Broken Teeth to the Gum Line?

Then teeth break at the gum-line its either because there was little tooth structure to begin with after multiple restorations or very bad decay.There are a number of options, really depends on whether the roots and bone is strong enough to maintain the teeth.  If so then root canal treatment, post and core insertion as well as crown lengthening procedures may be necessary to try to rebuild the teeth.  The final outcome is not ideal in these cases.The other option if the teeth are not worth saving is to extract and replace with implant retained crowns and bridges.  This involves extractions, bone grafting and implant placement as well as crowns and bridges on the implants.  You need to evaluate all these options with a qulified doctor that is invovled with both the restoration of teeth and the surgical and restorative aspects of dental implants.Best of luck.

Teeth broken to the gum line can, sometimes, be saved by pushing the gums lower to make room for a new crown. You would have to see a periodontist for a procedure called a "crown lengthening" and then wait about 8 weeks for the crown to be placed by your dentist. If, however, the teeth are hopeless and cannot be treated, then these broken down teeth can be extracted an immediately replaced with implants at the same time. This may not ALWAYS be possible because there are anatomical and physiological reasons which may preclude this from happening. However, a qualified surgeon ('Board Certified Periodontist or Oral surgeon) should be able to discuss the best options with you in this regards. 

As a Periodontist, we evaluate all teeth to see if they are worth saving.  We evaluate the  following:

1- Crown/Root ratio 

2- health of the patient

3- amount of bone support and the extent of the surgery..worth the effort?

4- overall treatment plan and prognosis

5- restorative treatment plan

6- finances and patient feedback

7- implant options

In summary:  You should have a full set of quality digital x rays and  have a comprehensive treatment plan with a highly trained Laser Periodontist to go over all your options including the latest laser techniques in extractions, implants and bone regeneration.

 

The best way to restore these teeth will be with dental implants.  The important thing will be to graft the extraction sockets at the time of extraction in order to preserve as much of the bone as possible.

Dental implants are the ideal option for teeth replacement. They may be placed immediately at time of extraction if appropriate (determined by surgeon) or placed in delayed fashion once the sites heal (typically 2-3 months). A transitional prosthesis can be made by the restorative dentist while the sites or implants are healing. In some circumstances, implants may be immediately restored so a patient can have a fixed set of teeth on same day. This is only done, again, if appropriate as determined by the surgeon and the restorative dentist team.