Tooth fractures

If your child fell on their face, you had an accident and your teeth became wobbly, this article is for you.

What are tooth fractures?

Dental fractures occur when a foreign body collides with the mouth and teeth, for example when falling on the face, whether in children or the elderly, or in car accidents or quarrels, and it may result in a fracture in one or several teeth at once and also may result in tooth bleeding if it involves the root canal of the teeth involved.

What are the risks of having a fractured tooth?

Broken teeth may result in pain in the area of ​​the tooth that does not subside with painkillers, and it may lead to bleeding of the gums with the teeth if the fracture reaches deep into the jaw and to the bone, and it may also result in the death of dental nerves and the occurrence of ulcers in the lips and cheeks if the fractured tooth is sharp, but if the fracture is smooth, the fracture may reach the tooth nerve, and upon the death of the nerve, there may be the formation of dental abscess, bone problems, and excessive movement of the damaged teeth, with loss of bone support to said teeth, which subsequently leads to the need for tooth removal or surgical fixation.

What are the types of tooth fractures?

Fractures are classified in a number of ways, including:

• Deep fractures or superficial fractures
• Acute fractures or smooth fractures
• Stratified fractures
• Fractures with or without nerve death
• Fractures of the tooth only or the tooth with the bone
• Fractures with immobility in the broken tooth or without tooth immobility (tooth removal fractures)
• Level fractures of the crown only or the crown with roots

The classification of fractures may differ according to the doctor, locale, or the system adopted to classify them in the country, but most of the classifications are based on the fourth classification, which is with or without the death of the dental nerve.

How are broken teeth treated?

In Dr. Adel Zakhary's clinic, a treatment plan is developed in consultation with the patient. Treatments for dental fractures vary according to the classification and degree of the fracture. Sometimes it is required to put a deep nerve filling if the fracture reaches the tooth nerve and passes all layers of protection. But if the fracture is minor, it is usually possible to restore without the need for filling if it is in the enamel layer. If it reaches the dentine layer, it may require filling the tooth with a filling that has the color of the tooth. And if the tooth is not healed within several days, then it becomes possible to perform a root canal removal and rebuilding the tooth as it is in cases of deep fracture or fracture that reaches the bone, and this requires surgical operation to stabilize the tooth, and usually this could be coupled with a diet of braces treatment to reform the lost bone.

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