I broke off a piece of a tooth what to do. A piece of tooth broke off. A piece of a back tooth or any other has broken off: what are the most common causes

One of the most common reasons for visiting a dentist is damage to the tooth with deformation of its surface or chipping of the crown. This situation not only causes pain and psychological discomfort, but is also fraught with the development of complications that may arise in the absence of timely medical assistance.

  • mechanical damage: impact, fall, etc.;
  • excessive load on the tooth that occurs when biting knots, cracking nuts or caramel;
  • weakened enamel, in which the crown is damaged even due to slight pressure;
  • some types of abnormal bite: cross, deep, gnathic. With them, the crowns are not aligned correctly, which leads to constant pressure on each other and chipping of weak parts;
  • infection of the crown: pulpitis, caries.

Kinds

Depending on the degree of damage to dental tissues, 4 types of chips are distinguished:

  1. Enamel chip. It is characterized by minimal damage to the crown, which manifests itself in the form of a small microcrack.

    As a rule, the deformation does not cause pain or discomfort, but is a place of accumulation of pathogenic bacteria, which can later cause inflammation of the tooth.

  2. The chip of the enamel itself. It is a localized loss of enamel of one of the sections of the crown, without opening the dentin. Damage is accompanied by increased sensitivity of the crown in the area of ​​the chip, which can only be repaired in the dentist's office.
  3. Dentin chip. It is characterized by damage to the tooth with exposure of dentin. It is distinguished by the appearance of severe aching pain. Left untreated, the dentin rapidly thins out, allowing bacteria access to the pulp chamber.
  4. Chip to the pulp chamber. It is expressed by breaking off one of the parts of the tooth, in which the pulp chamber opens and the neurovascular bundle located in it is exposed.

    This type of injury is most common in childhood. It is characterized by severe sharp soreness and the rapid onset of the inflammatory process in the pulp chamber. Lack of dental care can in this case lead to tooth loss.

Before going to the dentist

Even with the appearance of a small crack or chip on the surface of the enamel and the absence of discomfort, it is necessary to consult a doctor as soon as possible. Before visiting the dental office, you can help yourself at home. For this you need:

  1. Rinse the damaged crown with warm water to remove bacterial plaque, food debris and broken particles.
  2. To reduce pain or discomfort, apply a cold compress or an application with an injectable anesthetic, such as Novocain, to the chipped area.
  3. With simultaneous injury to the gums, it must be treated with an antiseptic and a gauze swab dipped in cool water should be applied.
  4. If severe pain occurs, it is recommended to take painkillers: Nurofen, Analgin, Ketorol.
  5. In case of damage not only to the crown part, but also to the root, it is necessary to fix the tooth in its normal position and lightly press it.
  6. If the main part of the crown is broken off, you should contact the dentist urgently, as bacteria can penetrate the pulp and provoke the development of inflammation within a few hours.
  7. In order to facilitate the correction procedure, it is recommended to save the broken part for the dentist.

Recovery methods

Today, dental clinics can easily cope with the problem of partial damage to crowns. For this, various methods are used, differing not only in their correction principle, but also in cost.

Composite material

As a rule, this method is used for minor damage to the crown part. It represents the restoration of the missing element with composite material through its layer-by-layer build-up.

The composite is a light-cured material, which is almost as good as enamel. The service of tooth restoration using a composite is one of the most affordable. Its cost is about 4500 rubles.

Tabs

Dental inlays are used to restore extensive destruction of the coronal part, exceeding half of its area. With this method, the correction is made with bulk fillings made in the laboratory by direct or indirect methods.

Inlays can be made of metal, durable synthetics, zirconium oxide and composite. Depending on the material used, the cost of this service may vary. from 5 to 15 thousand rubles.

Veneers and Lumineers

The best option for minor damage to the tooth is the installation of veneers and lumineers. Both of them are thin ceramic pads, which are fixed on the vestibular (front) surface of the teeth and cover their cutting part.

The difference between these overlays is only in thickness. Lumineers are much thinner than veneers, so they can be installed without having to grind the crowns first. In addition, they differ in cost. The price of installing one veneer starts from 12000 rubles, and Lumineers from 20000 rubles.

Crowns

Crowns are designed to restore a severely damaged tooth that is missing more than half of its area. They look like caps that completely repeat the shape and appearance of a real tooth.

Just like inlays, crowns can be made from a variety of materials: metal, zirconium oxide, plastic, and ceramic.

The cheapest option is a metal-plastic crown, which will cost 3000 rubles. The most expensive are zirconia crowns, the cost of which is 25000 rubles.

Prevention

In order to reduce the likelihood of chipping, it is necessary to adhere to preventive measures:

  1. Need to pay oral hygiene increased attention. It is not enough just to brush your teeth in the morning and in the evening.

    In order to ensure the health of dental tissues, it is recommended to use additional devices for cleaning the oral cavity: floss, rinses, etc.

  2. Balanced Diet, which should include foods rich in minerals. Since they are the elements that strengthen dental tissues.

    In addition, you should limit the consumption of sweet and sour foods that make the structure of the enamel porous.

  3. Avoiding excessive stress on teeth: do not gnaw lollipops, nuts, pencils, do not bite the threads, wire.
  4. During active sports, you should use protective elements and overlays.

Complications

Even a slight deformation of dental tissues is pathologically dangerous, as it can lead to a number of serious dental complications:

  • with an extensive chip with deformation of the root part, the position of the crown or adjacent teeth may change, which will tend to replace the free space;
  • pathogenic microorganisms begin to accumulate in small cracks, which provoke inflammation of the gum or dental tissue;
  • the penetration of infection into the pulp will lead to damage to the neurovascular bundle and the spread of inflammation beyond it. This increases the likelihood of purulent infections in periodontal tissues: cysts, granulomas;
  • constant trauma to the mucous membranes, the damaged area, can provoke stomatitis with extensive growth of ulcers;
  • if the cleavage site is localized in the gum area, then after a short period of time inflammation of the periodontal tissue develops. If left untreated, the inflammation can also cover the periodontium of the adjacent teeth, which will cause them to loosen;
  • Damage that is not repaired in a timely manner will lead to the destruction of the healthy part of the crown and root, and loss of the tooth.

Problems with milk enamel

Damage to a tooth during a milk bite is a fairly common phenomenon, due to the restlessness of young children. If the chip could not be avoided, it is recommended within the first 2 hours contact your dentist to repair the damage.

Even with minimal deformation of the enamel, the tooth must be examined by a specialist and corrective actions taken already on the first day.

Before visiting the dentist, it is necessary to rinse the mouth and clean the damaged crown from plaque, warm boiled water. Be sure to treat the teeth and oral mucosa with an aseptic solution that does not irritate.

When contacting the clinic, it should be carried out x-ray examination, since not only the upper part of the tooth, but also the root can be damaged.

To treat small chipped milk teeth, the dentist uses a special gel that restores dental tissues and prevents pathogenic microorganisms from penetrating the damaged surface.

With an extensive chip and severe damage to the pulp chamber of a milk tooth, the vascular bundle is removed in extreme cases, since the pulp in children tends to recover quickly.

According to statistics, about 95% of chipped milk teeth with pulp damage are restored without removal of the neurovascular bundle.

In this video, the dentist talks about the measures to be taken if a tooth is broken:

Damage to the teeth, as a rule, occurs quite unexpectedly, which causes a lot of inconvenience. The situation becomes especially dangerous and unpleasant when it is not possible to immediately seek help from a dentist. If a piece of tooth has broken off, it is important to independently take some preventive measures that will help prevent further destruction of the enamel and the development of serious diseases of the oral cavity.

Why do teeth chip?

There are quite a few reasons leading to the problem under consideration:

  • tooth damage while eating (nuts, berries with stones, dried fish, caramel);
  • mechanical chips (injuries due to impacts);
  • calcium deficiency in the body;
  • the presence of a crack;
  • caries;
  • reduced immunity;
  • pathology of internal organs.

There are also cases when the described phenomenon occurs due to a person’s irresponsible attitude to oral hygiene. For example, if a piece of tooth with a filling broke off, the incident could have been prevented by visiting the dentist for preventive examinations every 6-8 months.

What to do if a piece of a tooth breaks off?

The necessary actions largely depend on the type of chip:

  1. Enamel damage. This is the most minor destruction, which is easy to deal with. The only danger may be the lack of treatment, which will provoke a gradual destruction of the remaining healthy tissue.
  2. Chip of dentite. It does not cause pain, but the defect is very noticeable visually. Filling in this case will not work, it will require building up or restoration.
  3. Volumetric cleavage with exposure of nerve endings. If a tooth breaks off near the gum and hurts, immediate intervention by a professional doctor is required.

