This 20-year old girl was doing some household work when a steel glass fell from the shelf and broke her front tooth. This happened two days ago. She says she is having a bit sensitivity in the tooth and is feeling a different sensation in the broken tooth.
As we can see in the above picture that a small piece of tooth has broken away. There are different degrees of tooth fractures. In our dental school days, we used to cram all the different classifications but with time we forget all those except main point the tooth fracture can be limited to enamel, dentin or it can involve the dental pulp (‘commonly called ‘nerve’ of the tooth).
The girl told that she was also feeling a pointed sharpness which was immediately removed with a dental stone. It is an absolutely painless procedure which takes half a minute.
Coming to the management of such broken teeth. In this case, the tooth fracture has involved dentin of the tooth which means second layer (outer first layer is enamel) which is innervated and that’s why there is sensitivity to hot and cold. Anyhow, such fractures are managed easily.
I have called her after 3-4 days when i shall repair her tooth — i mean building the broken portion — using a dental material which is called light-cure composite. It is a wonderful material which comes in various shades and hues and its color matches perfectly with the original tooth color and once used properly nobody can make out that it is a repaired/restored tooth.
Well, let’s look at another aspect. Please look at my post —Dead tooth functions normally for 40 years in a 59-year old. Why am i putting this stuff here? — b’cos any tooth which has received impact — many a times even minor– due to various reasons like hand-pump handle striking front tooth( in earlier days we used to get many such patients), sports injuries, fights, falls, roadside trauma etc…. can lead to dead tooth even years after the person has forgotten that traumatic experience. In that case, the tooth becomes discolored and at times begins to trouble by causing pain and swelling. However, even that can be appropriately managed by root canal treatment followed by a dental cap (dental crown).
So, there is no need of any panic in case a tooth breaks — many such cases are easily repaired! Soon i shall post her picture after tooth repair.