What are the preparations for treatment?
As a preparation, cofferdam can be applied by your dentist.
Your broken tooth will be inspected and an X-ray will be taken. Is only the tooth really broken or perhaps also the root? Is the dental nerve not damaged?
Is the treatment painful?
Probably, because you have already been hit. The element may be oversensitive. In that case, ask for an anesthetic.
How often do I have to come to the practice?
If you came to the practice immediately after the accident, then usually only an X-ray is taken and you can go home to recover from the shock. Especially if your lip is also damaged, it is not convenient to start treatment immediately. However, if your dental nerve is exposed, a protective layer will have to be applied to the fracture surface on the same day. The dentist may need to remove the nerve, this can be assessed after inspecting the tooth and taking an X-ray. In most cases you will go back to the practice for the final treatment a few days later.
What inconveniences can I expect during treatment?
- The inconvenience of an anesthetic, although with the disposable needles currently used an anesthetic can be given almost painlessly.
- The inconvenience of water cooling.
There are two possibilities, or you have been able to find and save the turned-off tooth angle, or the turned-off angle has not "surfaced". In the first case the angle can often be glued to the tooth again, in the second case a new angle of composite has to be built up.
Replace the cut-off tooth part
The loose part is cleaned with a special cleaning agent. The damaged tooth in the mouth is cleaned and polished and often also pre-treated with an acid or primer to increase adhesion.
An adhesive layer is applied to both fracture surfaces, which is cured by means of a powerful light beam. A thin layer of composite in the color of the tooth is applied to one of the fracture surfaces, the fracture surfaces are again precisely matched to each other and the composite is cured with light. The fault line is further filled with composite if necessary. The tooth is then finished and polished.
Re-creating a tooth angle with composite
The tooth is first cleaned with a brush with cleaning agent. Then the fracture edge, to which the composite is going to be glued, is roughened up slightly. This is done with a diamond grindstone. The roughened part is usually also pre-treated with an acid to increase adhesion. The tooth is now prepared to apply composite.
A layer of glue is applied to the roughened glaze, which is cured by means of a lamp with a powerful light beam. A thin layer of composite in the color of the tooth is applied, which is then cured with light. Thereafter, more composite is applied in layers until the desired tooth shape is obtained. Once the desired tooth shape has been achieved, the composite is polished to a high gloss.
Which additional objections can I expect?
Not much of the treatment itself, the tooth may still be sensitive to the blow. Wait for an hour with food and drink after treatment to allow the composite to cure completely.
Alternatives and pros and cons
A porcelain facing or crown can be placed instead of a composite structure. Often a composite structure is started, because it is finished in one session, the time that you walk with a damaged front tooth is then the shortest. If it is immediately certain that a crown will be placed, for example because the tooth was not already beautiful in shape or color, an emergency crown can also be made immediately after the accident instead of a composite structure. Both a facing and a crown are more expensive than the composite structure, but they also have a longer lifespan and do not discolour.