October 31, 2019 | Tri Le A broken tooth can be shocking, painful, and alarming—especially if it seems like half the tooth has come off or fractured suddenly. Whether it happened while eating, due to a fall, or from an accident, you’re likely here looking for clear, fast answers. This guide explains what you should do next, how to protect your tooth while waiting for care, what to expect from treatment, and when to seek emergency dental services. (This is a guide, not medical advice. Please call us or a dentist for real life guidance.) If you’re in the Houston area, Bunker Hill Dentistry is here to help. Step One: Contact a Dentist Immediately The very first and most important action is to contact your dentist as soon as possible. Even if the tooth isn’t causing pain right now, fractures can expose the soft inner layers (dentin or pulp) and make the tooth vulnerable to infection or more severe damage. Call a dentist immediately if: The tooth has visibly broken in half or is hanging loosely. There is sharp pain, bleeding, or visible pulp exposure. You’re experiencing swelling, fever, or facial trauma. If it’s outside regular hours, still call your dental office—many practices include instructions on their answering service or voicemail for after-hours care. This may direct you to an emergency line, a partner dentist on call, or provide details about what to do next. An urgent dental visit is usually more appropriate than going to the ER unless: There is significant facial trauma or uncontrolled bleeding. You’re experiencing symptoms of infection (e.g., high fever, spreading swelling). In these cases, go to the nearest emergency room or call 911. While Waiting for Dental Care: First Aid for a Broken Tooth While you’re on your way to the dentist or waiting for your appointment, here are a few things you can do to manage pain, reduce risk, and protect the tooth: 1. Control Pain and Swelling Take over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) if needed. Apply a cold compress to the outside of your cheek to reduce swelling. 2. Protect the Tooth If a piece of the tooth broke off, store it in milk or saliva, and bring it with you. Avoid chewing on the broken side of your mouth. Cover sharp edges with sugar-free gum or dental wax to prevent tongue and cheek injury. 3. Prevent Infection Rinse your mouth gently with warm saltwater to keep the area clean. Avoid hot or cold foods and sugary drinks that may irritate exposed nerves. Do not attempt to glue or fix the tooth yourself. 4. Bleeding Management If bleeding occurs, apply gentle pressure with gauze or a clean cloth for 10–15 minutes. Treatment Options for a Tooth Broken in Half Your treatment will depend on: The location of the tooth (front vs. back) The depth of the fracture Whether the nerve (pulp) is exposed Whether the root is involved Here are common treatments: Dental Bonding or Filling For minor breaks or shallow cracks: Done in one visit Tooth-colored composite resin used to rebuild shape Learn more about bonding and fillings. Dental Crown For larger breaks: Covers and protects the remaining tooth structure Usually requires two visits Can restore full function and appearance Learn more about dental crowns. Root Canal Therapy If the pulp is exposed or infected: Removes damaged or infected nerve tissue Typically followed by a crown May require 1–2 visits Learn more about root canal treatment. Tooth Extraction and Replacement For teeth fractured below the gum line or with root damage: Extraction may be necessary Replacement options include bridge, implant, or partial denture Learn more about tooth extractions. Your dentist will explain which option is best based on the damage and your long-term oral health. What Does It Mean to Break a Tooth “in Half”? When people say a tooth is “broken in half,” they may be describing different situations: A horizontal fracture where the top portion (crown) has snapped off. A vertical split running down the middle of the tooth. A severe crack that splits the tooth but leaves both halves in place. Fractured root or cusp (especially in molars), which may not be visible at first. These scenarios vary in severity, and only a dental exam and X-ray can determine the full extent. If you’re unsure whether it’s a crack or a full break, don’t wait for it to worsen—call your dentist. Common Causes of Broken Teeth Though not always important in the moment of an emergency, understanding the cause can help prevent future breaks. Some common triggers include: Biting hard foods (ice, nuts, hard candy) Tooth decay or large fillings that weaken structure Grinding or clenching (bruxism) Injury or trauma (falls, sports) Old dental work that’s become compromised Symptoms to Watch For Most people know when a tooth breaks, but smaller or internal cracks may go unnoticed. Watch for: Sudden pain when chewing or biting Tooth sensitivity to hot or cold Visible chips, cracks, or rough edges Swelling or redness around the gumline Persistent bad taste or odor (possible infection) If untreated, symptoms may worsen into: Ongoing pain or throbbing Infection or abscess Tooth discoloration Loss of the tooth Prompt care is essential for the best outcome. Don’t Wait—Call Us Now for Emergency Tooth Repair in Houston If you’re in the Houston area and have broken a tooth, Bunker Hill Dentistry is here to help. We offer same-day appointments, walk-ins during weekdays, and Saturday visits by appointment. Located conveniently in Memorial area Call us now to schedule your emergency visit Open Monday–Friday (walk-ins welcome) Saturday appointments available A broken tooth is stressful—but with the right care, it can be repaired. Call us on 832-834-5281 or schedule a consultation via the form below so we can restore your comfort, health, and smile. Schedule an appointment Tri LeA practicing dentist since 1987, Dr. Le has been running successful dental practices in Texas with his wife Ann since 1990. A member of the ADA, AACD and AADSM, Dr. Le has also contributed to several leading dental journals.