Having found the problem under consideration, you need to immediately contact a specialist. In cases where this is not possible for some reason, you should:

  1. Continue brushing your teeth daily, at least 2 times a day.
  2. Rinse your mouth often with slightly salted water to prevent cavities.
  3. Use dental floss.
  4. After eating, be sure to rinse your mouth thoroughly, make sure that there is no food left near the damaged tooth.
  5. With a large chipped front tooth, try to find a part of it and save it until you visit a doctor. This will help the doctor to quickly restore the shape and build up the tooth.
  6. If the pain syndrome is strongly pronounced, especially when the nerves are exposed and the pulp is damaged, apply cotton swabs moistened with Lidocaine or Novocaine to the problem area.

Only a dentist can provide real help. Treatment tactics also depend on how badly the tooth is damaged.

With minor chips and destruction of the enamel, a filling will be enough. The same technique is used if a small piece of the back (molar) tooth has broken off.

Violation of the integrity of the dentite involves a more complex and delicate work - restoration. This restoration of the tooth requires careful determining its original size, structure and shape. It is important to choose a material that perfectly matches the natural enamel in shade.

If the dentist is dealing with a chip, accompanied by exposure of the nerve endings and pulp, under local anesthesia, the canals are completely filled and the nerve bundle is removed. It is possible to increase the reliability and strength of the restored part of the tooth by installing intracanal pins.

It is worth noting that sometimes it is impossible to restore a tooth. In such cases, it is recommended to install a crown, veneer or implant.

What to do if a piece of tooth has broken off

There is hardly a person who has managed to avoid such a problem as a chipped tooth during his life.

Completely different living conditions and a combination of circumstances can cause this trouble, but the main thing is to take appropriate measures in time to save the tooth and extend its service life.

Causes of chipped teeth

There are many factors that can affect the strength of teeth. Even the slightest deviations in a person’s well-being can affect the enamel, as a result of which it will break off and provoke tooth decay. Among the most popular reasons:

There can be many reasons, but if such a nuisance occurs, it is necessary to take action promptly. This will help to at least partially save the tooth.

Damage is different

Types of chips are distinguished by the degree of their impact on the tooth:

In the photo, a chipped enamel of the front tooth

  1. The most harmless is enamel chip. The victim complains of a chipped tooth wall, but does not feel pain. Often in such a situation, they do not even go to the dentist. But this is the wrong approach to the problem. The absence of enamel is a direct load on the dental tissue. It is this area that will be attacked to a greater extent by harmful bacteria. From the negative impact, the affected tooth will begin to rapidly collapse. In addition, if the enamel chip occurred on the front tooth, then the smile will look unaesthetic.
  2. If a piece breaks off damaged tooth tissue - dentin, then such a chip can also be painless, but dangerous for further functioning. Due to damage, the tissue is significantly weakened, with mechanical action, microcracks are formed, which destroy the dentin day by day. If you do not build up a tooth in time, you can completely lose it.
  3. The most dangerous type of chip is tooth decay with nerve exposure. Such damage often occurs when a tooth splits into two parts and it will not go unnoticed, as it is accompanied by severe pain. It is urgent to visit a dentist so as not to bring bacteria into the tooth and take measures to restore it.

What to do if a tooth is broken?

If a piece of tooth has broken off, do not panic. The situation is not so dangerous as to once again torment your nerves. First of all, you should look at the degree of damage and, based on this, build an approximate action plan. For mild to moderate chipping, you need to call the dental clinic and make an appointment.

Chipped tooth with pulp damage

If the nerves are exposed, it is simply pointless to wait for the appointed date, since the pain will not allow you to calmly eat or sleep. It is better to immediately go to the dentist on duty or, if possible, arrange an emergency visit to the attending dentist.

To reduce pain, you can lubricate the damaged tooth with a swab soaked in novocaine.

If it is not possible to visit a doctor in the near future, it is necessary to carefully observe oral hygiene: brush your teeth twice a day, rinse your mouth with salt water after eating.

Help from a specialist

No matter how minor the chip may seem, in any case, it must be shown to a professional in this field in order to receive recommendations and fix the problem.

Dental treatment is intimidating for many, but it is better to patch up a tiny crack instantly than to have a tooth removed later.

The dentist will assess the situation with an experienced eye and offer the best treatment option, which may differ depending on the nature of the chip and the location of the tooth.

What should I do if my front tooth is broken?

The front teeth are visible, so a chipped piece on them can turn into a “catastrophe” for public people. Depending on how large a piece is broken off, the doctor will advise different methods of treatment.

In almost any situation, a piece of tooth can be restored by artistic restoration using composite materials. The dentist will select the color of the restorative paste and apply it in layers, fixing each level with light radiation.

An unaware person will not even understand that the tooth has been extended. This is one of the most effective and economical methods that will be offered in any clinic. The filling is very resistant and durable, while repeating the color of the teeth and has a natural shine.

In the photo, the restoration of a chipped front tooth with a veneer

A more expensive way to treat a chip is considered to be covering with a veneer. As a rule, it is resorted to in case of significant damage, if it is not possible to build up a seal.

Ceramic coating is applied from the base of the tooth and completely repeats the desired shape. Veneers are strong and durable, while they do not lose their color over time.

If a significant piece has broken off, then a crown will be required. As a rule, ceramic, cermet or zirconium oxide are used depending on personal preference.

The process of installing a crown is accompanied by its fixing either on the extreme teeth, or by installing a pin. In prolonged cases, the last method has to be used to treat the front tooth. If you visit the dentist in time, you can get off with only a minor intervention.

Treatment of posterior teeth

When treating a lateral or, as it is also called, back tooth, the same methods can be applied, but not all of them are justified. Since the side teeth, as a rule, are not visible to others, it is enough to eliminate the chip with a filling.

The dentist will increase the lack of a tooth with the help of a light-hardening filling, which will extend its service life.

True, unlike the front teeth, veneers are rarely installed on the side teeth. Even if a very small piece of the tooth wall and root remains, you can build up the rest with the help of composite materials or install a crown.

Particular attention should be paid to the problem with open nerves. In such a case, the treatment is first aimed at antiseptic action. If the nerve is damaged, it will be removed in several steps and a tooth will be formed, which will last for a long time, even being “dead”.

vertical crack

The most unpleasant thing about chipped teeth is the presence of a vertical crack that touches the pulp, which means that tissue restoration with a filling is not possible. In such cases, patients complain of a tooth split in half, and often one of the halves is loose.

Even a barely visible crack can cause massive damage, not to mention deeper damage. Every day, pressure is exerted on it, so the tooth tissue, although imperceptibly, is destroyed. Ultimately, a split will occur, which will cause not only inconvenience, but, most likely, severe pain.

the tooth is split in half, one half is loose

Small cracks can be "patched" using the enamel restoration procedure. Strengthening the surface of the tooth will extend its life.

If this does not help, and the microcrack will progress in its growth, the dentist will offer to strengthen it with veneers or a crown.

Refusal of such measures will result in tooth crumbling, which, based on statistics, cannot be restored. The tooth will be removed and a prosthesis will need to be placed in its place. The same treatment will be carried out when the tooth is split in half.

Milk tooth damage

Many parents believe that milk teeth do not need to be treated, as they will still change over time. This misconception is especially true for chips.

Healthy milk teeth are the key to strong teeth in adulthood. If a piece of a milk tooth has fallen off, it is important to determine the cause of the destruction. Most often, the problem lies in getting injured.

Parents should disinfect the mouth and chip and go to the dentist. The dentist will apply a preservation gel, as well as prescribe a treatment that is suitable in a particular case. Most often, you can get by with a conventional filling, which will strengthen the tooth until it falls out.

Chips on the teeth are also undesirable for children because they can negatively affect the resistance to such a disease as stomatitis. In addition, even increased sensitivity of the tooth can affect the mood of the child and his well-being.

Possible difficulties and problems

The presence of a chip in itself is an unpleasant fact, but if you close your eyes to its treatment, you can earn a number of accompanying problems:

  1. One of the undesirable consequences is pulp infection. Infected tooth tissue will not only cause severe pain, but can also be completely destroyed, leading to tooth loss.
  2. Chips can provoke the appearance cysts and granulomas.
  3. A severe chip caused by trauma can change the angle of the tooth root. From this, its displacement will occur, sometimes the entire row is shifted, broken bite. When the root is tilted, the damaged tooth is removed and prosthetics are prescribed so that the dentition does not move from its usual place.
  4. The smallest complication is increased tooth sensitivity. A person will react to the temperature of food and drinks consumed, discomfort may appear from the use of familiar hygiene products: toothpaste, mouthwash, refreshing spray.

And although chips do not seem to be a dangerous problem, they must be addressed in a timely manner. It is much more efficient to instantly respond to the slightest changes, whether it be a small crack or a minor chip, than to get into a stalemate for tooth extraction and further prosthetics.

Chipped tooth - what to do if a piece of enamel breaks off

Has your sensitivity increased recently or have you noticed an obvious defect on one of your teeth? How to determine the presence of a chip in yourself and what kind of disease it is, is it worth it to urgently run to the dentist because of it? This article will answer basic questions about the causes of chipped teeth, the severity of the consequences if left untreated, methods for restoring chipped teeth, and preventive measures to help you prevent this type of tooth damage.

