Fractured tooth with root canal and crown

I have a good set of teeth minus my top front tooth. I broke it in half on asphalt, had a temp filling for 10 years and then got a crown. The crown left my tooth hurting so eventually ended up getting a root canal. Now almost a year later at my routine exam they did x-rays and found a fracture on the tooth. The crown is not fractured but the nub of a tooth underneath dentist thinks it likely fractured during the root canal procedure. Currently I have no pain or issues, but I'm wondering what the long term worse case scenario would be or what I should be looking for as a sign of deeper ongoing damage or anything else I should be looking to do now to prevent worse damage later.

Do you want to answer this question? Login or register now to answer this question.

No profile picture

Answer: Fractured tooth

By Sarah h
Dental Professional

Unfortunately, there are not many options for a fractured tooth.  If the tooth is fractured above the bone level, many times it can be restored with a root canal and crown.  The tooth may or may not require a post and buildup depending on the amount of healthy tooth structure remaining.  Once the tooth has had a root canal and a fracture occurs, the long-term prognosis becomes guarded.  The tooth will be monitored periodically or until symptoms arise.  Depending on the depth of the fracture it could be weeks, months, or years before treatment is needed.  Ultimately, the tooth will need to be removed and replaced with a dental implant, fixed bridge, or removable partial denture.  The best option, if you are a candidate, is a dental implant.  Most insurance plans do not cover dental implants, therefore it is a good idea to prepare financially for the procedure if necessary.  Speak with your dentist about the best option for you based on your oral health, so you can be prepared if/when the time comes.

More Questions from Crowns

Uncomfortable Crown For 11 Days

I had a crown on a root canal (it was done months ago) rear lower molar. No trouble with root canal or Temp crown. Pain Free. However the last days have been hellish. Went back yesterday and he checked bite which needed reducing. Still today I...

I Feel My Crown Boundaries are Decaying. Can I Remove Crown Teeth Forever?

I feel my crown teeth is the reason behind bad breath and decaying of other teeth as well. I read much about bad breath. According to symptoms i feel i have pyorrhoea. Can i remove crown and live without it?

Are veneers a good option?

I have 2 canine teeth that are small in size and pushed back due to crowding. However, I am satisfied and content with the alignment of the rest of my teeth. Would 2 veneers for my canine teeth be a good option?

Will my teeth shift while my crowns are pending?

Hello, I just got temporary crowns on one side of my top arch and will get temporary crowns on the other side. Early February Ill get the permanent crowns. However, I have been wearing my retainers every night for two years as instructed, but am...

Infection at the root tip and failed root canal

I had my central incisors crowned 7 months ago. My left central incisor 2 days after became infected at the root tip. My dentist preformed a root canal and that seemed to improve the pain and infection. However, I started feeling pain near my nose...

crowned tooth

I had tooth that had fillings in it from 3 different places. Back in January this year my gums on the side of that tooth became very inflamed and painful. I went to doctor who treated my cavity that was on the side but my gums wouldn't heal and with...

Shape of gums

Issue with the shape of my gums on my top teeth

I have quite small teeth so I went to a dentist to see if getting my crown lengthened was an option but he said that I do not have enough bone under my gums to do the procedure, something a long the lines of my teeth will become loose. However now...

I have to re-do my crown 11 weeks pregnant

So I’ve been having gum pain in between my tooth and the tooth with the crown and the dentist told me that my crown was not properly fitted so bacteria is leaking inside and I most likely have an infection down below. I also have gingirifros I...

Bone loss

Yes I would like to no if there is any none loss in my X-rays .If So will you please let me no how much bone loss do you see.I would like to no because my crowns have started shaking a little. Thanks Jackie

About shaping of teeth

My teeth are not much visible through my mouth and pls teel me the suitable tratment to get nice teeth and which could visible through my mouth and for making shapes of my teeth nice i dont have any teeth related pain only i just wanted to improve...