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Can a Dentist Pull a Tooth That Is Broken off at the Gum Line?

Can a Dentist Pull a Tooth That Is Broken off at the Gum Line?

A broken tooth can be a distressing experience. If your tooth breaks off at the gum line, you might wonder if it can still be treated or removed. In this article, we will discuss what happens when a tooth breaks off at the gum line and whether a dentist can pull it out. We will also explain the steps involved in the extraction process and what to expect during recovery.

What Happens When a Tooth Breaks off at the Gum Line?

A tooth that breaks at the gum line can be caused by various factors. The most common reasons are tooth decay, trauma from an accident, or biting on something hard. When the break occurs at the gum line, it often leaves part of the tooth’s root still in the gum. This can be painful and may make chewing or speaking difficult.

A tooth broken at the gum line is usually a more complex situation than a regular broken tooth. While some broken teeth can be saved with dental treatments like crowns or fillings, a tooth that has broken this far down may need to be extracted. Dentists will assess the damage and determine the best course of action.

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Can a Dentist Pull a Tooth Broken at the Gum Line?

Yes, an NHS dentist can pull a tooth that is broken at the gum line. However, the process may be more complex than a normal extraction. When the break occurs below the gum line, the tooth root is still embedded in the gum and bone, which may require a surgical extraction.

There are two common types of extractions a dentist may perform:

  1. Simple Extraction If there is still a visible portion of the tooth above the gum line, a dentist may be able to perform a simple extraction. In this procedure, the dentist uses special tools to loosen the tooth and remove it. A local anaesthetic will be used to numb the area, ensuring that you feel no pain during the procedure.
  2. Surgical Extraction If the tooth is broken below the gum line, a surgical extraction may be necessary. This procedure is a bit more involved and may require the dentist to make a small incision in the gum to access the tooth root. In some cases, the dentist may need to remove some bone tissue around the tooth to fully extract it. After the tooth is removed, the dentist will stitch the gum to help it heal.

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What to Expect During the Extraction Procedure

Before the extraction begins, the dentist will first assess the extent of the break by taking an X-ray. This allows the dentist to see the tooth’s root and surrounding bone structure. With this information, the dentist will plan the best way to remove the tooth.

The procedure typically starts with the dentist numbing the area around the broken tooth with a local anaesthetic. This ensures you won’t feel any pain during the extraction. In some cases, the dentist may offer additional sedation if you are feeling anxious or if the extraction is more complex.

During the extraction, you may feel some pressure, but you shouldn’t feel pain. The dentist will carefully remove the broken tooth, whether it’s by loosening it with forceps or performing a surgical procedure. After the tooth is removed, the dentist will clean the area and apply stitches if needed.

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Aftercare Following Tooth Extraction

After your tooth is extracted, proper care is essential to help the area heal and reduce the risk of infection. Here are a few tips on how to care for the extraction site:

  1. Control Bleeding
    After the extraction, the dentist will place a piece of gauze over the extraction site. You will need to bite down gently on the gauze to help form a blood clot, which is crucial for the healing process. Replace the gauze as needed if it becomes soaked with blood.
  2. Manage Pain and Swelling
    After the anaesthetic wears off, you may experience some pain or swelling. The dentist may recommend over-the-counter pain relievers or prescribe stronger medication if needed. Applying an ice pack to the outside of your cheek can help reduce swelling.
  3. Eat Soft Foods
    For the first few days after the extraction, stick to soft foods like yoghurt, mashed potatoes, and smoothies. Avoid hot drinks and hard or crunchy foods, as they can irritate the healing site. Drinking water is important, but avoid using a straw, as the sucking action can dislodge the blood clot.
  4. Maintain Oral Hygiene
    Keeping the extraction site clean is essential to prevent infection. Rinse your mouth gently with warm salt water starting the day after the extraction. Be careful not to brush the extraction site directly for a few days.
  5. Follow-Up Appointments
    Your dentist may schedule a follow-up appointment to check on your healing progress. If you experience any unusual pain, swelling, or fever, contact your dentist immediately.

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Complications to Watch Out For

While tooth extractions are generally safe, there are some complications to watch for during the recovery process. These can include:

  1. Dry Socket
    Dry socket occurs when the blood clot that forms after the extraction is dislodged, exposing the bone and nerves. This can be very painful. Avoid smoking or using straws to reduce the risk of dry socket.
  2. Infection
    If the extraction site becomes infected, you may experience swelling, pain, or pus discharge. It is important to follow your dentist’s aftercare instructions to reduce the risk of infection.
  3. Prolonged Bleeding
    While some bleeding is normal after an extraction, if the bleeding does not stop after 24 hours, you should contact your dentist. This could be a sign of a complication that needs medical attention.

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Alternatives to Extraction

In some cases, if the tooth root is still healthy, a dentist may suggest an alternative treatment to extraction. For example, if the tooth is not too severely damaged, a root canal followed by a crown might be an option. This treatment can save the tooth and restore its function.

If extraction is necessary, your dentist will discuss replacement options, such as dental implants, bridges, or partial dentures, to restore your smile and functionality.

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Conclusion

Yes, a dentist can pull a tooth that is broken off at the gum line. While the process is more complex than a standard extraction, with the right care and attention, you can expect a smooth recovery. Always follow your dentist’s aftercare instructions to ensure the best healing and avoid complications.

Ready to Take the Next Step?

If you have a broken tooth and need expert care, don’t wait! At Holburn Dental and Implant Centre, we offer professional and compassionate services to ensure your dental health is restored. Contact us today to schedule a consultation and get the right treatment for your needs. Let us help you smile with confidence!

Frequently Asked Question

Can a dentist remove a broken tooth at the gum line?

Yes, a dentist can remove a tooth broken at the gum line. The procedure may require a surgical extraction, which involves making an incision in the gum to access the tooth root. The dentist will remove the tooth and stitch the area for healing.

What is the recovery time after a tooth extraction?

Recovery after a tooth extraction typically takes a few days to a week. Swelling and pain are common initially, but following aftercare instructions like avoiding hot foods and using saltwater rinses can speed up healing and reduce discomfort.

How can I prevent future tooth breakage?

To prevent future tooth breakages, maintain good oral hygiene, avoid chewing on hard objects like ice, and wear a mouthguard during sports. Regular dental checkups also help catch early signs of tooth damage before it leads to breaks.

Is it possible to save a broken tooth at the gum line?

In some cases, a dentist may be able to save a broken tooth with treatments like root canal therapy and a crown if there is enough healthy tooth structure. However, if the damage is severe, extraction may be necessary.

Will I feel pain during a tooth extraction?

No, the extraction site will be numbed using local anaesthetic before the procedure, so you won’t feel pain. You may feel pressure or movement during the extraction, but it should not be painful. If you feel discomfort, inform your dentist.

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