Mechanical reasons for the appearance of a tooth chip can be accidents when riding a bicycle, rollerblading or skating without appropriate protection, hitting sports equipment in the jaw when playing active sports (hockey, football, basketball, volleyball), lack of a mouthguard when wrestling, car accidents, commonplace falling on a hard object, getting a piece of solid food or a foreign object on the tooth, the doctor’s negligence in the treatment of neighboring teeth, and much more.

There are other reasons why teeth break off. They are most often associated with the general condition of the body: a reduced level of immunity due to frequent diseases, chronic diseases of internal organs, a lack of calcium, fluorine and other minerals and vitamins, and non-compliance with elementary rules of oral hygiene.

Concomitant diseases are also not uncommon, as a result of which tooth spalling may occur: carious destruction of the crown or walls, crumbling of a filling made of poor-quality material, which increases the load on the damaged tooth, and a previous injury that led to weakening or cracking of the tooth. All this can affect the integrity of the bone tissue and lead to a split tooth.

What is a chipped tooth? Tooth enamel, no matter how hard it may seem, is very sensitive to increased levels of acidity in the mouth. As a result of this increase, the acid washes away substances from the bone tissue that make it resistant to external influences, which contributes to the gradual destruction of the tooth. Visually, we do not notice this, but over the years we increasingly react painfully to hot, cold, sour and sweet foods, which means that the state of the enamel is very deplorable. Microcracks form in it, into which pathogenic bacteria constantly enter, contributing to further destruction.

A chipped tooth is a mechanical damage to the bone tissue, as a result of which a small piece of enamel breaks off, either a larger one that exposes the dentin layer, or a large part of the tooth that covers the pulp. It should be borne in mind that not only destruction of moderate and severe severity needs treatment. Even a small chip requires attention, because over time it can develop into something more serious.

Chip treatment

How often does a person panic when faced with an unexpected situation? Yes, almost always. It would be very nice to have detailed instructions on hand for all occasions, but, alas, this is not feasible. In this regard, the Internet is a great helper these days. Typed in the search engine the essence of the problem, received an immediate answer. For example, in this article you can find out what to do if a piece of a tooth breaks off.

First of all, don't panic. Even if the damage is quite serious, you first need to pull yourself together. Rinse and disinfect the mouth, remove foreign objects if any, inspect soft tissues for the presence of enamel fragments in them. If you can't do it yourself, ask someone close to you to help. If you have, for example, a piece of a front tooth that has broken off and you find it while washing, try to save it until you visit the dentist. Most likely, it will not be possible to engraft it, but it will be easier for the doctor to build up the tooth to its original shape.

If you have a serious injury, for example, a chipped tooth under the gum, you should urgently contact your dentist. So you minimize the risk of further damage to damaged tissues, and not every person is able to endure pain for a long time, and drinking strong painkillers in handfuls is harmful to the body.

Modern dental practice offers many options for artistic restoration and restoration of a chipped tooth. Of course, the treatment of a chipped tooth is not a minute procedure and the doctor will have to tinker, but the result is really worth it, since not only anatomical, but also aesthetic properties will be restored.

With a small chip, it is quite enough to use a light-cured composite, but if half of the tooth has broken off, then restoration is indispensable. For example, if there is a chip on the front tooth, the option of using veneers is perfect. These are thin ceramic onlays that are made directly to the shape of the patient's tooth. Of course, their manufacture takes some time, but after installation it will be impossible to discern the difference between a natural tooth and a restored one.

For a serious chipped tooth, restoration can also be done with a crown. Today, ceramic-metal is very popular, which in terms of its aesthetic properties is in no way inferior to veneers, and allows you to save a destroyed tooth for many years, protecting it from external influences and destruction.

In case of the most significant damage, when the dental pulp is damaged, the doctor will perform depulpation and, if necessary, restore the tooth on the pin to relieve the load on the damaged walls. In some cases, for example, if there is a chipped wisdom tooth that is difficult to access for treatment, or a split tooth cannot be restored at all, the dentist may suggest that you remove it so as not to waste extra time and money.

So, you have a chipped tooth, what to do? Visit your dentist as soon as possible, because delay allows pathogenic bacteria to enter the damaged area and quickly destroy the remains of the tooth that can still be restored.

Prevention

What precautions should be taken to avoid chipped teeth?

  • Of course, observe the rules of personal hygiene. Brush your teeth at least twice a day, preferably with pastes enriched with fluorine and calcium, especially if you have weak enamel.
  • Eat less sugar and more vitamin-rich diet foods, fruits and vegetables.
  • Do not chew on hard candy, nuts or other hard foods.
  • In order to avoid chipped front teeth, give up bad habits, such as biting thread, holding hard objects in the mouth (pens, pencils, hooks, knitting needles, needles, etc.), biting nails.
  • During active sports and wrestling, use protective ammunition.
  • Visit the dentist for a preventive examination at least once every six months.

Even a minor mechanical defect can develop into a serious problem over time. That's why it's so important not to put off a visit to the dentist.

What to do if a piece of tooth broke off, why could this happen and is it worth removing the damaged unit?

The dentist is most often visited when a toothache occurs. There are situations when you should seek the advice of a doctor, even if the tooth does not hurt - for example, if there is a chip. It is important to provide timely assistance so that the aesthetic problem does not lead to more serious diseases of the oral cavity.

Why can a piece of a tooth break off?

Exposure to various factors disrupts the condition of the enamel, which can crack or chip off. When a pathology appears, the dentist first of all determines its cause. Depending on the cause, different methods of hard tissue restoration are used.

The most common factors in which parts of the teeth break off are:

  • lack of trace elements, in particular calcium; most often occurs during pregnancy and lactation, as well as in older people;
  • trauma (fall, blow);
  • a decrease in the protective properties of enamel, which occurs with the abuse of sour and sweet foods;
  • malocclusion;
  • weak immune system;
  • hormonal disorders;
  • dental diseases (caries, pulpitis, periodontitis);
  • incorrect filling;
  • the use of solid foods (nuts, seeds);
  • enamel demineralization;
  • abnormal growth of neighboring units;
  • bad habits (smoking, drinking alcohol);
  • chronic diseases (diabetes).

Types of chipped teeth and associated symptoms

With different types of chips, different methods of tooth preservation are used. Main types:

  • enamel damage;
  • chipped dentin;
  • destruction with exposure of the nerve.

Enamel is most exposed to external factors. Poor cleaning of the oral cavity, the use of carbohydrate foods and drinks of contrasting temperatures, the habit of gnawing nuts or seeds leads to its weakening. Cracks and chips appear in the protective layer. As a rule, they do not cause pain, so a visit to the dentist is postponed indefinitely.

This is extremely wrong behavior, with untimely assistance, a slight crack in the enamel can lead to the development of serious dental diseases. Harmful microorganisms freely penetrate into open channels, destroy the enamel, increasing its sensitivity. In addition, if a piece of the front incisor falls off, aesthetic discomfort appears.

If the dentin is chipped, then the damage is more noticeable. Pain may also be absent or appear with pressure. The danger lies in the fact that dentin is located above the pulp and, despite its hardness, the protective properties are much lower than those of enamel. If the broken piece of the unit is not built up in time, the dentin is washed out, opening the nerve. This leads to the fact that the chipped unit is removed, the tooth is prosthetized.

A chip with pulp exposure is the most dangerous type. With an unprotected nerve, bacteria easily penetrate the soft tissues, causing inflammation. There is severe pain, which is briefly relieved by painkillers. The injury requires an immediate visit to the doctor, as the unit functions for about 5 hours, then it dies off. It is necessary to remove the pulp and clean the channels. Most often, restoration is recommended after the procedure.

First aid at home

Ways to restore the anterior, lateral and posterior teeth

Methods for restoring a damaged unit depend on:

  • the nature of the chip;
  • sites of damage in the dentition.

When breaking off a large piece with damage to the dentin, crowns are installed. This method is the most common, since there is a huge selection of materials used (glass-ceramic, zirconium) that people of different incomes can afford.

A small chip is restored with overlays. This is a long procedure in which a special material is inserted into a piece of tooth. If the nerve is damaged, depulpation is performed. The method allows you to stop inflammation and maintains the health of the dentition.

The method of restoring a chip on the front incisors depends on the degree of damage:

  1. If a small piece of the tooth has broken off, the extension is carried out using composite materials. Each applied layer is translucent with light radiation, then the remaining part of the tooth is given the necessary shape. The procedure is painless, the restoration takes place in one session. Sometimes the vining method is used. A veneer is an overlay that is glued to the outside of the unit, imitating enamel. The material is strong and durable, its color does not change over time.
  2. In case of damage to the inner layers, a crown is installed (fixed on the extreme incisors) or an implant, having previously cleaned the channels.
  3. With a vertical crack that touches a nerve, an enamel restoration procedure is performed or a veneer is installed. With this pathology, half of the unit can fall off. It is impossible to fill such a tooth.

