How An Endodontist’s Expertise Can Save Your Broken Tooth

A broken tooth is not just a cosmetic concern – it can lead to severe pain, infection, and even tooth loss if left untreated. Whether your tooth is chipped, cracked, or completely fractured, seeking the expertise of an endodontist may be the best way to save it. Endodontists specialise in treating the inside of the tooth, particularly the pulp and roots, ensuring that your natural tooth remains intact and functional.

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In this article, we’ll explore how an endodontist can repair a broken tooth, the treatment options available, and why early intervention is crucial for preventing further dental issues.

Common Causes Of A Broken Tooth

Teeth are incredibly strong, but they can still break due to various reasons, including:

• Biting Hard Foods – Chewing on ice, hard candy, or unpopped popcorn kernels can cause cracks or fractures.
• Trauma Or Injury – Accidents, sports injuries, or falls can result in a broken tooth.
• Tooth Decay – Weakened enamel due to cavities increases the risk of breakage.
• Grinding Or Clenching – Excessive force from bruxism can lead to cracks over time.
• Old Dental Work – Worn-out fillings or crowns can cause the remaining tooth structure to weaken and break.

Regardless of the cause, a broken tooth requires immediate attention to prevent further complications.

Signs You Need Endodontic Treatment For A Broken Tooth

Not all tooth fractures are immediately painful, but certain symptoms indicate the need for professional treatment:

• Sharp pain when chewing or biting
• Sensitivity to hot or cold temperatures
• Swelling or tenderness around the affected tooth
• Visible cracks, chips, or missing tooth structure
• Discoloration or darkening of the tooth
• Persistent or intermittent toothache

If you experience any of these symptoms, an endodontist can assess the extent of the damage and determine the best course of action.

How An Endodontist Can Save A Broken Tooth

Endodontists are dentists with special training in endodontic procedures. o become specialists, they complete dental school and an additional two or more years of advanced training in endodontics. They perform routine as well as difficult and very complex endodontic procedures, including endodontic surgery. Endodontists are also experienced at finding the cause of oral and facial pain that has been difficult to diagnose. General dentists, even though they receive training in endodontic treatment often refer patients needing endodontic treatment to endodontists.

Depending on the severity of your broken tooth, an endodontist may recommend different treatments.

Chipped Or Fractured Teeth

A chipped or fractured tooth can be repaired by reattaching the broken piece or using a tooth-colored filling. If a large portion of the tooth is lost, a dental crown (cap) may be necessary. If the pulp is exposed or damaged, root canal treatment is often required. Fractures in back teeth can involve cracked cusps, cracked teeth, or split teeth. If cracks extend into the root, a root canal and crown may be needed. In severe cases, extraction may be required.

Dislodged (Luxated) Teeth

A tooth may be pushed sideways, out of, or into its socket during an injury. The endodontist will reposition and stabilise the tooth. Permanent teeth usually require root canal treatment a few days after the injury, often with a temporary calcium hydroxide medication placed inside the tooth.

Children (ages 7–12) may not need a root canal since their teeth are still developing. Regular follow-up appointments are crucial to monitor healing. Research suggests that stem cells in young pulps can aid in root growth and pulp healing after injuries.

Knocked-Out (Avulsed) Teeth

If a tooth is completely knocked out, immediate action is critical. Handle it gently, avoiding contact with the root. If it is dirty, rinse briefly with water but do not scrub or use soap. What to do:

• Reinsert the tooth into its socket as soon as possible.
• If reinsertion is not possible, keep the tooth moist in:
  • A special dental preservation solution (e.g., Save-A-Tooth)
  • Milk
  • Your mouth (between the gum and cheek)
• Do not use tap water, as it can damage root cells.

Once at the endodontist’s office, the tooth will be evaluated and stabilised with a splint. If needed, root canal treatment may begin within a couple of weeks. The chances of saving the tooth depend on how long it was out of the mouth and how it was stored.

Root Fractures

A traumatic injury may cause a horizontal root fracture. The location of the fracture affects the tooth’s long-term health:

• Near the root tip – Better chances of healing
• Closer to the gum line – Poorer success rate

Some cases require splint stabilisation for a period of time to allow healing.

Why Early Treatment Is Crucial For A Broken Tooth

Delaying treatment for a broken tooth can lead to severe consequences, including:

• Infection And Abscess Formation – Bacteria can enter the exposed pulp, leading to painful infections that may spread to other parts of the body.
• Increased Risk Of Tooth Loss – A small crack can worsen over time, making the tooth irreparable.
• Jawbone Deterioration – Losing a tooth without replacement can lead to bone loss in the jaw.
• More Expensive And Invasive Treatments – Early intervention often saves time, money, and discomfort.

Seeking immediate care from an endodontist increases the chances of saving your natural tooth and avoiding complications.

How To Prevent A Broken Tooth In The Future

While accidents happen, you can take steps to protect your teeth and reduce the risk of fractures:

• Avoid chewing on hard foods or objects.
• Wear a mouthguard if you play contact sports.
• Treat teeth grinding with a night guard.
• Maintain good oral hygiene to prevent decay and weakness.
• Get regular dental check-ups to catch small issues before they become serious.

Contact Us For An Appointment

A broken tooth is a dental emergency that requires prompt attention from an endodontist. Whether through root canal therapy, bonding, crowns, or surgical treatments, an endodontist has the expertise to repair and preserve your natural tooth. Early intervention not only relieves pain but also prevents tooth loss and more complex dental problems.

If you have a broken tooth, see an experienced endodontist today and take the first step toward restoring your smile and oral health. Contact us via the button below for an appointment with an endodontist.

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