Posts for tag: broken tooth
Almost every day we get a call from a patient who has broken a tooth, and generally it means that to save the tooth, we have to place a crown or permanent restoration over it to keep it from breaking further. Sometimes the tooth can't be saved and that is a real bummer!
What causes teeth to break? Well, there are several factors, one of which we see in almost all tooth fractures. The most common contributing factor is Silver amalgam fillings- these fillings have the unique property of enlarging as they age. So, there seems to be some outward pressure on the tooth and if someone bites just the right (or wrong) way, you hear that crack!
Now this tooth broke in several planes at once, and had to be removed; there wasn't enough sound tooth structure to save it! So an implant or bridge needed to be done.
This is a more common sort of fracture. The inside aspect of the tooth just shears away. Luckily, this tooth can be saved with a crown, after first making sure there is no decay present.
The second common factor is bruxism- the habit of grinding or clenching the teeth. Many bruxers break teeth that don't even have fillings in them, but they always have a higher percentage of broken teeth than people who don't brux or clench.
If you or someone you know does grind their teeth and are worried about a tooth or some teeth, don't hesitate to give us a call and we will be glad to check it out for you! Don't wait until it hurts!
Dental emergencies may be categorized as toothaches, injuries or broken appliances.
• Toothache If a toothache develops, using a brush and floss, clean the suspected area. Rinse with warm salt water. Do not place an aspirin on the gums or tooth [this may cause a burn]. Apply a cold compress to any facial swelling. Take acetaminophen [Tylenol] and call us as soon as possible.
• Extruded Teeth If a tooth is pushed either inward or outward, try to reposition the tooth using light finger pressure. Do not force the tooth into its socket. Try to get the injured person to us as soon as possible. The tooth may be stabilized and held in place with a moist tissue or gauze on the way over.
• Fractured Teeth First rinse your mouth with warm water to keep it clean. Immediate dental care is necessary. The treatment will depend on the severity of the fracture and could range from smoothing out the chip to bonding with a resin [tooth colored] material to placing a crown [cap]. If there has been pulp [nerve] injury, root canal may be necessary at once or at a later date.
• Soft Tissue Injury The tongue, lips or cheeks may be bitten, lacerated [cut] or punctured. If there is bleeding, apply firm pressure with a gauze or clean cloth. If bleeding doesn’t stop within 15 minutes, bring the person to our office or a hospital emergency room. Sutures [stitches] may be necessary. Otherwise, clean the area with warm water on a gauze or clean cloth. Apply an ice compress to the bruised or swollen area. Contact us for further instructions.