Tooth Broken to the Gum Line

Hello there! Not to worry this is not an uncommon situation.  The retrieval of the remaining piece of tooth is quite simple and painless. Your dentist will NUMB the area, so you won't feel a thing. Once the root is delicately retrieved, using special dental instruments, you can replace the missing tooth with an implant (costly) or a bridge (a lot less costly).

It is most likely you need an extraction and bone preservation graft followed by an implant with a crown or a fixed, cemented, bridge.Another restorative option is a removable prosthesis like a retainer with a false tooth on it.The surgical removal of the hopeless tooth can be performed under sedation so that you are not aware of the process.Doug Jopling, DDS

As many have mentioned, a tooth broken to the gumline will likely need to be extracted. Before the dentist performs the procedure, he/she will give you adequate numbing to the area so you won't feel pain. Then, using thin instruments, the dentist will wiggle and elevate the tooth out of its socket. If you are particularly anxious about your procedure, I would consider asking your dentist if he or she offers any sort of oral sedation (like Xanax) or nitrous oxide (laughing gas) to help you during your procedure. Hope this helps!

That wire is the metal post your dentist placed to reinforce the stability of that crown that broke off.  Need to have that broke tooth (root) removed.  An implant or a bridge will be your best options, unless you already have multiple missing teeth, then another cheaper way is to get a partial denture will replace all of the missing teeth in that jaw.

Thank you for your great question. First of all I want  to reassure you that after getting the area numb, the only thing you will feel during procedure will be pressure, NO pain. Just like in removal of not broken tooth, doctor will wiggle it from side to side to loosen the ligament and make it easier to be removed. Depending how and where it broke, doctor might use a handpiece to remove a small amount of bone around a broken area to get access to the tooth. In any case you will not feel pain.
Do consider getting antiaxiety prescription from your dentist to make easier on you.

A tooth that has broken off at the gum line, leaving only the root behind, needs to be extracted.  Otherwise, the root can become infected and cause a swelling.  Once you are numb, the procedure can be quick.  Best, Dr. Elizabeth Jahanian.

The "wire" you feel coming out of the top of the root may be the post that was placed into the root canal space to hold the core.  If that is the case, then the core material failed and is still inside the crown. 

Provided the fracture of the core was not due to recurrent decay, there probably should be enough tooth structure remaining to replace the core and crown.  If decay was involved, the ability to restore the tooth will depend on there being sufficient tooth structure above the supporting bone level and an adequate ratio of bone supported root to crown.

The worst case scenario would be that the tooth can not be restored and the remaining root needs to be removed.  Solutions to replace the tooth would include a dental bridge across the gap or placement of a dental implant. 

You should discuss all of this with your dentist in a consultation.  Commitment to a treatment plan should only be done after considering all options.

The 'wire' that appears to be coming out of the socket is either a part of the root canal filling or maybe the post that is added to the tooth after a root canal.

I would suggest that you may not need to have the remaining tooth extracted.  The tooth may be saved and that would be the best case possible and the least expensive too.  Just because a tooth is broken to the gum line doesn't absolutely require an extraction.

You can find a gentle dentist who can help you understand your best options - as I know you have some fear.  Modern dentistry can be a wonderful experience.  Best of luck.

Treating cracked teeth often involves a root canal and crown, but sometimes they fracture anyway. A good oral surgeon can give you either oral or IV sedation as well as local anesthetic, and remove the remaining tooth quickly and comfortably. You should also consider your options for replacing your missing tooth with an implant.

So sorry that your tooth broke so severely. Broken teeth can be restored in a variety of ways. Unfortunately for ones broken as badly as was yours, the most predictable method is to remove the remaining root, place a bone graft into the extraction site and then after healing place an implant into the bone. Sometimes implants can be placed on the same day as the tooth removal but this depends upon a variety of factors that the treating dentist must evaluate. The good news is that removal of the root and placement of the bone graft should be relatively painless both during the procedure as well as during healing.