Broken tooth help please

[EmmaH2022]

My front top canine tooth broke off today, near the gum. It wasn’t a complete surprise as I knew it was cracked from grinding my teeth. My NHS dentist warned me it was likely to go but I haven’t quite had time to review options.

It’s next to a crown and a bridge on one side. My teeth weren’t great as my childhood dentist should have removed a couple of them. My jaw is too small for all of them.

I will call round private dentists on Monday. I look ridiculous! I am not in favour of implants as teeth grinding will only damage that. Plus it looks like quite a lot of painful surgery.

Has anyone resolved this sort of thing without an implant or a bridge? Even a single denture is okay with me. I imagine I’d have to take it out at night.

I am not in pain exactly but I think the risk of infection is quite high as well?

All thoughts welcome. My NHS dentist was in his last week before retiring so not around to discuss it with.

I might not even be a candidate for an implant with all the grinding issues. Any help would be much appreciated. I’m not sure there’s enough tooth left for them to do a temporary cosmetic fix either.

Also mine was through nhs

He actually wasn't going to mention it ....

I had to say I'm entitled to this on nhs dental plan

Only exclusion is implants unless it's an accident, violence etc

Pink It is partly vanity - I'm not usually vain honestly - but also it feels like my front tooth has nothing to support it.

It might be the cost outstrips my feeling uncomfortable though.

times like this I wish I had dental insurance but I guess with no issues for 20 years, I would have paid the same amount.

Of course! I don't blame you! No one wants to be without a tooth. Hopefully you'll have some options tomorrow.

No it's www.dentalartsstudio.co.uk/

Thank you
I can get to Hendon as well and it's always nice to have a recommendation

thank you!

Thanks
I was less anxious yesterday

I guess I think after two big injuries I should be calmer about a tooth! I wasn't so bad yesterday but that's partly because I was a bit taken aback!

I’ve just had the same thing myself but with an incisor. NHS dentist couldn’t do implants but said it would be better than a bridge in my case and private dentist agreed so as not to impact currently healthy supporting teeth either side. I had an extraction two weeks ago and a bone graft and implant fitted at the same time. While that is healing up properly (3-4 months) I have a single denture on a clip on palete. After it is healed I can get a new permanent tooth installed.

Pain wasn’t at all as bad as I had imagined. I only took ibuprofen the following day or two to reduce swelling not for pain relief. Difficulty with eating for a while certainly but you’ll be finding that now with the broken tooth anyway.

I tend to crunch my back teeth rather than the front so my mouth guard will be enough to protect the front teeth.

Brogues oh my goodness, how did you find that? How much time off work is it and how long did the procedure take? Did you have IV sedation?

sorry for all the questions. My experience of injuries have been spinal and ankle. The former experience is probably why surgery of any kind sounds so scary.

The procedure took about an hour and I had a long weekend off work. I applied some makeup to disguise the slight bruising (I bruise like a peach) on the Monday but colleagues could tell. You don’t need to have sedation but I have a very small mouth and was nervous so the dentist did recommend it. Apparently I have a strong gag reflex too so probably a good job I wasn’t aware/awake for most of it! DH drove me back home but I could walk to the car fine. Just had the stitches removed this week and no pain relief required, in and out in 10 mins.

Pain wise I was worried initially but it’s nothing like tooth pain iyswim. It’s sore but more due to having the gum cut open which is a different kind of pain. I’ve only had a C-section as surgery and it was infinitely preferable to that.

Thank you Brogues

an hour? Wow. Twenty years ago, I had root canal done by charlatan, more than two hours in the chair with my mouth clamped open.

no sedation, not even a tranquiliser.

did you have sedation as in you were totally knocked out? I don't have anyone to see me home so probably can't have that.

Yes the sedation needed someone to take me home and stay with me until the next morning. It was optional though. I was supposed to be woozy rather than out like a light but I don’t know what happened there 😆

I’ve had a few root canals with just local anaesthetic. I don’t think sedation is normal for those but two hours is going to be a struggle for anyone.

Brogues your story has cheered me up.

I doubt I'll get to see anyone till mid week, but I no longer feel like the implant is too hellish to do. Thank you.

Sedation or any kind of 'tranquiliser' is not normal for a root canal, 2 hrs is reasonable depending on the tooth. Some schools of thought suggest the hypochlorite which kills the bacteria needs around 40 minutes to work, some up to 2 hrs.

Actually sedation is not normal for an implant, and whilst it can be an option is definitely not a must and I would always advise having any procedure without sedation if possible

Carrot I was offered a tranquiliser for the root canal, said no, then wished I had because I did feel very on edge.

no idea what conscious sedation is like, do they put the meds in an IV? I wouldn't fancy that anyway I think. Usually I always opt to be knocked out for things 😂 but the implant sounds okay without it. The main thing is lots of lovely local anaesthetic!