How Dentists Fix Broken Teeth: Causes, Diagnosis, and Treatment

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Understanding Broken Teeth

Causes of Tooth Fractures

Tooth fractures can occur for a variety of reasons, often stemming from both external and internal factors. Accidents and trauma are common external causes, where a blow to the face or a fall can result in a broken tooth. Internal factors include conditions such as bruxism, where excessive teeth grinding puts undue pressure on the teeth, leading to cracks and fractures.

Dr. Chan dentist emphasizes that poor oral hygiene and large fillings can also weaken tooth structure, making them more susceptible to fractures. Additionally, sudden changes in temperature, such as eating hot food followed by drinking cold water, can cause thermal stress and lead to tooth cracking.


  • Chewing on hard objects or foods
  • Age-related wear and tear
  • Large cavities that undermine tooth integrity


It is crucial to identify the underlying cause of a tooth fracture to prevent further dental issues and to choose the appropriate treatment.


Types of Tooth Fractures

Tooth fractures can vary greatly in severity and type, each requiring a unique approach to repair. This is often categorizes tooth fractures into several types:


  • Craze lines: These are tiny cracks that affect only the outer enamel. They are common and usually do not cause pain.
  • Fractured cusp: This type of fracture typically occurs around a dental filling. It does not usually damage the pulp of the tooth and is less likely to cause pain.
  • Cracked tooth: This fracture extends from the chewing surface of the tooth down towards the root. Early diagnosis is crucial to save the tooth.
  • Split tooth: A split tooth is usually the result of an untreated cracked tooth. It is characterized by a crack with distinct segments that can be separated.
  • Vertical root fracture: These fractures begin at the root and extend towards the chewing surface. They often show minimal symptoms until the surrounding bone and gum become infected.


Each type of fracture requires a specific treatment plan to restore both function and aesthetics to the damaged tooth. Italics are used here for illustrative purposes only.

The complexity of the fracture will dictate the treatment method. Simple fractures may only need a dental bonding procedure, while more complex cases could necessitate a crown or even root canal therapy. It is essential to consult with a dental professional to determine the best course of action for any type of tooth fracture.


Symptoms of a Broken Tooth

Identifying the symptoms of a broken tooth is crucial for timely treatment to prevent further complications. Pain is often the most immediate and noticeable symptom, varying in intensity depending on the extent of the fracture. Sensitivity to temperature changes, especially to hot or cold foods and beverages, is another common sign. Additionally, patients may experience discomfort when chewing or biting down.


It emphasizes that not all symptoms are overtly painful. Some individuals may notice:


  • Swelling around the tooth or gums
  • Bleeding or discharge from around a tooth
  • A visible crack or chip in the tooth
  • A change in bite alignment


If you suspect you have a broken tooth, it is important to seek professional dental care promptly. Ignoring the symptoms can lead to more serious issues, such as infection or tooth loss.  Remember, early detection and treatment are key to preserving your dental health and avoiding more invasive procedures.

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When Can I Start Eating?

Healing Process

After a tooth extraction, it is important to understand the healing process to ensure proper recovery. The healing process can vary from person to person, but on average, it takes about 7 to 10 days for the extraction site to fully heal. During this time, the body forms a blood clot in the socket where the tooth was removed, which helps protect the underlying bone and tissues.


To promote healing, it is crucial to follow the post-extraction care instructions provided by your dentist. This includes keeping the extraction site clean by gently rinsing with warm saltwater and avoiding vigorous rinsing or spitting. Dental implants may require additional care and a longer healing period.

During the healing process, it is important to avoid certain activities and foods that can interfere with the healing or cause complications. Here are some important guidelines to follow:


  • Avoid using a straw, as the suction can dislodge the blood clot and delay healing.
  • Do not smoke or use tobacco products, as they can impair the healing process.
  • Be cautious when brushing near the extraction site to avoid irritation.


It is also important to note that the healing process can be affected by various factors, such as the complexity of the extraction, overall health, and any underlying conditions like tooth decay. If you experience excessive pain, swelling, or prolonged bleeding, it is important to contact your dentist for further evaluation and guidance.

Remember, proper healing is essential for a successful recovery after a tooth extraction.


