My left central incisor broke at the gumline after getting a root canal treatment. My dentist put a metal screw post in the socket and attached a temporary crown. I feel pressure in my nasal cavity, but there is no pain. Is the screw a lasting solution if I cannot afford a dental bridge? – Thanks. Finn from Seattle
Finn,
While screw posts are generally secure, they can exert pressure on the root, potentially leading to fractures. You may be experiencing a dull feeling in your nasal cavity due to root stress. However, waiting and monitoring the situation can help determine if discomfort worsens.
A front tooth that has broken off at the gumline has many challenges. Many dentists consider such teeth unrestorable due to the rotational forces that can loosen crowns or posts over time.
What Are Treatment Options for a Tooth That Breaks at the Gumline?
Given the potential risks and challenges, a new crown on a post may be the healthiest option for a tooth that breaks at the gumline. While there’s a risk of failure, it’s worth considering as a temporary solution. After an exam and X-ray, your dentist can explain your options. If the tooth is unsavable, your dentist will recommend replacing it with a dental implant.
A flipper partial denture is more affordable if a bridge or crown is not feasible due to cost.
Placing a simple post in the tooth after the root canal treatment could have helped prevent the fracture. However, focus on the current situation and explore the available treatment options.
Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post. Read how Dr. Szarek strives to give his patients the best dental care in Lowell.