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

Doctor's Answer

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 bridge that uses the neighbouring teeth as supports or an implant. If you are having a bridge made, the root may be removed or it may be submerged underneath the false tooth to maintain the the gum contour. If an implant is planned, the root is usually removed.

You may also choose to replace the missing tooth with a removable plastic denture. This is the cheapest and fastest option, as a new denture can be prepared within 1-2 weeks.

A new bridge may take 1-3 months to complete. An implant can take 3-6 months.

It is important to discuss all these options with your dentist to fully understand the pros and cons of each type of treatment.

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