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Week 4 - What are my options for repairing broken teeth?

COMFYDENT SMILES
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BY Comfydent Smiles

This is what I like to call a “shoebox bite.” The “lid” and the “box” fit together nicely, and you can see that the lid covers the box just a little bit.

In a less than ideal relationship, however, some teeth are subject to heavier pounding and grinding than the others, and significant damages result. Below are some examples of “less than ideal” bites:

Deep Bite – The “lid” covers the “box” entirely

Crossbite– The “box” sticks out more than the “lid”

I have become a big believer of Invisalign and orthodontics over the years for that reason. Straightening teeth is not just about enhancing appearance; it improves the longevity of your teeth! If you repeatedly experience the breaking of your teeth or dental restorations, this most likely is a sign that your bite is not ideal and will benefit from orthodontic therapy. For those who exhibit cracks and a lot of tooth wear but absolutely have no desire to consider orthodontic therapy, I recommend night guards to minimize further damage.

Treatment options vary depending on the size of the damage. A filling will suffice for a small fracture, assuming that the bite/jaw relationship is close to being ideal. When I see a cusp (“peak”) or cusps that are broken, I recommend a crown (“cap”) or an onlay. Fillings usually don’t last a long time in a scenario like this. Crowns and onlays are more extensive than fillings and often made by dental laboratories. These restorations keep teeth from getting broken by bracing the remaining tooth structure.

Dr. Sonja Babic, holding Invisalign aligners

A custom dental crown is the most ideal treatment option for a tooth like this:

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