The lateral incisors are restored in the same way as the anterior ones. Lateral teeth do not cause aesthetic discomfort, therefore, ordinary filling material is used for restoration. Veneers are not installed on such incisors.

The back molars are completely hidden from view, so methods are used to restore them that preserve the functionality of the tooth. If the tooth breaks off slightly, it is restored using composite materials or ceramic inlays. In case of serious damage to the chewing teeth, crowns, bridges or implants are installed.

What to do if a chip formed on a baby tooth in a child?

Most often, milk teeth are injured as a result of trauma. If the incisor has broken off, parents are in no hurry to take the baby to the dentist. Such a decision can negatively affect the health of permanent units. In addition, due to an injury, sensitivity and the risk of developing stomatitis may increase, which will affect the well-being and mood of the child. Treatment is carried out by applying a filling material or a preservation gel to the damaged unit.

What to do when chipped:

  • stop the crying of a frightened child (explain why it hurt);
  • rinse the baby's mouth with warm water;
  • disinfect soft tissues;
  • do not throw away the broken piece;
  • take the child to the dentist.

In what cases is the extraction of a damaged tooth indicated?

In other cases, the procedure for removing damaged pieces with subsequent restoration is used. Before removal, you need to undergo an examination and take a picture of the oral cavity.

Possible complications of late treatment

If the unit breaks off, you should visit your dentist as soon as possible. A chipped incisor brings aesthetic discomfort, and also increases the risk of developing dental diseases:

Prevention of chipped teeth

To avoid the appearance of cracks and chips in the enamel, you must adhere to the following tips:

  • Eat right. Limit the consumption of fast carbohydrates, eat vegetables and fruits.
  • Brush your teeth in the morning and evening. Use the correct brush and paste.
  • Clean your interdental spaces with floss. Use mouthwash.
  • Strengthen your immune system.
  • Give up smoking and alcohol.
  • Do not gnaw candies, nuts, seeds.
  • Treat dental problems promptly.
  • Do not delay with the correction of the wrong bite.
  • Visit your dentist regularly.

What to do if a piece of a tooth breaks off?

During life, almost everyone at least once faced with the problem of damage to the teeth.

In most cases, we simply do not notice this - upon closer inspection, you can see that there are multiple chips and scratches on the enamel.

In fact, these are all phenomena of the same order with more significant injuries - fractures and so on. About what should be done when such a problem is detected, as well as what are the causes of "breakdowns", we will describe in more detail.

Causes and types of chips

Knowing the cause of a chipped tooth is important for the dentist who will be in charge of the restoration. This is necessary in order to to choose the right methods of treatment and restoration.

What causes cracks to appear?

  • traumatism- hitting, falling, etc.
  • long and significant decrease in acidity in the oral cavity.
  • Process enamel demineralization, greatly weakening it.
  • anomalous bite changes.
  • Bad habits.
  • Various diseases that weaken the teeth.
  • Hormonal disorders.

Minor injuries can be inflicted almost every day, especially if the enamel is weakened - chewing caramel, drinking hot and very cold food or drinks at the same time, and so on.

All this subsequently leads to the fact that pieces can break off from the teeth, noticeable without special means.

Proper nutrition is also important.. Only in this way the body receives a sufficient amount of minerals and trace elements necessary for healthy strong enamel.

Otherwise, demineralization greatly weakens the protection of the teeth. and can lead to the fact that even a slight and almost imperceptible injury will cause a tooth to break.

Varieties

This point is also important for future restoration..

Depending on how severely the tooth is damaged, various techniques and methods are used to restore the aesthetic and functional component.

There are three levels of damage– minimal, medium and severe.

Depending on what kind of damage is detected, it is assigned to one of the types and appropriate measures are taken. The answer to the question of what to do will be different if a small piece of the tooth has broken off or a significant part of it has been injured.

  • Incomplete chips are cracked or scratched enamel.
  • chip affecting only surface layer - enamel.
  • Damage resulting from affected dentin(the hard part of the tooth, in fact, its base).
  • Chips and fractures that open the internal areas, that is, the pulp.

Among these varieties, the first two (affecting only the enamel) are minimal injuries. Medium ones are deeper, affecting the dentin, and heavy ones are the pulp.

Chips and cracks

Minor damage that most often appear precisely on the front teeth, arise due to the negligent attitude of the person himself. Biting into inappropriate things (for example, hard caramel and nuts), the constant use of high-carbohydrate foods - all this eventually leads to a weakening of the natural defense - enamel.

Because similar damage in most cases for a long time do not cause any particular inconvenience and are not felt at all, patients do not go to the dentist. However, this is wrong, as it can lead to more serious problems in the future.

Read on to learn how to take good care of your teeth. Recommendations for adults and children.

In the next article, we will discuss whether laser whitening is harmful.

Chips of dentin

Just below the enamel is the dentin. Quite often, a chipped piece exposes this inner layer.

Dentin, although it is a hard tissue, does not have the same protection as enamel. In addition, when the dentin is exposed with pressure, a pain reaction may occur, since the pulp with nerve endings is located directly below it.

Pulp-exposing cleavage

Painkillers in this case can only bring short-term relief.

Treatment for anterior row injury

As already mentioned, chips most often occur on the front teeth. They are used for biting off, and the front part of the face accounts for most of the household herbs.

What does it have to do with any options are possible, from the smallest cracks to complete breakage of the entire crown part.

Methods of treatment depend on the severity of the damage.

Building with the use of composite materials

It is used in case of minor breaks, as well as chips of enamel that do not affect the inner layers of the tooth.

The materials used here are the same as for filling are composites that acquire their final solid form under the influence of directed light radiation.

The procedure is painless and is fairly quick.. The doctor applies the material in layers directly to the damaged area, having previously prepared it. The finished result - a full-fledged tooth - the patient receives immediately at one time.

Use of veneers and lumineers

it thin overlays, which replace the front part of the anterior and several lateral teeth. They are glued to the prepared crown part.


Externally - completely imitate tooth enamel.

The difference between veneers and lumineers is small - the latter are distinguished by a very small thickness. To install them, only minimal turning of the base is carried out.

Crown restoration

The installation of a crown is carried out in cases where the inner layers of the tooth are damaged, and the crown part is broken off quite strongly - about half the length.

Before this, the pulp is removed, the root canals are cleaned and sealed.

Implant placement

Implantation - the most reliable method of restoration, which is used if the coronal part is completely destroyed and there is no possibility of installing a stump tab in the root canal.

On the back chewing surfaces - how doctors can help

For back teeth The same methods are used as for the front. However, despite the impossibility of installing veneers, there is much more choice here..

There is no need for perfect aesthetics, as the molars are not visible when talking and communicating. Only future functionality matters.

Restoration with composite materials

Often, chipped parts of chewing teeth are covered with a composite used for filling. Sharp edges can simply be turned with special tools so as not to injure soft tissues.

If the chip also touches the chewing part, ceramic inlays are used, which ideally restore the surface, repeating all its curves.

Crowns, bridges, and implants

If the damage is severe, then it is advisable to use crowns or bridges for chewing back teeth. And implantation, as well as for the front row, is the most reliable and durable way to restore serious injuries.

If we talk only about the back teeth, then it is worth noting that the "wisdom teeth", that is, the eighth, last in a row, in most cases do not restore with severe damage.

They do not carry a serious load, so the restoration of minor injuries is carried out, but the installation of crowns or implants is not.

What to do at home

Of course, there is not much you can do at home. Especially if you take into account the first shock after the injury, the lack of qualified assistance, pain or fear for the child.

However, everyone knowing what exactly should be done, will be able to take measures so that the damaged tooth does not hurt, provide first, even pre-medical aid to avoid possible problems.

  • The first and most important rule is don't panic, all such problems are quickly solved with the help of modern techniques.
  • Next, be sure rinse your mouth thoroughly either lukewarm water or a weak saline solution. This is necessary to remove food debris, dirt, blood and particles of chipped enamel.
  • Such rinsing will need to be carried out two to three times a day before going to the doctor. At the same time, brushing your teeth twice (in the morning and in the evening) is also required. You just have to be careful, especially at the site of damage.
  • If there is such a possibility, find and save a chipped piece of tooth. This applies to fairly significant damage. With this piece, the doctor will be able to restore the original shape of the crown much faster and more efficiently.
  • If you experience severe pain, you should, first of all, do not postpone a visit to a specialist. However, temporarily relieve pain with strong painkillers.

For example, a tampon soaked in novocaine works quite effectively. Such a tampon is simply applied for a while to the problem area.

In addition, you can also use natural propolis or a validol tablet by applying them to a sore spot.

  • Additionally, it should disinfect possible cuts, scratches and other damage to the mucosa in the oral cavity, as well as on the lips. This will prevent infection from entering the bloodstream.
  • In case of severe damage, when the tooth is loose (perhaps the root is broken), you need to fix it in the correct position. To do this, it is enough to gently, but quite strongly, squeeze the jaws. It is better to apply a cold compress on top.
  • Not sure how to properly brush your teeth with braces? Read the new post!

