What to Do When Your Natural Tooth Breaks After Getting Dentures? - Dentistry

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The dentures were completed less than a month ago, and now a natural tooth has fallen out..?


I just got my removable partial denture two weeks ago, and one day while having breakfast, the only remaining natural tooth on the lower left side with a fixed clasp suddenly broke.
What can I do next?

Lan Zhi Ying, 50~59 year old female. Ask Date: 2023/11/11

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return to the original clinic to see if it can be addressed through the method of dental augmentation.

Reply Date: 2023/11/11

More Info


When a natural tooth breaks after getting dentures, it can be a concerning situation, especially if the tooth is critical for your bite or overall dental health. Here’s a comprehensive guide on what steps to take next, along with some insights into the underlying reasons for the breakage and potential treatment options.


Immediate Steps to Take
1. Assess the Damage: First, examine the broken tooth. If it is a clean break and you can find the piece, keep it moist (in a glass of milk or saline solution) and bring it to your dentist. If the break is severe and the tooth is painful, avoid touching it and refrain from chewing on that side of your mouth.

2. Contact Your Dentist: Reach out to your dentist as soon as possible. Explain the situation, including when the break occurred and any pain or discomfort you are experiencing. Your dentist will likely want to see you for an evaluation.

3. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort until you see your dentist. Avoid hot or cold foods and drinks, as these can exacerbate sensitivity.

4. Avoid Further Damage: Until you can see your dentist, avoid chewing on the affected side and be cautious with your dentures. If your dentures are putting pressure on the broken tooth, it may be necessary to adjust them temporarily.


Possible Causes of Tooth Breakage
Tooth breakage can occur for several reasons, especially after getting dentures:
- Underlying Weakness: If the tooth had previous decay or damage, it may have been weakened, making it more susceptible to breaking.

- Bite Force: Sometimes, the adjustment to new dentures can change your bite, leading to increased pressure on certain teeth. If your dentures are not fitting properly, they may cause uneven forces on your natural teeth.

- Dietary Choices: Eating hard foods or using your teeth as tools can lead to breakage. It's essential to be mindful of what you consume, especially during the adjustment period with new dentures.


Treatment Options
1. Dental Repair: Depending on the extent of the break, your dentist may be able to repair the tooth using dental bonding or a crown. If the break is minor, bonding may be sufficient. For more significant damage, a crown can provide strength and protection.

2. Root Canal Treatment: If the break exposes the pulp of the tooth or if there is significant pain, a root canal may be necessary to remove the damaged nerve and seal the tooth.

3. Extraction: In cases where the tooth is severely damaged and cannot be saved, extraction may be the best option. Your dentist will discuss replacement options, such as implants or bridges, to maintain your bite and aesthetics.

4. Adjusting Dentures: If your dentures are contributing to the problem, your dentist may need to adjust them to ensure a proper fit and alignment, reducing the risk of further damage to your natural teeth.


Long-Term Considerations
After addressing the immediate issue, consider the following long-term strategies:
- Regular Dental Check-Ups: Regular visits to your dentist can help monitor your dental health and catch any potential issues early.

- Proper Denture Care: Follow your dentist's instructions for caring for your dentures, including cleaning and storage, to ensure they fit well and do not put undue pressure on your natural teeth.

- Dietary Adjustments: Be mindful of your diet, especially during the adjustment period with new dentures. Avoid hard or sticky foods that can stress your teeth.

In conclusion, a broken tooth after getting dentures is a situation that requires prompt attention. By following the steps outlined above and maintaining open communication with your dentist, you can effectively manage the situation and preserve your dental health.

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