Can I Use Resin Fillings Instead of Implants for a Broken Tooth? - Dentistry

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Can a broken tooth be repaired without dental implants, just by filling it?


Previously, the tooth next to my left canine was decayed down to the nerve, so I had a root canal treatment.
However, the filling material the dentist used kept falling out, and I didn't think much of it until it all fell out, leaving the tooth hollow.
Then, in April of this year, while eating, the tooth suddenly fractured.
Since it didn't break too much, I decided to wait until I had time to address it.
Unfortunately, last week the tooth broke down to about 1/4 remaining.
Given my situation, can I avoid getting a crown and just use resin to fill it? As a student, I don't have enough money for dental implants.
I hope the dentist can provide me with some advice.
Thank you.

Emma, 10~19 year old female. Ask Date: 2016/10/16

Dr. Lin Jiayong reply Dentistry


Hello: If there is too little tooth structure remaining or the condition is poor, it is not advisable to use resin for filling, as excessive filling material can irritate and harm the gums.
It is recommended that you seek medical attention as soon as possible and discuss a treatment plan with your trusted dentist.
Wishing you safety and good health.

Reply Date: 2016/10/16

More Info


When it comes to dealing with a broken tooth, especially one that has undergone root canal treatment and has lost a significant amount of structure, the decision between using resin fillings and opting for an implant is crucial. In your case, where the tooth has broken down to about a quarter of its original structure, there are several factors to consider.

Firstly, resin fillings can be a viable option if there is enough remaining tooth structure to support the filling. However, it is essential to understand that resin materials are not as strong as the natural tooth structure or dental crowns. If the tooth is significantly compromised, a resin filling may not provide the necessary strength and durability, especially for a canine tooth that plays a crucial role in biting and chewing.

In your situation, since the tooth has already undergone root canal treatment, it is likely that the remaining tooth structure is weakened. If the dentist assesses that there is sufficient tooth structure left, they may be able to use resin to fill the tooth. However, this approach has its limitations. Resin fillings can wear down over time, may not withstand the forces of chewing as effectively as a crown, and could lead to further complications if the filling fails again.

On the other hand, if the tooth is too compromised, the dentist may recommend a crown instead of a filling. A crown would provide better protection and strength, covering the entire tooth and preventing further breakage. While crowns do involve a higher initial cost compared to resin fillings, they can be a more durable solution in the long run, potentially saving you from needing additional treatments later.

Regarding your financial concerns, it is understandable that dental implants can be expensive. However, it is crucial to weigh the long-term benefits of a more durable solution against the short-term savings of a resin filling. If the tooth continues to break down or if the filling fails, you may end up needing more extensive and costly treatments in the future.

Additionally, it is worth discussing with your dentist the possibility of payment plans or financing options that may be available for more extensive treatments like crowns or implants. Many dental practices offer flexible payment solutions to help patients manage the costs of necessary dental work.

In summary, while resin fillings may seem like a more affordable and immediate solution, they may not be the best long-term option for a significantly compromised tooth. A thorough evaluation by your dentist will help determine the best course of action based on the condition of your tooth and your overall dental health. It is essential to have an open conversation with your dentist about your concerns, options, and any financial constraints you may have to find the most suitable treatment plan for your situation.

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