    In a separate article, we will talk about the benefits of using tea tree essential oil for whitening enamel.

    Possible Complications

    Despite the first aid provided at home, it is necessary to seek advice from a dental clinic as soon as possible. Indeed, in addition to the inconvenience associated solely with the aesthetic side of the issue, in some cases, serious complications may occur:

    • Penetration of infections into the pulp and development of the inflammatory process.
    • Essential sensitivity enhancement in the area of ​​damage.
    • Bending and fracture of the root, which can cause periodontitis or other problems.
    • Mobility.
    • Occlusion violation(correct closure of the dentition).
    • Development of cysts or granulomas.

    To avoid this, X-rays should be taken to ensure there are no abnormalities.. If they do exist, then if appropriate treatment is started soon, more serious complications can be avoided.

    About the possibilities of restoring teeth with veneers after injuries, see the video:

    Recovery price

    The cost of restoring a broken tooth primarily depends on the extent of the damage.. In accordance with this, the doctor advises the patient one or more restorative techniques that are suitable in this case:

    • Restoration of chips and cracks using the direct method and the use of composite light-curing materials - from 2.5 to 6-7 thousand rubles.
    • Recovery inlays and onlays- from 5 to 16 thousand rubles.
    • Veneer for one tooth b - from 21 to 35 thousand.
    • Veneer manufactured by Cerinate, USA (Lumineer) - from 38 to 45 thousand rubles.
    • Metal-ceramic crown- from 10 to 25 thousand.
    • Metal-free crown based on zirconium dioxide- from 30 thousand and above.
    • Implantation- from 28-30 to 50-60 thousand.

    This is not a complete list of all possible types of restoration of a broken tooth. Here approximate approximate prices for the most popular and demanded services are given.

    It should be borne in mind that clinical cases are very different, somewhere you may need to pay for additional services. In addition, each dental clinic has its own pricing policy.

    Injuries, falls, accidents, various diseases, solid foods can cause damage to the integrity of the chewing units. If a piece of the front tooth broke off, what should I do at home and what will the dentist do? Is it possible to save such a tooth, and what methods are used for this?

    Causes of injury

    Trouble can occur in one of reasons:

    • incorrect wearing of orthodontic appliances,
    • fight, accident, strong blows,
    • chewing hard foods
    • the presence of old cracks,
    • poor quality or old fillings,
    • malocclusion,
    • deficiency of vitamins and microelements in the body,
    • weakening of enamel by carious process,
    • hormonal imbalance in the body.

    Regardless of the cause of the chip, it is necessary to see a dentist as soon as possible to restore the integrity of the chewing unit.

    Contact your dentist as soon as possible.

    Symptoms

    Even if the crack is small, the following will inevitably appear. signs:

    After a serious injury (after a fight, an accident, a fall), the pain syndrome can be very pronounced. If the pain is throbbing, this may indicate damage to the pulp.

    Types of damage

    There are several options for chipping:

    1. If a cracked enamel, this is an incomplete chip, the most harmless type of damage, in which pain usually does not occur. Weakened fabric is prone to chipping and cracking. Patients often ignore chipped enamel as it is not a serious problem. But such damage increases the load on tissues, and also opens the way for pathogenic microorganisms.

    Such a tooth will gradually begin to collapse. A small chip can turn into a crack over time. Cracks in the enamel of the anterior units disrupt the aesthetics of the smile.

    1. Chipped dentin and it can also be painless, but it is very dangerous. The load during chewing increases, microscopic cracks inevitably appear, destroying tissues. If the problem is left to chance, you can lose a tooth.
    2. Skol accompanied by nerve exposure- the most dangerous. It is difficult not to notice such an injury, as it is accompanied by unbearable pain. Most often, this happens when a tooth is split into two parts. The risk of infection getting deep into the tooth increases, so it is important to immediately contact your dentist for help.

    Before and after restoration.

    Crack classification

    Depending on the nature of the damage, cracks can be of several types:

    • vertical passes through the middle of the tooth, dividing it into two parts. Such damage often goes into the gum,
    • horizontal provokes a spallation of a small part of the enamel,
    • oblique is located diagonally and, if left untreated, leads to the loss of a significant part of the chewing unit,
    • internal the crack is not visible, but over time it will make itself felt.

    Regardless of the type of cracks, it is necessary to show the damaged tooth to a specialist.

    What can be done before visiting the doctor?

    Make an appointment with the dentist as soon as possible (unless it's a serious head injury that calls for an ambulance, then dental treatment will take a backseat). Before visiting the clinic at home, do the following:

    • gently rinse your mouth with warm water (you can salt it) to wash out dirt, pieces of enamel, food debris,
    • carry out oral hygiene as usual, but gently brush your teeth in the area of ​​injury,
    • if the chip is serious, it is better to save the chipped piece, this will help the dentist restore the integrity of the damaged chewing unit,
    • in case of severe pain, take an anesthetic,
    • if the mucous membranes, lips, gums are damaged, treat the wounds with an antiseptic solution.

    Do not put off a visit to the dentist, as modern methods of restoring damaged units can correct the situation in the most difficult cases, but subject to timely action.

    Even a small crack over time will bring serious complications.

    Complications

    If you do not contact the dentist in time, the following are possible: complications:

    • development of pulpitis against the background of infection penetration into the pulp chamber,
    • increased sensitivity of enamel,
    • root damage, which can provoke the development of periodontitis,
    • mobility,
    • the occurrence of cysts, granulomas,
    • jaw closure disorder.

    How to choose the best restoration method?

    The choice of method for restoring a damaged tooth will depend on the nature of the damage, the location of the chewing unit, and the personal preferences of the patient. Possible scenarios for the development of events:

    • a chipped front tooth can be closed with veneers, lumineers, in case of serious damage - with a ceramic crown,
    • half a unit has broken off - metal-free crowns are suitable for the front teeth, crowns or inlays are suitable for chewing teeth,
    • if the eight is damaged, it would be advisable to remove it (eights are not involved in the chewing process, they quickly deteriorate and often injure adjacent healthy teeth),
    • Chips often occur on depulped teeth, as they are weakened after nerve removal. In this case, building on a pin or a tab with a crown will help.

    With timely seeking medical help, damaged teeth can be restored even if only the root remains.

    Milkman injuries

    Active children's games are not complete without falls, bumps, so injuries to milkmen are not uncommon. If this happens to your child, do the following:

      • let the baby rinse his mouth with warm water to remove tooth fragments, dirt, blood,
      • if there are scratches, cuts of the mucous membrane, treat them with an antiseptic solution,
      • try to get to the dentist on the same day,
      • if possible, save large fragments of the tooth for the doctor.

    The kid in the clinic is followed by an x-ray to check the condition of the root and bones of the jaw.

    What to do if a piece of tooth has broken off

    There is hardly a person who has managed to avoid such a problem as a chipped tooth during his life.

    Completely different living conditions and a combination of circumstances can cause this trouble, but the main thing is to take appropriate measures in time to save the tooth and extend its service life.

    Causes of chipped teeth

    There are many factors that can affect the strength of teeth. Even the slightest deviations in a person’s well-being can affect the enamel, as a result of which it will break off and provoke tooth decay. Among the most popular reasons:

    There can be many reasons, but if such a nuisance occurs, it is necessary to take action promptly. This will help to at least partially save the tooth.

    Damage is different

    Types of chips are distinguished by the degree of their impact on the tooth:

    In the photo, a chipped enamel of the front tooth

    1. The most harmless is enamel chip. The victim complains of a chipped tooth wall, but does not feel pain. Often in such a situation, they do not even go to the dentist. But this is the wrong approach to the problem. The absence of enamel is a direct load on the dental tissue. It is this area that will be attacked to a greater extent by harmful bacteria. From the negative impact, the affected tooth will begin to rapidly collapse. In addition, if the enamel chip occurred on the front tooth, then the smile will look unaesthetic.
    2. If a piece breaks off damaged tooth tissue - dentin, then such a chip can also be painless, but dangerous for further functioning. Due to damage, the tissue is significantly weakened, with mechanical action, microcracks are formed, which destroy the dentin day by day. If you do not build up a tooth in time, you can completely lose it.
    3. The most dangerous type of chip is tooth decay with nerve exposure. Such damage often occurs when a tooth splits into two parts and it will not go unnoticed, as it is accompanied by severe pain. It is urgent to visit a dentist so as not to bring bacteria into the tooth and take measures to restore it.

    What to do if a tooth is broken?

    If a piece of tooth has broken off, do not panic. The situation is not so dangerous as to once again torment your nerves. First of all, you should look at the degree of damage and, based on this, build an approximate action plan. For mild to moderate chipping, you need to call the dental clinic and make an appointment.

    Chipped tooth with pulp damage

    If the nerves are exposed, it is simply pointless to wait for the appointed date, since the pain will not allow you to calmly eat or sleep. It is better to immediately go to the dentist on duty or, if possible, arrange an emergency visit to the attending dentist.