Soft Food Diet

After a tooth extraction, it is important to follow a soft food diet to aid in the healing process. Soft foods are easier to chew and less likely to cause irritation or discomfort to the extraction site. Here are some examples of soft foods that you can include in your diet:


  • Soups: Warm and comforting, soups are a great option for a soft food diet. Opt for smooth and creamy soups without any chunks or hard ingredients.
  • Mashed Potatoes: Mashed potatoes are soft and easy to eat. They can be flavored with butter or gravy for added taste.
  • Yogurt: Yogurt is not only soft but also provides beneficial probiotics for oral health.


It is important to avoid hard and crunchy foods during this time as they can potentially damage the extraction site or cause discomfort. Additionally, spicy and acidic foods should be avoided as they may irritate the area and delay the healing process. Sticky and chewy foods should also be avoided as they can get stuck in the extraction site and increase the risk of infection.

Remember to consult with your dentist or oral surgeon for specific dietary recommendations based on your individual case. They can provide guidance on when to transition to a regular diet and when to consider options like dental implants to replace the extracted tooth and prevent issues such as tooth decay in the future.


Transitioning to Regular Diet

After the initial healing period, which typically takes about 1-2 weeks, you can start transitioning to a regular diet. However, it's important to continue practicing caution and being mindful of your oral health. Here are some tips to help you navigate this phase:


  1. Gradually introduce solid foods: Start by incorporating soft, easily chewable foods into your diet, such as cooked vegetables, pasta, and tender meats. Slowly reintroduce harder foods as your mouth continues to heal.
  2. Avoid chewing on the extraction site: Even though the extraction site may feel better, it's still healing underneath the surface. Avoid chewing directly on the area to prevent any complications.
  3. Maintain good oral hygiene: Brush your teeth gently and avoid the extraction site while it's healing. Rinse your mouth with a saltwater solution or an antimicrobial mouthwash to keep the area clean and reduce the risk of infection.
  4. Monitor for any discomfort or complications: If you experience any pain, swelling, or other concerning symptoms, contact your dentist or oral surgeon for further guidance.


Remember, each person's healing process may vary, so it's important to follow the specific instructions provided by your dental professional. By gradually reintroducing solid foods and maintaining good oral hygiene, you can support the healing process and minimize the risk of complications such as tooth decay or infection.


Foods to Avoid

Hard and Crunchy Foods

After a tooth extraction, it is important to avoid hard and crunchy foods that can potentially damage the healing socket. These types of foods include nuts, chips, and hard candies. Tooth extraction is a common dental procedure that involves removing a tooth from its socket in the jawbone. It is often done to address issues such as tooth decay or to prepare for dental implants.


During the healing process, the socket where the tooth was extracted undergoes a series of changes to promote proper healing. Consuming hard and crunchy foods too soon can disrupt this process and increase the risk of complications.

To ensure a smooth recovery, it is recommended to stick to a soft food diet for the first few days after the extraction. This includes foods like mashed potatoes, yogurt, and soup. Gradually, as the healing progresses, you can start transitioning to a regular diet, but it is still important to avoid hard and crunchy foods until fully healed.

Remember to follow your dentist's instructions and consult with them if you have any concerns or questions.


Spicy and Acidic Foods

After tooth extraction, it is important to avoid consuming spicy and acidic foods. These types of foods can irritate the extraction site and cause discomfort. Spicy foods, such as hot peppers and spicy sauces, can also increase the risk of inflammation and infection. Acidic foods, like citrus fruits and tomatoes, can be acidic and may cause a stinging sensation or discomfort when they come into contact with the extraction site. It is best to avoid these foods until the extraction site has fully healed.


Tooth extraction is a common dental procedure that involves removing a tooth from its socket. It is often necessary due to reasons such as tooth decay, dental trauma, or the need for dental implants. After tooth extraction, it is important to follow proper post-extraction care to promote healing and prevent complications.


Here are some tips for managing the diet after tooth extraction:


  • Stick to a soft food diet for the first few days, including foods like mashed potatoes, yogurt, and smoothies.
  • Gradually transition to a regular diet by introducing softer solid foods like cooked vegetables and pasta.
  • Avoid hard and crunchy foods that can put pressure on the extraction site.
  • Maintain good oral hygiene by gently brushing your teeth and rinsing with a saltwater solution.


Remember, following a proper diet and taking care of the extraction site can help ensure a smooth recovery after tooth extraction.


