A broken tooth can be a concerning issue, often causing discomfort. Dental professionals frequently address such damage, and a dental crown often serves as a practical solution. Determining if a crown is appropriate requires a thorough evaluation by a dentist. This assessment helps ascertain the extent of the damage and the most effective treatment path to restore the tooth’s function and appearance.
Assessing a Broken Tooth for a Crown
Placing a crown on a broken tooth depends significantly on the nature and severity of the fracture. Dentists assess the remaining healthy tooth structure, which is crucial for supporting the crown. If the break extends deep below the gum line or if there is insufficient sound tooth material, a crown might not be a viable option.
The condition of the tooth’s pulp, the innermost part containing nerves and blood vessels, is another important factor. A deep fracture can expose or damage the pulp, potentially leading to infection or sensitivity. In such cases, a root canal procedure may be necessary before a crown can be placed to ensure the tooth’s long-term health. Dentists use X-rays and visual examinations to determine the extent of internal damage.
The location of the break also plays a role in treatment planning. A small chip on the biting surface might be treatable with less extensive procedures, whereas a vertical fracture extending towards the root presents a more complex challenge. If the tooth is fractured in a way that compromises its structural integrity beyond repair, alternative treatments would be considered.
Other Treatment Options for Broken Teeth
When a dental crown is not the most suitable option for a broken tooth, several alternative treatments are available, depending on the extent and location of the damage. For minor chips or cracks, dental bonding offers a conservative approach. This procedure involves applying a tooth-colored resin material to the tooth’s surface and then hardening it with a special light, repairing imperfections and restoring the tooth’s shape.
Veneers are another option, typically used for front teeth with cosmetic damage, such as chips or discoloration. These are thin, custom-made shells, often crafted from porcelain or resin composite, that bond to the front surface of the tooth. Veneers can significantly improve the appearance of a broken tooth, but they require healthy enamel for proper adhesion.
If a severe break has affected the tooth’s pulp, causing pain or infection, root canal therapy becomes necessary. This procedure removes the damaged or infected pulp, cleans the inside of the tooth, and then fills and seals it. After a root canal, a crown is often recommended to protect the weakened tooth from further fracture. If the tooth cannot be saved, extraction may be the only solution. Following extraction, dental implants or bridges can replace the missing tooth.
The Dental Crown Procedure
The process of receiving a dental crown typically involves two or sometimes three appointments. During the initial visit, the dentist prepares the broken tooth by reshaping it, which involves removing a small amount of enamel from the sides and chewing surface. This preparation creates adequate space for the crown to fit over the tooth without appearing bulky or interfering with the bite.
Any existing decay or compromised tooth structure is removed at this stage to ensure a healthy foundation for the crown. After the tooth is prepared, an impression is taken, which can be either a traditional mold or a digital scan. This impression captures the precise contours of the prepared tooth and the surrounding teeth, ensuring the custom-made crown will fit accurately.
A temporary crown, usually made of acrylic, is then placed over the prepared tooth to protect it while the permanent crown is being fabricated in a dental laboratory. During a subsequent appointment, typically a few weeks later, the permanent crown is cemented onto the tooth. Crowns can be made from various materials, including porcelain, ceramic, or metal alloys, each offering different aesthetic and durability characteristics, which are discussed with the patient prior to fabrication.
Maintaining Your Crowned Tooth
Proper care of a crowned tooth is essential for its longevity and for maintaining overall oral health. Regular oral hygiene practices are crucial, including brushing at least twice a day with fluoride toothpaste and flossing daily. Paying particular attention to the area where the crown meets the gum line helps prevent plaque buildup and potential gum disease, which could compromise the crown’s foundation.
Avoiding certain foods can also protect your crown from damage. Hard foods, such as certain candies or ice, can cause the crown to chip or fracture, while sticky foods, like caramels, can potentially dislodge it. Opting for softer foods and cutting harder items into smaller pieces can help extend the life of your crown.
Consistent dental check-ups and professional cleanings are vital for monitoring the condition of your crown and the surrounding tooth structure. During these visits, the dentist can identify any issues early, such as signs of wear, loosening, or gum inflammation around the crown. Addressing any discomfort or unusual sensations promptly can prevent minor issues from escalating into more significant problems, ensuring your crowned tooth remains functional for many years.