    To reduce pain, you can lubricate the damaged tooth with a swab soaked in novocaine.

    If it is not possible to visit a doctor in the near future, it is necessary to carefully observe oral hygiene: brush your teeth twice a day, rinse your mouth with salt water after eating.

    Help from a specialist

    No matter how minor the chip may seem, in any case, it must be shown to a professional in this field in order to receive recommendations and fix the problem.

    Dental treatment is intimidating for many, but it is better to patch up a tiny crack instantly than to have a tooth removed later.

    The dentist will assess the situation with an experienced eye and offer the best treatment option, which may differ depending on the nature of the chip and the location of the tooth.

    What should I do if my front tooth is broken?

    The front teeth are visible, so a chipped piece on them can turn into a “catastrophe” for public people. Depending on how large a piece is broken off, the doctor will advise different methods of treatment.

    In almost any situation, a piece of tooth can be restored by artistic restoration using composite materials. The dentist will select the color of the restorative paste and apply it in layers, fixing each level with light radiation.

    An unaware person will not even understand that the tooth has been extended. This is one of the most effective and economical methods that will be offered in any clinic. The filling is very resistant and durable, while repeating the color of the teeth and has a natural shine.

    In the photo, the restoration of a chipped front tooth with a veneer

    A more expensive way to treat a chip is considered to be covering with a veneer. As a rule, it is resorted to in case of significant damage, if it is not possible to build up a seal.

    Ceramic coating is applied from the base of the tooth and completely repeats the desired shape. Veneers are strong and durable, while they do not lose their color over time.

    If a significant piece has broken off, then a crown will be required. As a rule, ceramic, cermet or zirconium oxide are used depending on personal preference.

    The process of installing a crown is accompanied by its fixing either on the extreme teeth, or by installing a pin. In prolonged cases, the last method has to be used to treat the front tooth. If you visit the dentist in time, you can get off with only a minor intervention.

    Treatment of posterior teeth

    When treating a lateral or, as it is also called, back tooth, the same methods can be applied, but not all of them are justified. Since the side teeth, as a rule, are not visible to others, it is enough to eliminate the chip with a filling.

    The dentist will increase the lack of a tooth with the help of a light-hardening filling, which will extend its service life.

    True, unlike the front teeth, veneers are rarely installed on the side teeth. Even if a very small piece of the tooth wall and root remains, you can build up the rest with the help of composite materials or install a crown.

    Particular attention should be paid to the problem with open nerves. In such a case, the treatment is first aimed at antiseptic action. If the nerve is damaged, it will be removed in several steps and a tooth will be formed, which will last for a long time, even being “dead”.

    vertical crack

    The most unpleasant thing about chipped teeth is the presence of a vertical crack that touches the pulp, which means that tissue restoration with a filling is not possible. In such cases, patients complain of a tooth split in half, and often one of the halves is loose.

    Even a barely visible crack can cause massive damage, not to mention deeper damage. Every day, pressure is exerted on it, so the tooth tissue, although imperceptibly, is destroyed. Ultimately, a split will occur, which will cause not only inconvenience, but, most likely, severe pain.

    the tooth is split in half, one half is loose

    Small cracks can be "patched" using the enamel restoration procedure. Strengthening the surface of the tooth will extend its life.

    If this does not help, and the microcrack will progress in its growth, the dentist will offer to strengthen it with veneers or a crown.

    Refusal of such measures will result in tooth crumbling, which, based on statistics, cannot be restored. The tooth will be removed and a prosthesis will need to be placed in its place. The same treatment will be carried out when the tooth is split in half.

    Milk tooth damage

    Many parents believe that milk teeth do not need to be treated, as they will still change over time. This misconception is especially true for chips.

    Healthy milk teeth are the key to strong teeth in adulthood. If a piece of a milk tooth has fallen off, it is important to determine the cause of the destruction. Most often, the problem lies in getting injured.

    Parents should disinfect the mouth and chip and go to the dentist. The dentist will apply a preservation gel, as well as prescribe a treatment that is suitable in a particular case. Most often, you can get by with a conventional filling, which will strengthen the tooth until it falls out.

    Chips on the teeth are also undesirable for children because they can negatively affect the resistance to such a disease as stomatitis. In addition, even increased sensitivity of the tooth can affect the mood of the child and his well-being.

    Possible difficulties and problems

    The presence of a chip in itself is an unpleasant fact, but if you close your eyes to its treatment, you can earn a number of accompanying problems:

    1. One of the undesirable consequences is pulp infection. Infected tooth tissue will not only cause severe pain, but can also be completely destroyed, leading to tooth loss.
    2. Chips can provoke the appearance cysts and granulomas.
    3. A severe chip caused by trauma can change the angle of the tooth root. From this, its displacement will occur, sometimes the entire row is shifted, broken bite. When the root is tilted, the damaged tooth is removed and prosthetics are prescribed so that the dentition does not move from its usual place.
    4. The smallest complication is increased tooth sensitivity. A person will react to the temperature of food and drinks consumed, discomfort may appear from the use of familiar hygiene products: toothpaste, mouthwash, refreshing spray.

    And although chips do not seem to be a dangerous problem, they must be addressed in a timely manner. It is much more efficient to instantly respond to the slightest changes, whether it be a small crack or a minor chip, than to get into a stalemate for tooth extraction and further prosthetics.

    Types of chipped front teeth

    What to do if a piece, wall, enamel of the front tooth has broken off? Enamel is the most durable tissue of the human body. Despite this, teeth are often damaged, chipped, broken off for various reasons. The front ones are most at risk in this regard. When this happens to canines or incisors, it is perceived by many as a disaster. In fact, there are ways to restore teeth.

    Types of damage to teeth

    Chips, depending on the severity of the consequences and the area of ​​\u200b\u200bdamage, are divided into several types:

    The level of tooth damage is determined according to the chip present. Of these, the first two are considered easy in dentistry. The destruction of the dentin layer is the average level of damage, and if the pulp of the tooth is exposed, this is a strong degree.

    Causes of dental damage

    The choice of treatment and restoration of the tooth depends on the establishment of the cause of the chip.

    Damage is usually caused by:

  • Patient's actions when any part of the front tooth is chipped

    Any of the damage requires medical attention to restore the function and appearance of the tooth. For the front, this is of particular importance.

    Before visiting a doctor, the patient can take the following actions:

    When a noticeable piece of tooth has broken off, it makes sense to save it. It is likely that it will come in handy during further restoration, it will help preserve the appearance of the organ.

    When visiting a dental clinic, the doctor will choose a treatment method, keeping in mind the level of damage. For the front teeth, the restoration is done, taking into account their location. In addition to dental rapid response measures, the patient will have to take better care of their teeth. If the cause of the chip is not eliminated, the next organ may be similar.

    Enamel chip treatment

    When only one enamel is damaged, the patient begins to feel hot and cold, sour and sweet. It would seem that a similar problem can be solved with special toothpastes and gels. But in this case, they won't help.

    The specialist will prescribe a course of enamel remineralization of 10-15 procedures. For applications with calcium and fluorine preparations, a swab soaked with them is applied to the damaged area for 20-25 minutes. Even more effective is the use of remineralizing compounds with electrophoresis. So useful substances in the form of ions penetrate deeper into the layers of enamel, more reliably fixed there. At the end of the course, the tooth is covered with fluorine varnish to prevent damage in the future.

    Dentin chip therapy

    This is a more serious destruction; strengthening with remineralizing compounds is indispensable here. The tooth is filled using materials that match the color. Usually take a light-cured composite. The filling is then polished, giving it a shine and a resemblance to the rest of the tooth.

    Restoration in case of severe tooth damage

    If the chip has affected the pulp chamber, the nerve will most likely need to be removed. Otherwise, the patient will be doomed to endure constant toothache. After removal of the pulp under anesthesia, the tooth is sealed. If necessary, this is done with the installation of a transparent pin, which will help strengthen the tooth and give the filling a more aesthetic appearance.

    In difficult cases, to restore its appearance, the frontal part is covered with veneer. If the tooth is more than half destroyed, and it is unrealistic to restore it by filling even using a pin, you will have to wear a crown.

    Is it possible to leave a damaged tooth without treatment

    Disadvantages of appearance not only bring psychological discomfort to the patient's life, but also provoke further speech defects, negative changes in facial expressions. Therefore, chipped teeth, even if they seem minor, must be treated. Otherwise, in places of damage, pathogenic microorganisms are activated, which will continue to destroy the tooth.

    What can the patient expect in this case:

    Any of them can permanently destroy the tooth. The infection existing in the oral cavity also leads to diseases of the digestive tract, cardiovascular ailments, as well as the excretory system.

    3 ways to repair chipped front teeth

    Chips are a problem that occurs much more often than it might seem at first glance. A piece breaks off, as a rule, on the front teeth, because they are not designed for heavy loads, but it is with them that we most often bite off hard bones, it is on them that we unsuccessfully fall or damage due to bad habits (for example, nibbling seeds or biting the tip of a pencil ).

