-impact sports: Trauma to the mouth is one of the most common causes of broken teeth, so doing high-impact exercise increases the risk of breaking teeth. Falling, hitting other players, or hitting a ball or racket in the face can break one or more teeth. If you enjoy high-impact sports such as hockey, basketball, baseball, and American football, it is vital to use a dental guard when exercising.


Inappropriate diet: The food you eat is directly related to the possibility of breaking your teeth. Eating sweets, sticky or acidic foods will destroy your enamel and make your teeth more vulnerable to decay. In addition, eating snacks that put extra strain on your teeth increases the risk of tooth damage.


Diseases and underlying problems: Many underlying diseases and problems can cause teeth to become brittle. For example, you may have genetically inherited weak and vulnerable enamel. Some genetic disorders can also affect the inner layer of the tooth. Both of these hereditary factors can cause your teeth to break easily.

Advanced and severe gum disease can also cause teeth to become brittle. If gum disease is not treated, gingivitis can cause more serious inflammation around the teeth and weaken the bone. Just like other bones in our body, teeth are affected by osteoporosis and kidney disease (which reduce calcium absorption).


Bad habits: Having some bad habits in life also weakens teeth. For example, although regular brushing is essential, excessive brushing or brushing with too much pressure can damage the enamel, making your tooth more vulnerable to decay and breakage.

To read more: Features of a good toothbrush

Broken teeth treatment

When you experience cracked teeth, there may be different treatments based on the condition you have. Here are some usual means.


  • Composite repair of broken teeth

Composite tooth restoration is a method of repairing a broken tooth and its full lip, cracking, decay, discoloration and jaundice, deformity, and closing the gap between the teeth. The shelf life of dental fillings is about ten years. Composite restoration of the front tooth does not require anesthesia unless it is performed to repair root caries.


  • Tooth crown

If the fracture is large or the person has pain while chewing or drinking, the tooth should be covered. A ceramic veneer is one of the most widely used restorative treatments. The veneer is placed on the tooth to protect it. The restorative veneer is very durable and protects the tooth. If the damaged tooth is not covered, it cannot withstand the chewing pressure.


  • Root canal

If the fracture has progressed to the dental pulp, you need denervation. Sometimes, after denervation, the tooth is veneered to be protected from further cracking and decay. Tooth decay and tooth nerve are removed simultaneously in the root canal. Many people think that denervation is painful, and they are afraid of it. But if the denervation is done properly, the person will not experience any discomfort or pain.

If you suffer from toothache, tooth sensitivity, or swelling, you will need denervation. If left untreated, the infection can set the stage for dental abscesses, bone loss, and other serious complications.


  • Dental implants

If the crack continues below the gum line, you cannot treat the tooth anymore. The tooth, in this case, must be extracted. You can replace the extracted tooth with implants (dental implants). Immediate implants or one-day implants replace extracted teeth and act like new tooth roots. The implant is placed firmly in the jawbone.

If the patient takes good care of it and the implant steps are done properly, the implant will remain in the mouth for the rest of its life. If there is not enough bone to implant the tooth, specialists will perform the bone graft before or at the same time as the implant.

As you know, maintaining a standard dental routine will always keep your teeth in proper condition. If you follow dental practices, checkups, regular visits to the dentist, and a healthy diet, you can make sure of your oral health. StrAIberry app benefits from artificial intelligence and makes step-by-step plans for keeping dental health. Especially, it offers you the best dental insurance based on the records on your profile. Keep in touch with us to guarantee your health.


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