How do dentists repair a tooth

Broken Tooth: 6 Things You Must Do Now!

A broken tooth is a big shock, but what do you do then? Often it happens completely by chance and without any warning, e.g. during exercise or at dinner, and the tooth has already broken off.

In this situation, the following tip is worth gold and can save the broken tooth: Keep calm.

With a cool head and the right action, you can also master this misfortune. We'll tell you what else is important.


1. Procedure for a broken tooth

1.1 Stay calm

Before you panic or do anything, you should try to calm down and clear your head. Know that you are under adrenaline and act wisely.

1.2 Stop bleeding

Are you bleeding? If yes, where? Try to locate bleeding and stop it with a handkerchief or a piece of bandage. Carefully remove any broken bits of teeth from your mouth, if any.

1.3 cooling

Cool the affected area with a cold pack or a cold washcloth to prevent swelling.

1.4 Find and pick up a broken tooth

The broken piece can be used to glue it back on and repair your tooth. So try to locate the fragment and keep it carefully until you get to the dentist.

1.5 Transport of the broken tooth

A broken tooth should be transported in a tooth rescue box to keep it from drying out. You can get this at any pharmacy.

Alternatively, you can store the fragment in cling film or in a freezer bag. A saline solution or long-life milk are also possible for storage.

1.6 Immediately to the dental emergency service

A broken tooth should definitely and immediately be treated by a specialist. CASA DENTALIS Lichterfelde is open 365 days a year and has an emergency dental service that is also open for you on Sundays and public holidays.

We are well prepared for a broken tooth and we know exactly what to do. Only recently, Dr. Schröder and Dr. Schulz-Siemens held a training course on the subject of anterior tooth trauma.

As part of this training, our dentists learned how to provide gentle and effective first aid in order to then repair the tooth professionally and sustainably.

2. What to avoid during transport

2.1 Transport by hand

Under no circumstances should you transport your broken tooth with your bare hand, but always use a suitable means of storage such as a tooth rescue box.

2.2 Take care of yourself

A broken tooth must be restored by an expert. The risk of damage to nerve fibers is far too high for a layperson and could make it impossible to save the fragment.

2.3 Let the tooth dry out

Under no circumstances should your broken tooth dry out. Try to find it within half an hour and store it in a saline solution or long-life milk. Under no circumstances should you use clear water for storage!

2.4 Cleaning the dental crown

Try to touch the tooth as little as possible and transport it as is.

2.5 Touching the root surface

Under no circumstances should you touch the broken side of your tooth (root surface), otherwise you could damage or destroy functioning nerve cells. If possible, only touch it by the tooth crown.


3. Accidental broken incisor

Incisors break most often from accidents while exercising or from other types of collisions. Even an unfortunate fall can be fatal for him.

Children are particularly often affected by broken incisors because they are very active in movement.

4. Broken molar when biting open

When biting into hard foods such as nuts, it can happen that a molar breaks off. With already damaged or diseased teeth, the risk of breakage is even higher.



5. Broken tooth including its root

In the rare event that your tooth and the tooth root has broken off, we recommend that you visit a dentist immediately. Transport the tooth in a tooth rescue box or as described above.


6. Pain from broken tooth

If the tooth nerve is injured in a tooth fracture, you will most certainly feel pain. The tooth nerve is hidden inside the tooth and is very sensitive to any kind of stimulus.

If you don't feel pain, it is probably because the tooth was already dead.

If you break only one tooth corner, you will most likely not feel any pain.

7. Chipped tooth treatment

The type of treatment mainly depends on the size of the broken piece. If the dental nerve has not been injured, treatment is usually straightforward.

However, if the dental nerve has been injured, treatment must be quick and thorough. Otherwise, bacteria can invade the tooth and cause infections that can be irreparable.

7.1 Gluing the broken tooth

A broken tooth can be glued on again without any problems if it is transported correctly and acted quickly. The fragment is aligned accordingly and attached with a special adhesive. The tooth is then irradiated with a UV lamp so that the adhesive hardens completely.

After the treatment, you should avoid excessive stress on the tooth.

7.2 Broken tooth lost

Sometimes you just have bad luck and can't find the broken tooth. The consolation: in this case, too, there are corresponding types of treatment.

7.2.1 Treatment of a broken tooth corner

A broken tooth corner can be treated quickly and without major problems. To do this, the fracture point is ground smooth and fluoridated to protect it from tooth decay.

However, if it is already affected by tooth decay, it must first be removed and then treated with a filling.

7.2.2 Large piece broken off

As soon as a large piece of the tooth has broken off, it must be extensively reconstructed to ensure a stable and long-lasting solution.

One possible type of restoration would be, for example, a dental crown that is custom-made for you. It meets all aesthetic and functional requirements.

8. Treatment costs for a broken tooth

Depending on the type and location of the break, the necessary type of treatment is selected from which the costs of care then result. The prices quoted should be understood as a guide, as they vary from practice to practice.

A dental crown is usually made to restore a tooth in the anterior region. The cost of a partially veneered crown is between € 400 and € 600, while a fully veneered crown costs € 800 to € 1200.

In the case of particularly large or severe damage to the tooth, a dental implant is a good option. The cost for this is around 3000 €.


9. Is a broken tooth a health insurance benefit?

In principle, the treatment of a broken tooth is covered by the health insurance. However, the dental diagnosis is decisive for cost recovery.

This should therefore be documented in detail, as it is used as a basis for the assessment by the insurance company.

The type of treatment then depends on the dental findings. If the dentist finds a filling sufficient for the damaged tooth, only a reimbursement of the cost of this treatment will be granted.

If, on the other hand, you choose a crown or even an implant for the restoration of the tooth, you will only receive the allowance for the filling. You bear the remaining costs yourself.

You can obtain more detailed information from your health insurance company.


10. Broken tooth crown


If a tooth crown is damaged in an accident or the like, it can usually be repaired without any problems. For this purpose, the broken off fragment is processed and then securely fastened.

In the event of extensive damage, the tooth crown is removed and professionally restored in the dental laboratory. The repair can take up to two weeks, which is why a temporary solution will be used in the meantime.

If a disease of the tooth (e.g. due to caries) is discovered, it must of course be treated before the tooth crown is inserted.

11. The root canal has broken off

A root-treated tooth is a dead tooth, so there is no risk of pain and a tooth fracture is not an acute emergency. Root-treated teeth are more fragile than healthy teeth and therefore break relatively often.

Nevertheless, they can be restored and restored using the methods already described, leaving the aesthetics of your smile untouched.

12. Conclusion


Nobody can predict when a tooth will break off and whether it can be saved afterwards. It can happen either during an exciting soccer game or during a cozy movie night on the couch.

Although the anger and shock at this moment can be overwhelming, it helps to take a deep breath and act deliberately. In most cases it is possible to restore the tooth to its original state without any problems.