Sticky and Chewy Foods

After a tooth extraction, it is important to avoid sticky and chewy foods as they can be difficult to chew and may get stuck in the extraction site. These types of foods can increase the risk of infection and delay the healing process. Tooth extraction is a common dental procedure that involves removing a tooth from its socket. It is often necessary due to tooth decay, dental implants, or other dental issues.


To ensure proper healing and minimize discomfort, it is recommended to follow a soft food diet for the first few days after the extraction. This includes foods such as mashed potatoes, yogurt, smoothies, and soups. These foods are easier to chew and swallow, reducing the strain on the extraction site.

Here are some tips for eating after a tooth extraction:


  • Take small bites and chew slowly to avoid putting too much pressure on the extraction site.
  • Avoid hot or cold foods as they can cause sensitivity or discomfort.
  • Stay hydrated by drinking plenty of water, but avoid using a straw as it can dislodge the blood clot.


Remember, it is important to follow your dentist's instructions and gradually transition to a regular diet as the extraction site heals. If you have any concerns or questions, don't hesitate to reach out to your dentist for guidance.


Tips for Eating After Tooth Extraction

Chewing Techniques

After a tooth extraction, it is important to be mindful of your chewing techniques to avoid any complications or discomfort. Chewing on the side opposite to the extraction site can help prevent any pressure on the healing area. Additionally, it is recommended to chew slowly and carefully to avoid biting down too hard or accidentally injuring the extraction site.


To ensure proper healing and minimize the risk of complications such as infection or dry socket, it is best to avoid chewing on hard or crunchy foods for the first few days after the extraction. Instead, opt for soft and easily chewable foods that are gentle on the extraction site.


Here are some tips for chewing after tooth extraction:


  • Take small bites and chew slowly
  • Avoid using the extraction site for chewing
  • Cut food into smaller pieces if necessary
  • Be mindful of the temperature of the food to avoid sensitivity


Remember, proper chewing techniques can contribute to a smooth recovery process and help prevent any further dental issues such as tooth decay or the need for dental implants.


Temperature of Foods

After a tooth extraction, it is important to be mindful of the temperature of the foods you consume. Hot and cold foods can both have an impact on the healing process and your comfort level. Hot foods can increase blood flow to the extraction site, potentially causing more bleeding and discomfort. On the other hand, cold foods can numb the area and provide temporary relief from pain and swelling.


To ensure a smooth recovery, it is recommended to consume foods at a moderate temperature. This means avoiding extremely hot or cold foods and opting for lukewarm or room temperature options. This will help minimize any potential complications and promote healing.


Here are some tips for managing the temperature of foods after a tooth extraction:


  • Avoid consuming foods that are too hot or too cold.
  • Allow hot foods to cool down slightly before eating.
  • Opt for lukewarm or room temperature foods.
  • Use a straw to drink cold beverages without direct contact with the extraction site.


Remember, maintaining an appropriate temperature of foods can contribute to a smoother recovery process and reduce the risk of complications such as infection, dental implants failure, and tooth decay.


Hydration and Oral Hygiene

Proper hydration and good oral hygiene are crucial during the recovery period after tooth extraction. Staying hydrated helps promote healing and prevents complications such as dry socket. It is recommended to drink plenty of water throughout the day.


Maintaining good oral hygiene is essential to prevent tooth decay and maintain overall oral health. However, it is important to be gentle when brushing near the extraction site to avoid disturbing the healing process. Using a soft-bristled toothbrush and gently rinsing with an antimicrobial mouthwash can help keep the area clean.

Here are some tips to ensure proper hydration and oral hygiene during the recovery period:


  • Drink plenty of water throughout the day to stay hydrated.
  • Avoid using a straw as the suction can dislodge the blood clot and delay healing.
  • Brush your teeth gently, avoiding the extraction site, using a soft-bristled toothbrush.
  • Rinse your mouth with an antimicrobial mouthwash to help prevent infection.


Remember, following these guidelines for hydration and oral hygiene can contribute to a smooth recovery after tooth extraction.


