Temporary crown on my front tooth broke and so did the tooth inside. Now I need an implant - Should this happen?

Question

Should that ever happen? Could the cement have been too strong?

Albert Kurpis, DDS · Answer

Definitive advice cannot be given without seeing an x-ray.  Many times when a tooth is broken off at the gum line, it can be salvaged with a post and core followed by a crown.  If the tooth is cracked vertically or very deeply, it may have to be removed and replaced with a dental implant and possible bone graft.

Gregory Bowen, DDS · Answer

People that grind their teeth also break off dental work. This is a very common experience.Sports injuries, even an injury from childhood can affect a tooth years down the line. If there is enough root, and it is not too far below the gum line or vertically fractured, the tooth can be saved with a post & core and crown. A bridge (crowns on either side with the false tooth in between that is cemented in your mouth and non removable, is also a solution, as well as an implant. If there are older crowns on either side of the broken tooth, consider a bridge.The most common cause of broken teeth inside of crowns or temporaries is the presence of a root canal. If there is no living tissue inside the tooth (pulp) the tooth becomes brittle over time.

Norman Huefner, DDS · Answer

If your tooth broke while in your temporary, it means your tooth was very weak and brittle.  This can happen because of a large existing cavity or filling, an older tooth that has aged and become brittle, or because it had a root canal.  You are better off have the implant now rather than going through the crown procedure and having it break later on.You will be interested in knowing that the human tooth is the strongest and hardest part of the body.  The fact that it broke means that there was substantial weakness to begin with.

Sherri Worth, DDS (retired) · Answer

How long had the provisional crown been there?  If it has been there for a long time.  You can often salvage a broken tooth with a root canal, post and core, followed by a crown.  If the tooth is broken below the gumline or does not have enough coronal tooth structure to hold a restoration, you may need an implant.

Temporary crown on my front tooth broke and so did the tooth inside. Now I need an implant - Should this happen?

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