Cosmetic Dentistry Blog Cosmetic and General Dentistry Questions Answered

October 13, 2015

I have a split tooth – can it be saved?

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Dr. Hall,

I have a split tooth. It’s one of my upper teeth, near the front. A dentist in Ft. Myers, Florida, recommends extracting all of the tooth and then doing a bone graft and then a dental implant to replace it. The tooth is identified as tooth #4 on the dentist’s chart/treatment plan. The dentist stated that there is no possibility to save the tooth.

I want the tooth repaired, if possible. It is a tooth otherwise healthy, however, the tooth is completely split, right down into the root or gum. Causation is unknown to me.

I request any suggestions that you have about repairing the tooth, or about a dentist. l live in the Kissimmee, Florida area. I have the basic Humana dental PPO plan.
Thank you for your attention to this letter.
– James from Florida

 
James,

As you may have seen on the website, I was the one who did the research showing that it is possible to save a tooth with a vertical root fracture. I published that research in the Colorado Dental Journal in 2004, and a Portuguese version of what I wrote was published in Brazil. This is totally contrary to conventional thinking, as almost everywhere else in the dental literature you will read that these teeth are not savable.

One problem with research that goes directly against the grain of the consensus of thought in a profession is that it takes more than one researcher to change that consensus. The feeling is that the research needs to be corroborated by a second, independent party. So you are very unlikely to find another dentist who would try to save a tooth like this. However, just this July, 2015, a research team in India duplicated my research and was able to also save a tooth with a vertical root fracture. So I am hopeful that we’re on the way to getting my research accepted. If these publications will prompt an American researcher to corroborate what we have done, this could begin to become generally accepted.

Having said all of this, one of the things I discovered when I did my research was that in order to save a tooth with a vertical root fracture, it was necessary to get the parts of the tooth back together perfectly and then stabilize the tooth in that condition. If the fracture was several days old, it was impossible to get the two parts of the tooth back together perfectly, so the repair became impossible. I am assuming that with you writing to me and you have already had a dental visit, that this fracture isn’t something that happened today or yesterday. Unfortunately, that does make this tooth unrepairable and extraction would be necessary.

Luckily, dental implants have become a very predictable treatment option, and if that’s what your dentist recommends, that’s what I would do.

Dr. Hall

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About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

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