Conclusion

In conclusion, it is important to follow proper post-extraction care to ensure a smooth healing process. Understanding the tooth extraction procedure, dietary restrictions, and managing pain and discomfort are crucial for a successful recovery. While it is natural to wonder when you can start eating after a tooth extraction, it is recommended to stick to a soft food diet initially and gradually transition to a regular diet. It is also important to avoid certain foods that can hinder the healing process. By following these tips and techniques, you can ensure a comfortable and speedy recovery after tooth extraction.


Frequently Asked Questions

  • How long does it take to fix a broken tooth?

    The time to fix a broken tooth depends on the severity of the fracture. Simple cases can be treated in one visit, while more complex fractures may require multiple appointments.


  • Is fixing a broken tooth painful?

    Dentists use local anesthesia to numb the area before fixing a broken tooth, so the procedure should not be painful. Some patients may experience mild discomfort after the anesthesia wears off.


  • Can a broken tooth be repaired or does it need to be extracted?

    In many cases, a broken tooth can be repaired using dental bonding, crowns, or root canal therapy. However, if the damage is severe and cannot be restored, extraction may be necessary.


  • How long do dental crowns last for a broken tooth?

    With proper care and maintenance, dental crowns can last for 10-15 years or even longer. Regular dental check-ups are important to ensure the crown remains in good condition.


  • What is the cost of fixing a broken tooth?

    The cost of fixing a broken tooth varies depending on the treatment needed and the dentist's fees. Dental insurance may cover some of the costs, so it's advisable to check with your provider.


  • How can I prevent a broken tooth?

    To prevent a broken tooth, it's important to practice good oral hygiene, avoid biting on hard objects, wear a mouthguard during sports, and visit your dentist regularly for check-ups and cleanings.


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Sea Urchin, Cauliflower and Toast

By Dr. Michael Chan • February 13, 2024
Introduction The inspiration behind this dish came from Michelin-starred chef Carlos Cracco’s sea urchin and coffee risotto. I was watching a TV program called “In Search of Perfection: Reinventing Kitchen Classics”, and I was intrigued. I had a crack at the unique combination and what a match made in heaven! The coffee itself adds a roasted note, which adds a wonderful complexity to this recipe. While the preparation may be simple, the secret behind this dish is in the quality of the ingredients. Ingredients Wild sea urchin (any Japanese market such as Tokyo Central, Mitsuwa, or Nijiya market will do) 2 cauliflower florets sliced approx. 0.5 cm (only flat ends) High quality white bread (my favorite is the white bread from the Japanese market, Mitsuwa) 9-12 salmon roe per serving 0.5 tsp instant coffee powder Generous knob of unsalted butter Dill Steps In a nonstick pan, heat butter and brown both sides of the cauliflower slices (about 3-4 per serving) until tender with a toothpick. Sprinkle the coffee powder delicately and cook for a further 20 seconds. Season to taste and set aside. Remove crust from bread and slice in rectangular shapes (width should be slightly narrower than the width of the cauliflower florets). We want the edges of the cauliflower to slightly cover the bread when plating. In another non-stick pan, melt the butter and toast both sides of the bread. Set aside on a paper towel to absorb excess fat. Plating Place a small dollop of soft butter in the center of plate followed by the toasted bread. This will ensure a stable foundation. Arrange cauliflower in the same direction along the piece of bread followed by the urchin. Urchin is extremely delicate and can easily bruise. Use a small teaspoon to arrange. On a small teaspoon, arrange 3 sets of salmon roe evenly spaced on top of the urchin. Please note plating in odd numbers are typically more esthetically pleasing. Followed by a small piece of dill on each salmon roe arrangement. Enjoy as a starter!
An Image of Dr. Chan's Beer Battered Chicken Nugetts

Beer Battered Chicken Nuggets

By Dr. Michael Chan • December 28, 2023
McDonalds chicken nuggets have always been a childhood favorite of my brother's and mine. We would try to work out with each ones were dark meat, and they were normally horseshoe shaped. I created this recipe shortly after I was happy for the batter I make for fish and chips. The nostalgia always gets me and I hope you enjoy this dish as much as I do!

