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 is....my 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.

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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.

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