    Many patients are interested in how to restore chipped front teeth. We present to you three main methods that a dentist can offer. The editors of the UltraSmile.ru portal decided to figure out which of them is the best in terms of price-quality ratio.

    1. Artistic extension

    Artistic restoration is a method in which chips are restored using various restorative materials (we are talking about composites - they are also used for classic tooth filling). They allow you to repeat the shape, color and transparency of a natural tooth.

    Such restoration is carried out directly in the patient's oral cavity - using polymers or composites, the doctor restores the integrity of the tooth, literally builds it up. The advantage of the technology is the speed (when they came to the doctor - they left with new teeth), as well as the price. The cost of restoration is from 2-3 thousand per element.

    Artistic restoration

    Among the minuses - not too long service life. The extended tooth will last about 3-5 years. At the same time, it will have to be protected from stress and regularly polished so that the composite remains smooth - otherwise, if there are micropores, bacteria, plaque and coloring pigments of products will accumulate in them. The color of the restoration will change.

    On a note!

    If the chip is strong, that is, almost to the root, you can install a pin or stump tab inside the canals, and then build up the crown using composites. This option will extend the service life for several more years.

    2. Veneers and Lumineers

    Veneers are thin veneers that use ceramic or zirconium. They are fixed on the front and completely hide almost all imperfections - gaps in the row, discoloration, pigmentation, as well as small chips and cracks. Naturally, this option is more expensive. By the way, if there is a large chip, the tooth will still have to be restored first, namely, to build it up. But the technology can be carried out more mediocre, using less expensive options, since it will be covered with overlays.

    Lumineers

    The cost of installing veneers is from 20 thousand per tooth. Such overlays are installed in 2 visits - on the first visit, the enamel is prepared (part of it is grinded off for a better fit of the veneers), on the second, the overlays are directly fixed.

    “For a long time I wanted to put veneers, because there were several chips! There were extended restorations everywhere. Only the price was repulsive - it is, of course, very high, because you need to put on several teeth at once to make it beautiful. Recently I met a dentist who offered me a very good discount))) I am satisfied with the result, it's incredible. I'm not ashamed to smile, everything looks great, so I recommend it to everyone who doubts. Most importantly, find your doctor. »

    from correspondence on the forums

    3. Crowns on teeth

    Another solution to the problem is crowns. They completely cover the damaged tooth, or rather, its top. They are used in the case when the chip is so strong that neither building-up nor veneers will fit.

    For front teeth, it is better to choose crowns without metal content in the base - such material can shine through in the light and the restored tooth will look dark. Therefore, preference should be given to ceramics or zirconium. The cost of such prostheses is from 15 thousand rubles.

    Crowns for front teeth

    Which method is better?

    To sum up: art extensions are cheap, but not very durable. Veneers should be installed on several teeth at once in order to fully transform your smile, which means it will be quite expensive. Crowns allow you to restore even one tooth, while you can choose a very aesthetic option. Which of the following to choose? It is difficult to say - only a doctor can give an exact answer, knowing and seeing the initial situation (and also taking into account your financial capabilities). Therefore, we recommend that you trust in the choice of your orthodontist, who will be able to offer a solution that is most optimal in appearance, quality and affordable price.

    Options for restoring chipped front teeth

    Chipped tooth - what to do if a piece of enamel breaks off

    Has your sensitivity increased recently or have you noticed an obvious defect on one of your teeth? How to determine the presence of a chip in yourself and what kind of disease it is, is it worth it to urgently run to the dentist because of it? This article will answer basic questions about the causes of chipped teeth, the severity of the consequences if left untreated, methods for restoring chipped teeth, and preventive measures to help you prevent this type of tooth damage.

    Mechanical reasons for the appearance of a tooth chip can be accidents when riding a bicycle, rollerblading or skating without appropriate protection, hitting sports equipment in the jaw when playing active sports (hockey, football, basketball, volleyball), lack of a mouthguard when wrestling, car accidents, commonplace falling on a hard object, getting a piece of solid food or a foreign object on the tooth, the doctor’s negligence in the treatment of neighboring teeth, and much more.

    There are other reasons why teeth break off. They are most often associated with the general condition of the body: a reduced level of immunity due to frequent diseases, chronic diseases of internal organs, a lack of calcium, fluorine and other minerals and vitamins, and non-compliance with elementary rules of oral hygiene.

    Concomitant diseases are also not uncommon, as a result of which tooth spalling may occur: carious destruction of the crown or walls, crumbling of a filling made of poor-quality material, which increases the load on the damaged tooth, and a previous injury that led to weakening or cracking of the tooth. All this can affect the integrity of the bone tissue and lead to a split tooth.

    What is a chipped tooth? Tooth enamel, no matter how hard it may seem, is very sensitive to increased levels of acidity in the mouth. As a result of this increase, the acid washes away substances from the bone tissue that make it resistant to external influences, which contributes to the gradual destruction of the tooth. Visually, we do not notice this, but over the years we increasingly react painfully to hot, cold, sour and sweet foods, which means that the state of the enamel is very deplorable. Microcracks form in it, into which pathogenic bacteria constantly enter, contributing to further destruction.

    A chipped tooth is a mechanical damage to the bone tissue, as a result of which a small piece of enamel breaks off, either a larger one that exposes the dentin layer, or a large part of the tooth that covers the pulp. It should be borne in mind that not only destruction of moderate and severe severity needs treatment. Even a small chip requires attention, because over time it can develop into something more serious.

    Chip treatment

    How often does a person panic when faced with an unexpected situation? Yes, almost always. It would be very nice to have detailed instructions on hand for all occasions, but, alas, this is not feasible. In this regard, the Internet is a great helper these days. Typed in the search engine the essence of the problem, received an immediate answer. For example, in this article you can find out what to do if a piece of a tooth breaks off.

    First of all, don't panic. Even if the damage is quite serious, you first need to pull yourself together. Rinse and disinfect the mouth, remove foreign objects if any, inspect soft tissues for the presence of enamel fragments in them. If you can't do it yourself, ask someone close to you to help. If you have, for example, a piece of a front tooth that has broken off and you find it while washing, try to save it until you visit the dentist. Most likely, it will not be possible to engraft it, but it will be easier for the doctor to build up the tooth to its original shape.

    If you have a serious injury, for example, a chipped tooth under the gum, you should urgently contact your dentist. So you minimize the risk of further damage to damaged tissues, and not every person is able to endure pain for a long time, and drinking strong painkillers in handfuls is harmful to the body.

    Modern dental practice offers many options for artistic restoration and restoration of a chipped tooth. Of course, the treatment of a chipped tooth is not a minute procedure and the doctor will have to tinker, but the result is really worth it, since not only anatomical, but also aesthetic properties will be restored.

    With a small chip, it is quite enough to use a light-cured composite, but if half of the tooth has broken off, then restoration is indispensable. For example, if there is a chip on the front tooth, the option of using veneers is perfect. These are thin ceramic onlays that are made directly to the shape of the patient's tooth. Of course, their manufacture takes some time, but after installation it will be impossible to discern the difference between a natural tooth and a restored one.

    For a serious chipped tooth, restoration can also be done with a crown. Today, ceramic-metal is very popular, which in terms of its aesthetic properties is in no way inferior to veneers, and allows you to save a destroyed tooth for many years, protecting it from external influences and destruction.

    In case of the most significant damage, when the dental pulp is damaged, the doctor will perform depulpation and, if necessary, restore the tooth on the pin to relieve the load on the damaged walls. In some cases, for example, if there is a chipped wisdom tooth that is difficult to access for treatment, or a split tooth cannot be restored at all, the dentist may suggest that you remove it so as not to waste extra time and money.

    So, you have a chipped tooth, what to do? Visit your dentist as soon as possible, because delay allows pathogenic bacteria to enter the damaged area and quickly destroy the remains of the tooth that can still be restored.

    Prevention

    What precautions should be taken to avoid chipped teeth?

    • Of course, observe the rules of personal hygiene. Brush your teeth at least twice a day, preferably with pastes enriched with fluorine and calcium, especially if you have weak enamel.
    • Eat less sugar and more vitamin-rich diet foods, fruits and vegetables.
    • Do not chew on hard candy, nuts or other hard foods.
    • In order to avoid chipped front teeth, give up bad habits, such as biting thread, holding hard objects in the mouth (pens, pencils, hooks, knitting needles, needles, etc.), biting nails.
    • During active sports and wrestling, use protective ammunition.
    • Visit the dentist for a preventive examination at least once every six months.

    Even a minor mechanical defect can develop into a serious problem over time. That's why it's so important not to put off a visit to the dentist.

  • If a piece of tooth is chippedmany patients think what to do nothing is needed until problem will not cause serious discomfort. This opinion is incorrect, as soon as a defect appears, you need to visit a dentist. Enamel chipping often appears against the background of chronic disorders, which also require correction.

    How do teeth break off?

    It will be obvious only if a large element of the cutter is lost or fang. If the injuries are minimal, it is difficult to see the problem with the naked eye, you can only understand about it by the accompanying symptoms.

