Yes, a dentist can remove a tooth broken at the gum line. The procedure may require a surgical extraction if the root remains below the gum. Prompt treatment prevents infection and reduces complications.
A tooth that breaks at the gum line can be painful and worrying. It may happen due to decay, trauma, or biting something hard. When little or no tooth remains above the gum, removal is often necessary. This guide explains what happens, how extraction works, and what recovery involves.
What Happens When a Tooth Breaks at the Gum Line?
A tooth broken at the gum line often leaves the root inside the gum and bone. This can cause pain, swelling, or infection. In many cases, the tooth cannot be restored with a crown or filling, and an emergency dentist in Aberdeen may need to assess it promptly.
An emergency dentist in Aberdeen will examine the area and take an X-ray to evaluate the remaining root and surrounding bone before recommending the most appropriate treatment.
Can you extract a tooth and put an implant in the same day?
Can a Dentist Remove It?
Yes. A dentist can remove a tooth broken at the gum line. The method depends on how much tooth structure remains.
Two common types of extraction include:
- Simple Extraction: If part of the tooth is visible above the gum.
- Surgical Extraction: If the root is below the gum line and requires an incision.
Surgical extraction may involve removing small amounts of bone to access the root.
Step-by-Step: How Dentists Remove a Broken Tooth at the Gum Line
1. X-ray Assessment
An X-ray is taken to locate the root and check its shape, depth, and proximity to nerves.
2. Local Anaesthetic
The area is completely numbed to ensure a pain-free procedure.
3. Accessing the Root (Surgical Approach)
If the tooth is below the gum, a small incision may be made to expose the root.
4. Tooth or Root Removal
Special dental instruments are used to carefully loosen and remove the remaining structure.
5. Bone & Gum Management
In some cases, a small amount of bone may be adjusted to safely remove the root.
6. Cleaning & Stitching
The site is cleaned, and stitches may be placed to support healing.
7. Healing Time
Initial healing takes 1–2 weeks, with full recovery over several weeks.
Can Teeth Whitening Be Done on the NHS?
How Much Does It Cost on the NHS?
Broken tooth extractions are usually covered under NHS Band 2:
- £70.70 (England standard fee)
- Includes examination, X-rays, and extraction
Costs may vary slightly depending on your location and eligibility.
What Happens If a Tooth Root Is Left in the Gum?
Sometimes, after a tooth breaks, the root remains inside the gum or bone.
In most cases:
- The root needs to be removed to prevent infection
- Bacteria can build up, leading to pain, swelling, or abscess
In rare cases:
- A very small fragment may be left intentionally
- Only if removing it risks damage to nearby nerves or structures
- It must be infection-free and monitored over time
Important:
Leaving an infected root untreated can lead to serious complications, including spreading infection and bone damage.
Aftercare Following Extraction
Proper care supports healing.
- Bite gently on gauze to control bleeding.
- Use pain relief as advised.
- Apply ice to reduce swelling.
- Eat soft foods for several days.
- Avoid smoking and straws.
- Rinse gently with warm salt water after 24 hours.
Healing usually takes one to two weeks.
Possible Complications
Although uncommon, watch for:
- Dry socket
- Infection
- Excessive bleeding
- Severe swelling
Contact your dentist if symptoms worsen.
What is the 2-Month Rule for NHS Dentistry?
Can the Tooth Be Saved Instead?
Sometimes, if enough healthy root remains, treatment such as root canal therapy and a crown may be possible. If not, replacement options may include:
- Dental implants
- Dental bridges
- Partial dentures
A dentist will advise based on your specific case.
Why Are Dentists Stopping NHS Treatment?
Need Help with a Broken Tooth? Book an Appointment Today
If you have a tooth broken at the gum line or are experiencing discomfort, early assessment is important. The experienced team at Holburn Dental and Implant Centre provides thorough examinations and appropriate treatment options, including surgical extractions and tooth replacement solutions.
Contact Holburn Dental and Implant Centre today to arrange your consultation and receive professional care tailored to your needs.
FAQs (People Also Ask)
Can a broken tooth be left in the gum?
No, in most cases it should be removed to prevent infection. Only very small, non-problematic fragments may be left under clinical supervision.
Is broken tooth extraction painful on NHS?
No, the procedure is performed under local anaesthetic, so you should not feel pain during treatment. Some mild discomfort after the procedure is normal.
How long does recovery take?
Initial healing usually takes 1–2 weeks. Full recovery of the area may take several weeks depending on the complexity of the extraction.
Can a dentist remove a broken tooth at the gum line?
Yes. It may require a surgical extraction if the root is below the gum.
Is the procedure painful?
No. Local anaesthetic prevents pain during the procedure.
How long does recovery take?
Initial healing usually takes one week. Full healing may take several weeks.
What if I leave a broken tooth untreated?
It can lead to infection, abscess, or further bone damage.
Can I get an implant after extraction?
Yes. In some cases, implant placement may be discussed after healing.
Author
Reviewed by: Clinical Team at Holburn Dental & Implant Centre
Last Updated
19 February 2026
