Our Tooth enamel is one of the hardest substances in our body, but teeth still break when lot of force is applied on them. If you receive a injury on the face or suffer trauma as a result of accidents, it’s possible that some of the teeth might get broken or damage, this is known as a dental injury.
Most of the times teeth break as a result of biting on hard objects or when they are hit by external forces on the jaw. There can be any trauma to teeth, like falling from the stairs or getting an injury from road accidents. A child may fracture a tooth when he falls from a bike or curb during play. Sometimes large dental cavities can also reduce the tooth strength thereby resulting in fracture or chipping of the tooth.
The pain that results from a broken tooth, cracked or chipped tooth, can be relieved over-the-counter pain reliever or self-made toothache remedy. If there is a minor chip in your tooth, there’s no need to get panic, there are high chances of saving your tooth. And always remember to take the broken tooth piece along with you to the dentist. Also, if possible, keep any part of the tooth that has broken off and take this with you to the dentist.
If the fracture occurs from biting a hard object or fracture of a lifeless tooth then you can take an appointment and visit your dentist. If the tooth fracture is more severe, resulting from accident or from a bow on the jaw then you need to visit the dentist or Oral and maxillofacial surgeon immediately. This kind of dental injuries are considered as dental emergencies. Rinse your mouth with warm water and try to stop any kind of bleeding. If the whole tooth comes out of the socket then carry the whole tooth with you to the dentist, carry the tooth in a cup of milk which will retain the periodontal ligaments around the tooth. Call your dentist to get an appointment right away.
There are always small fracture lines running through the enamel of all teeth, and these are of least danger. But the more serious are those that propagate through the deeper layers of dentin which definitely create structural weaknesses, and may even involve the pulp of the tooth. From ting and the pain resulting from this fracture is excruciating.
When the teeth fracture, the prognosis is good if a tooth is treated immediately. The dentist will need to determine the type of fracture and how deep it is, that is involving only dentin or both dentin and pulp. The treatment is different for adults and children, adults require root canal treatment if it involves the pulp and for children temporary or Glass inomer filling is usually enough if the fracture is superficial.
It’s better to be on soft diet until you get treated for tooth fracture and be sure to chew on the opposite of damaged tooth. If you chew on the fracture tooth, you may increase the pain and perhaps even infection on the tooth. Avoid extremely hot or extremely cold food. Foods that have extreme temperatures cause further pain and can further irritate the damaged area.
There are different treatments for broken teeth, depending on the severity of the fracture.
When a dentist recommends a dental crown instead of dental filling the reason is that a molar teeth bears more burden of biting and chewing when compared to the incisors hence a crown has better shell life and protects the teeth.
More than likely, a crown is the most appropriate treatment, assuming the tooth is not in some other way compromised. A tooth with an extensive history of deep multiple-surface fillings is at risk for other problems, such as vertical fracture through the root, pulpal infection, additional extensive decay, and others.
A proper diagnosis and assessment of the fractured tooth should be done before a crown is placed because there is no point in having a crown made if the tooth is doomed and has a poor prognosis. The supporting structures should also be properly assisted so that it should not have any grade of mobility.
The decision as to when a tooth should be restored by crown rather than by filling is a subjective one, but not necessarily a blind guess. A dentist with relatively few years of experience will know when a tooth is in danger of cracking.
For teeth that need more than a filling, a crown is the most commonly prescribed restoration.