Mclevin Dental Office

Can a broken tooth be repaired without extraction?

In many cases — yes! Here’s what you need to know.

A broken tooth can feel like a dental emergency — and for many people, the first fear is: “Will I need to have it pulled?”

Good news: a broken tooth doesn’t always mean extraction. In fact, modern dentistry offers several ways to save and restore a damaged tooth, depending on the severity and location of the break.

Here’s how dentists assess broken teeth — and what treatment options are available to help you avoid tooth loss.

🧠 First, What Counts as a “Broken Tooth”?

A tooth can be broken in different ways:

  • Small chip on the edge or corner
  • Crack running vertically across the enamel
  • Fracture affecting the tooth’s root or structure
  • Split tooth, where the tooth is divided into sections
  • Severe break, exposing the inner pulp (nerve and blood supply)

The treatment depends on how deep the damage goes — and how quickly you seek care.

👩‍⚕️ Can It Be Saved?

In many cases: yes. The sooner you visit the dentist after the break, the more likely it is that your tooth can be repaired and preserved.

Dentists look at:

  • How much of the tooth structure is intact
  • Whether the break affects the nerve or root
  • If the surrounding bone and gums are healthy
  • Your overall oral and medical health

Even if the tooth is badly damaged, extraction is usually the last resort.

🛠️ Treatment Options That Don’t Involve Extraction

Here are some of the most common ways to repair a broken tooth without removing it:

✅ 1. Dental Bonding (for small chips)

  • Tooth-coloured resin is applied and shaped to fill in or rebuild the missing piece
  • Great for front teeth or cosmetic repairs
  • Usually done in one visit with no freezing needed

✅ 2. Dental Crown (for larger breaks)

  • A custom-made cap covers and protects the tooth
  • Restores strength and appearance
  • Typically done over two visits, or same-day with digital crown technology

✅ 3. Porcelain Veneer (for minor fractures on front teeth)

  • A thin shell is bonded to the front of the tooth
  • Improves both look and function
  • Ideal for cosmetic cases where the tooth structure is still strong

✅ 4. Root Canal + Crown (if the pulp is exposed)

  • The inner tissue (pulp) is removed, and the space is cleaned and sealed
  • A crown is placed on top to restore the tooth
  • This treatment saves the natural tooth while eliminating infection and pain

✅ 5. Post and Core Build-Up (for severely damaged teeth)

  • If most of the tooth is missing but the root is intact, a post is placed inside the root to support a crown
  • Often used after a root canal to rebuild structure

🧨 When Extraction Might Be Necessary

In some cases, unfortunately, a broken tooth can’t be saved, such as:

  • If the tooth is split below the gum line
  • If there’s a vertical root fracture
  • If there’s extensive bone loss due to infection or trauma
  • If the remaining tooth structure can’t support a crown or filling

If extraction is necessary, your dentist will explain replacement options like dental implants, bridges, or partial dentures — so you can still restore your smile and function.

🛡️ What to Do If You Break a Tooth

  • Rinse your mouth with warm water to keep it clean
  • If swollen, apply a cold compress
  • Save any broken pieces, if possible
  • Avoid chewing on the affected side
  • Call your dentist right away — don’t delay!

Even if there’s no pain, broken teeth are vulnerable to infection, sensitivity, and further damage if not treated promptly.

Final Thoughts

Yes — a broken tooth can often be repaired without extraction. With the right treatment, your natural tooth can be saved, strengthened, and made to look and feel like new again.

Have a broken tooth or think you might need emergency dental care? Book an appointment with us today — our team will assess the damage, walk you through your options, and do everything we can to save your smile.

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