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Lisa from Singapore asked a question

What are the best treatment options for a badly chipped tooth?

Dear Dentist, I have a badly chipped tooth. Only the root of the tooth is remaining in the gum, whereas the rest is chipped off. What should I do now? What will be the treatment for my tooth, and how long will the whole treatment take?

DOCTOR’S ANSWER (2)
Dr Steven Soo
Prosthodontist
Singapore
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Dr Steven Soo
Prosthodontist
Singapore
Answered on Wed May 09 2018 01:24:54 GMT+0000 (UTC)

Hi Lisa, a badly chipped/fractured tooth as you describe will be difficult to keep long term. If the nerve is exposed, root canal treatment will be required followed by crowning. The overall strength of the tooth will be poor and it may not last very long.

A more predictable treatment to consider will be extraction and placement of an implant. This is a titanium replacement for the root of the tooth that will support a porcelain crown. The lifetime of this is very good and it functions and looks just like a normal tooth.

Alternatives include a bridge which is a porcelain tooth attached to the adjacent teeth or a removable denture. Both these options are less costly but usually less desirable.

If you fracture a tooth then please visit the dentist immediately especially as it may be very painful...

0 262 views 0 Doctors agree Wed May 09 2018 01:24:54 GMT+0000 (UTC)
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Dr Jaclyn Toh
Dentist
Singapore
(8 Ratings)
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Dr Jaclyn Toh
Dentist
Singapore
(8 Ratings)
Answered on Sun May 06 2018 23:02:47 GMT+0000 (UTC)

Dear Lisa, 

If only the root of the tooth is remaining, with very little or NO tooth structure protruding above the gum, then it can be very unpredictable to repair this tooth. 

If there is a root remaining inside, then it needs to be assessed with an X-ray to check for possible causes of the fracture and infection. 

In certain cases, a post core crown may still be possible if the remaining root structure below the gum is exposed with gum surgery. The root length and your lip line need to be assessed before this is done. This whole process can take a few months to complete and there will be a temporary crown placed while waiting for the gum to heal. 

If the root is too short, then it may be better to explore other options such as a bridgethat uses...

0 286 views 0 Doctors agree Sun May 06 2018 23:02:47 GMT+0000 (UTC)
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