    The following signs indicate that a tooth has chipped:

    • hypersensitivity;
    • painful sensations;
    • swelling and bleeding of the gums.

    Symptoms can be expressed in varying degrees, depending on the scale of the problem. Pain may appear on rare occasions. cases , with excessive irritation, and can be intense and permanent if a large piece of the tooth has broken off. There are three destruction type:

    • crack;
    • enamel chip;
    • dentin chip.

    If the tooth is just starting to break off, a crack appears in the enamel, the so-called incomplete chip, the person does not feel discomfort. A chipped enamel can occasionally cause pain when drinking hot or cold drinks. Only when the next layer, dentin, is affected, when chewing hot or highly acidic food, the damage will make itself felt. A molar or incisor may split completely, and a small fragment may be lost. If a piece of the tooth breaks off and the pulp is exposed, what you can’t do is try to solve the problem on your own: you need to completely remove the molar, it is rarely possible to restore the crown.

    Causes of pathology

    With a question why do teeth chip, faced by many. Most of all, parents are worried if the disease overtakes the kids. Often a loss parts canines and molars brings aesthetic discomfort, it is much more dangerous when the chipped area injures the surrounding tissues.

    Reasons why broke away piece or whole cracked tooth, several:

    • dental pathologies and anomalies;
    • traumatization;
    • lack of calcium and other useful elements;
    • reduced level of immunity;
    • hormone imbalance.

    Some scientists consider one of the reasons for the frequent chipping decreased acidity of the oral cavity.

    When a tooth breaks off on the sides of the gum, malocclusion or caries is more often observed. T crack or break the tip of the incisor can, when trying to gnaw a hard object or untie a knot with his teeth.

    What to do?


    In a situation when a canine or chewing tooth has broken off, in the doctor comes first . But before going to him, you need to take care of the implementation of some rules. First,what to do if a piece of tooth breaks offis to rinse the mouth. For cleansing, ordinary boiled water of an acceptable temperature is suitable.

    1. If there is bleeding, apply a cotton swab to the place where the tooth broke off, damage.
    2. Use anti-inflammatory dental ointments or creams.
    3. Apply ice to the injury site.
    4. Take painkillers.

    In the event that the tooth that has broken off does not disturb, you need to get to the dentist to make sure that there is no inflammatory process and other pathologies. The question of the need to visit the dentist disappears, if chipped off a piece of front toothan cosmetic defect can destroy promising plans, so it is necessary recovery affected area, what to do it will take several stages.

    Participation of the dentist in the treatment

    Dentistry offers a range of services to improve the situation.What will a dentist do if a tooth breaks off?depends on the type and extent of the problem.

    cracked a tooth, if the damage is minor, can be restored, that is, masked, restoring the structure and shape. Restoration includes the following complementary methods:

    • veneers;
    • tabs.

    The first most popular correction method is veneers, the second most effective was the use of special tabs. In difficult cases, if a large piece of the tooth has broken off, prosthetics are used.

    In Moscow and other large cities, it is possible to restore a damaged dental structure within one working day.

    Extension of a tooth fragment


    RestoreThe shape of the lost part of the dentist will be using a special material that can harden as soon as possible under the influence of a photopolymer lamp. The method is suitable in the situation when it is too early to install the crown, that is, a small piece of the tooth has broken off.

    Recovery goes like this:

    1. The shade of the material is selected, it should be as close as possible to the color of the remaining area.
    2. The material is applied in layers, the shape is restored with tools.
    3. Minor inaccuracies of the new fragment are polished, the surface should be smooth.

    The procedure rarely takes more than 3 hours.

    Veneers

    Veneers are suitable if there are cracks, pieces chip didn't start. Thin overlays made of ceramic or composite are installed on the damaged area, thereby slightly correcting the color and the lost shape. Effective veneers will be with the wrong bite.

    For the correct installation of the plates, it is necessary to visit the dentist several times;

    Tabs

    Veneers and extensions are relevant for incisors and canines, for chewing painters, invisible to the eye, special tabs are suitable. These are the same seals, but they are installed differently. In the dental office, a kind of filler is produced according to the cast, and later it is installed on the tooth from which the fragment has broken off. The only condition for installing the tab is that the lost fragment is less than 50%.

    If a large piece of the tooth has broken off, crowns will help

    Metal-ceramic or zirconium crowns are suitable if a significant piece of the tooth has broken off, or it has completely split. Ideal for damaged incisors and canines. The artificial part made in the laboratory is attached in the oral cavity to the pin or to the root, if it has not been lost. Crowns can be made from different materials, differing in price and quality.

    If a piece of a tooth has broken off, you should not worry, you should seek help from specialists as soon as possible. Inaction in this matter may not be beneficial for a person, since the development of concomitant pathologies of the oral cavity is possible.

    Unfortunately, many people, both adults and children, can “boast” that a piece of a tooth has broken off. Today, the women's club "Who is over 30" will tell you what the reasons for this trouble may be, what to do in this case and how to avoid it.

    A piece of a back tooth or any other has broken off: what are the most common causes?

    Of course, a piece of tooth cannot “fall off” on its own. This is preceded by some kind of mechanical effect.

    And we are not always talking about injuries received in a fight or with any other blows to the face. Sometimes a chipped tooth (both anterior and posterior) can occur while chewing.

    It is not necessary to chew nuts to break a tooth, even the softest food can break the dentition.

    Most often this happens due to thinned tooth enamel and the following reasons:

    • Weakening of tooth tissue due to the frequent use of juices, sweets, carbonated drinks and other foods containing sugar and acids;
    • Decreased acidity in the oral cavity;
    • Lack of calcium in the body. Most often in women during pregnancy, breastfeeding or during;
    • Malocclusion;
    • Caries and other diseases of the oral cavity;
    • General weakening of the body and immunity;
    • Hormonal disorders in the body;
    • Smoking and other bad habits;
    • Diseases of internal organs or special conditions (for example, etc.).

    Types of chipped teeth

    Depending on the depth of damage, there are minimal, medium and most dangerous - severe damage to the tissues of the tooth.

    Consider them from the site in more detail:

    • A piece of tooth enamel broke off. Your tooth is not broken, but the intervention of a specialist will still be required. Maybe this does not cause concern or pain for you, but if the chip is not healed in time, an infection will get into it and the tooth will gradually collapse. In addition, the enamel can crack along the length of the entire tooth, right up to the root;
    • A small piece broke off, capturing the dentin (hard tissue under the enamel). You may not even feel pain if a piece of your front tooth is chipped off because the nerve and pulp (soft tissue of the tooth) are not exposed. But it is imperative to consult a dentist, since such damage leads to a very rapid destruction of the tooth;
    • A rather large piece of the tooth broke off, exposing the nerve endings. In this case, you yourself will want to quickly run to the dentist, because most likely the tooth will hurt a lot.

    What to do if a piece of a tooth breaks off?

    No matter how large the chipped tooth is, the answer to this question is the same - go to the doctor. You understand that there are no folk methods or means to heal a broken tooth.

    The dentist will assess how damaged the tissues are and together with him you will be able to choose the subsequent treatment tactics.

    There are such options:

    • With minimal damage, you may not even need a filling. Modern medicine offers such a method as covering the injury site with silver. This technique does not allow the penetration of infection deep into the tooth. But it is unlikely to fit if a piece of the front tooth has broken off, what to do in this case - most likely, put a filling;
    • With moderate damage, most likely, everyone will need the “favorite” drilling with a drill and filling, and maybe tooth extension;
    • In case of severe damage, possible options are the establishment of pins, veneers, inlays, crowns. And in extreme cases (if the chip goes straight to the gum and affects the root of the tooth) - removal.

    What to do so that even a small piece of the tooth does not break off. Precautionary measures

    If you want to maintain the health of your teeth, to prevent chipping of the enamel and deeper layers of the tooth, you need to follow some simple rules. Think of all the “don’ts” that we know so well from childhood and add a few more points to them:

    • Take care of your dental health. Visit the dentist regularly. Strengthen tooth enamel by taking vitamin and mineral complexes;
    • Brush your teeth in the morning and evening, pick up a toothpaste with fluoride. Use dental floss;
    • Eat less sweets, sugary and carbonated water;
    • Give up bad habits;
    • Treat acute and chronic diseases of other organs and systems in time.

    Remember that a tooth that has not been treated in time, on which a piece has broken off, can lead to complications - from the simplest to the more complex. Most often, it is caries of a mild or complex form, pulpitis, periodontitis, etc., as well as complete destruction of the tooth and the spread of infection throughout the oral cavity. Who would have thought, but if a piece of a tooth broke off, then this could be a “push” for the development of diseases of the heart, stomach, kidneys, liver, nervous system, etc.

    Unfortunately, a person’s teeth cannot overgrow and grow on their own, therefore, regardless of the degree of damage to the tooth, you need to contact the dentist as soon as possible.

    Who is over 30 - a club for women after 30.

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