The bottom half of my front tooth was chipped. I want to know what my options are, and how long on average will this restoration last? Since I am only 20, how many times will I need to replace it during my life? If I place a porcelain veneer on the tooth, and it eventually needs a root canal, will the veneer need to be replaced with a crown?
Options for Chipped Front Tooth Restoration
Doctor Answers 19
How to Repair a Chipped Front Tooth
This is a GREAT question. There are many factors that should be considered when choosing how to repair your fractured tooth. You said "half" of your front tooth is fractured. That's a lot of tooth structure to repair with a conservative restoration like bonding. Bonding is the least expensive option but also does not last as long and wth half the tooth needing replacement will probably not last more than a few years. Another option is a porcelain veneer which is more expensive but also more "permanent." It should last substantially longer but if the tooth ends up needing a root canal the tooth will likely change color which would also affect the color of the veneer. A front tooth with a root canal is also not adequately protected with a veneer and would likely need a crown.
If you were my family member at age 20 I would probably do a conservative bonding and allow the tooth and gums around the tooth to completely mature. I would not want to further traumatize the tooth right away by doing more invasive procedures like a veneer or crown. This will help prevent the need for a root canal later.
Then in a few years I would do a more permanent retoration which would more than likely be an all-ceramic crown rather than a veneer because with half the tooth missing I would be conserned about long-term retention of the restoration.
Your dentist's biggest challenge will be matching a single front tooth color, shape and consistency with the adjacent teeth...NOT an easy thing to do.
Good luck, hope this helps.
Chipped front tooth
A veneer will look the best and it's still reasonably conservative. You shouldn't need to replace it for many years and you can get a root canal through the back of the tooth without affecting the front
Longevity of veneers
This is a good question. Veneers should last a lifetime; however, sometimes they need replacement. If a root canal procedure is performed, then the tooth should receive a full crown. If the gums recede on the front of the teeth, a cosmetic problem could result requiring either replacement of the veneer or a gum graft to replace the lost gums. All things considered, if you are 20 years old, a veneer is your most esthetic and durable option. A dentist should be able to offer a reasonable prognosis for the future of a tooth, but unexpected complications do happen.
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A few options for a fractured front tooth
Your dentist will determine which of the following treatments is best for you and your mouth to correct your fractured front tooth.
Dental Bonding or Composite bonding is a way to repair chipped, cracked teeth. Composite bonding will last on average up to 10 years. During the procedure, the tooth will be roughened with polishers and a conditioning liquid. Composite putty will be applied, molded, and smoothed. Then, a blue spectrum light is used to harden the composite. When the tooth bonding has dried, it will be shaped and polished to match the rest of the tooth. This is the least expensive option and is only viable if there is enough healthy tooth structure remaining. A root canal can be performed before or after the front tooth bonding many times without interfering with the bonding.
Veneers are covers for a tooth. Porcelain veneers provide the most attractive and realistic results possible. The veneer is fabricated by a trained ceramist and is bonded to the front of the tooth, transforming the tooth’s appearance. With good care, veneers can last up to 30 years, so you won’t have to worry about getting it replaced regularly.
You can have veneers placed on the one broken tooth or a few teeth for aesthetics. This cosmetic treatment is truly a wonderful option for many people. With this option root canal treatment can be completed prior or after the front tooth veneering many times without interfering with the veneer. This is a more expensive option and is only viable if there is enough healthy tooth structure remaining.
A ceramic crown is a cap that covers the tooth and protects in and approves the appearance. It acts as a strong covering for your tooth. When you get a crown, this helps prevents you from losing your tooth. Without a crown, a damaged tooth won’t be able to withstand the pressure of chewing. The ceramic crown is fabricated by a trained ceramist to match your teeth or you can add adjacent veneers for greater aesthetics. In this option it is best to decide on the need for root canal treatment prior to crown placement if possible as a root canal will many times lead to needing a new crown.
Options for Chipped Front Tooth Restoration
Chipped Tooth Restoration Options
Best way to restore a chipped front tooth
Your options are composite bonding, porcelain veneer or porcelain crown. Since you said that half of the tooth has broken off, then I would lean heavily in favor of the porcelain veneer or porcelain crown.
With regard to root canal, because so much of the tooth has been fractured off, a root canal may be necessary, either soon or years down the road. For a better prognosis I suggest you consult with an endodontist who can test your tooth for vitality (being alive or dead) and give you his opinion on whether a root canal should be done first, or to wait to make the decision if and when future symptoms appear down the road.
No one can predict how long a porcelain veneer or porcelain crown will last you. It depends on the type of crown or veneer used, whether or not you have any more trauma to the tooth (a fall or blow to the tooth), your bite (i.e. do you grind or clench your teeth together). And believe it or not, it also depends on how good your dentist is!
Crowns and porcelain veneers can last a lifetime, and that is the goal of most cosmetic dentists. However there is too much out of the dentists control to promise that it would last that long. I've done crowns and porcelain veneers that I placed 25 years ago and are still in doing well today. (Porcelain veneers were introduced to dentistry around 1985). I've also had patients come in to me to replace crowns or veneers that were done only five years earlier. Unfortunately, no dentist can give you an accurate estimate as to how long the porcelain veneers or porcelain crowns will last, but properly done, they will usually last a long, LONG time!
Options for Chipped Front Tooth
If the chip is small you can fix it with composite/bonding. A highly talented dentist can make this look very natural. The drawback is that this restoration may chip or stain over time. It will last on average 7-10 years.
A porcelain veneer is a good option if the chip is larger. This will last 10-15 years on average. If the tooth needs a root canal, the veneer does not need to be removed. The root canal can be performed through the backside of the tooth.
A crown would only need to be placed if there was severe discoloration of the tooth or if the tooth was weakened due to decay or more trauma.
Doing a single veneer or single crown on a front tooth and matching it to the adjacent teeth is the toughest case for a cosmetic dentist.
Porcelain Veneer For Chipped Front Tooth
Based on the amount of tooth that is missing I would recommend that you have a porcelain veneer placed. This will be the most durable and the most aesthetic. Composite bonding may be a viable option, but will not last as long as a veneer. If the tooth should ever need a root canal they should be able to complete it without ever touching your porcelain veneer. Hope this helps.