Dealing with a Broken Front Tooth: Crown or Filling Options? - Dentistry

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Fractured incisor?


Hello, doctor.
When I was a child, I had a broken front tooth and had it filled.
However, the filling has come out recently.
Should I get a crown, or is it sufficient to just refill it?

Miss Luo, 10~19 year old female. Ask Date: 2015/07/28

Dr. Zhang Xiangyuan reply Dentistry


Dear netizen, based on your description of a fractured front tooth with a filling that has fallen out, it is advisable to consult a dentist.
The dentist can assess the size, depth, and occlusion of the fractured tooth to determine whether a filling or, if necessary, a crown (prosthetic tooth) should be made.
Since the circumstances of tooth fractures can vary, it is recommended that you have a dentist examine your situation and make a decision based on your individual needs.
Thank you for your inquiry.

Reply Date: 2015/07/28

More Info


When dealing with a broken front tooth, especially one that has previously been filled, you have a couple of options: a dental crown or a filling. The choice between these two largely depends on the extent of the damage, the condition of the remaining tooth structure, and your long-term dental health goals.

Understanding Your Options:
1. Dental Filling: A filling is typically used for smaller cavities or minor damage. If the break is minimal and there is sufficient healthy tooth structure remaining, a filling may be a viable option. Fillings can be made from various materials, including composite resin, which can be color-matched to your natural teeth for aesthetic purposes. However, fillings may not be as durable as crowns, especially in high-stress areas like the front teeth, where biting forces can be significant.

2. Dental Crown: A crown, on the other hand, is a more comprehensive solution for a tooth that has experienced significant damage. Crowns encase the entire tooth, providing strength and protection. If your front tooth has a large filling or has broken in a way that compromises its integrity, a crown is often recommended. Crowns can be made from various materials, including porcelain, metal, or a combination of both. Porcelain crowns are particularly popular for front teeth due to their natural appearance.

Factors to Consider:
- Extent of Damage: If the break is extensive and involves a significant portion of the tooth, a crown is likely the better option. Crowns provide more support and can help prevent further damage.

- Longevity: Crowns generally have a longer lifespan than fillings. While fillings may need to be replaced every few years, crowns can last a decade or more with proper care.

- Aesthetics: For front teeth, aesthetics are crucial. Both crowns and fillings can be made to match the color of your natural teeth, but crowns may offer a more seamless appearance, especially if the tooth is significantly damaged.

- Cost: Typically, crowns are more expensive than fillings. However, considering the longevity and durability of crowns, they may be more cost-effective in the long run.

- Future Dental Health: If you have a history of dental issues with this tooth, opting for a crown may provide better protection against future problems.

Conclusion:
In your case, since the filling has fallen out and considering the history of the tooth, it would be wise to consult with your dentist about the best course of action. If the tooth is still structurally sound and the damage is minimal, a filling might suffice. However, if there is significant damage or if the tooth has been compromised in the past, a crown would likely be the better option for ensuring the tooth's longevity and functionality.

Ultimately, your dentist will be able to assess the specific condition of your tooth and recommend the most appropriate treatment based on your individual circumstances. Regular dental check-ups and maintaining good oral hygiene will also play a crucial role in the health of your teeth moving forward.

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