As if falling, getting into a car accident, or being hit in the face by some unexpected, flying object weren’t upsetting enough, the experience could leave you with a broken tooth which may lead to problems in your mouth. There are two difficult to treat fractures that can result from such an occurrence: crown-root and cervical root fractures. Both fractures involve dentin, the bony material forming the tooth, and cementum, the bony material connecting the tooth to the jaw. Crown-root fractures also involve the enamel, which covers the surface of the tooth and is the part you can see. Cervical-root fractures also involve the dental pulp, which is the tissue inside the tooth. Both types of fractures extend below the gum line and can lead to inflammation, recession, or bleeding of the gum tissue, loss of the attachments between the tooth and jaw, or bone loss if the fracture is not treated. All this trouble for mere accidents!
So how are these fractures treated? It was mentioned earlier that these fractures are tough to treat. Treating doctors must take into consideration the location and severity of the fracture and its proximity to the supporting bone. Since sometimes the fracture happens in children, in whom the tooth has not fully developed yet, the developmental stage of the tooth and its level of eruption are important. These many factors make crown-root and cervical-root fracture cases rather complex. Many dentists opt to remove these front teeth and replace them with a bridge or an implant-supported crown, but a grand number of these fractured natural teeth can be saved with modern, cutting-edge dentistry.