Teeth can become worn down or broken for a variety of reasons from sports injuries, normal wear, grinding etc.

Sometimes a break in the tooth is noticed as a sharp corner, sensitivity to cold / hot drinks or foods, site of food packing. Teeth are particularly sensitive if the dentine part of the tooth is exposed.

Other times, some breaks and fractures are not noticed until the examination appointment.

Management

This decision on how to treat the problem largely depends on how visible the break is, how much it affects the patient and if the nerve is potentially compromised.

Smaller breaks can be managed with smoothing and polishing and application of a Fluoride varnish.

Larger breaks may be managed with fillings and sometimes even, fillings, Veneers or crowns are required to reinforce the tooth.

Other times Root Canal Treatment is also required to prevent the tooth from becoming infected.

Unfortunately, if the break is bad (a vertical break in the tooth or very deep) – extraction is the only option. This can be followed with the replacement by denture, bridge or implant.

If it is Left

• Pain.
• Poor looks.
• Bite alteration.
• Difficulty with eating, reduced chewing efficiency.
• Plaque stagnation and worsening gum inflammation and/or tooth decay.

Long term Management

Avoid using teeth as tools!

Regular visits to the Dentist to identify and manage problems early.

If suffering with repeated breaks from sport injuries, a sports guard may be constructed. Alternatively, if the breaks are from a grinding or clenching habit – a hard acrylic (plastic) splint may be prescribed to protect the teeth from further wear and breaks.