Prawn Cocktail

By Dr. Michael Chan • October 23, 2023
Ingredients 1-2 baby gem or butter lettuce 1 pound of jumbo shrimp with shells Finely chopped dill (to taste) Lemon (to taste) Kewpie sesame dressing (to taste) Shiso dressing (to taste) Tabasco (to taste) 2 ripe avocados Steps The shrimp In a large non-stick pan, heat olive oil until smoking, add the shrimp and a pinch of salt. Color both sides until golden orange. When the shrimp are ready, allow them out onto a cutting board to cool. De-shell the shrimp and cut into 3 to 4 pieces. Taste and check seasoning. Keep the shells and infuse in fish or chicken stock for risotto. Place in a bowl and add sesame dressing, dill, Tabasco, and lemon. Avocado mousse Peel, deseed, and blend avocados until smooth. If you do not have a blend, crush the avocado with a fork and pass through a strainer or fine sieve. Add a squeeze of lemon and a pinch of salt. Taste. The salad Toss the shredded lettuce with a generous amount of the shiso dressing. Plating Using a medium to large ring mold, spread the avocado mousse evenly in one layer. Check the seasoning with the shrimp once more and line the next layer with the shrimp. Pack a good amount of the salad as the final layer. Carefully lift the ring mold and serve immediately. Alternative Shrimp Cocktail Wrap Instead of the avocado mousse, simply cut the avocados into cubes, mix them with the shrimp, and serve in hearts of lettuce leaves.

Red Wine Braised Short Rib

By Dr. Michael Chan • June 14, 2023
Ingredients A pack of short ribs typically contains 4-5 pieces (Boneless preferred) Handful of coarsely chopped celery (roughly the same quantity as onions and carrots) ½ yellow onion (medium) coarsely chopped 2 coarsely chopped medium carrots 3 cloves of coarsely chopped garlic 1/3 – 1/2 bottle of red wine (Trader Joe’s Tribunal, Phantom, 7 Deadly Sins Zinfandel – something that is really bold) Knorr chicken or beef stock pot / granules 1-2 sprigs of rosemary and generous handful of thyme tied together with butcher’s twine All-purpose flour (enough to coat the short ribs) Approx. 2 tablespoons of tomato paste (enough to coat the vegetables until everything turns red) Salt (to taste) Pepper (to taste) Steps Pre-heat oven to 300 degrees Fahrenheit. Dust the short ribs with all-purpose flour. Heat a non-stick pan, add olive oil, brown all sides of the short ribs, and set aside. Heat an oven safe pot (preferably a cast iron one) with olive oil and sweat the garlic, carrots, celery, and onions (approx. 6-8 min). Add tomato paste enough to coat all the vegetables and cook out for about 2 minutes. Add the short ribs and herbs. Add red wine (enough to submerge all the ingredients) and reduce until alcohol has evaporated. Add beef or chicken stock enough to submerge all ingredients by about 0.5 inch. Bring to a simmer. Check seasoning (should be underseasoned because the reduction will intensify all the flavors). Place the pot in the oven for 2.5 -3 hours. Check seasoning and further reduce until very rich. Sauce should be thick and coat the spoon. Garnish - roasted parsnip chips Ingredients 1 parsnip peeled (like ribbons) Steps Preheat oven to 350 degrees Fahrenheit. In salted boiling water, cook parsnips for one minute, drain and pat dry on paper towels. Place in the fridge for 30 minutes (Tip: The air in the fridge is very dry, and it is a great way to further draw out moisture allowing the product to be extra crispy at the end). Line a baking tray with parchment paper, spread out parsnips on a single layer, drizzle with olive oil. Bake for 15 minutes or until golden and crispy. Serve immediately. Additional Notes This dish should be left overnight and served the following day. It works wonderfully with pasta that has been lightly tossed in olive oil or egg yolk (like a carbonara). Naan bread, short grain rice, or mashed potatoes also work.

Tagliatelle Al Ragu

By Dr. Michael Chan • June 14, 2023
Ingredients (Serves 3) ½ finely diced sweet onion (approx. equal quantities of onion, celery, and carrot) 2 finely diced celery sticks 1 finely diced carrot 250g minced pork (Whole Foods or Bristol Farms sweet Italian sausage is my favorite – approx. 2 , remove casing and crumble) 250g minced beef 25 mL of milk 2 tablespoons of tomato puree 150 mL of passata 200 mL of chicken stock 250g of pasta Parmesan or pecorino to taste Steps Heat olive oil in large Dutch oven (any cast iron pot will work nicely) and fry minced beef and pork. Add a pinch of salt to assist in drawing out the moisture. When golden brown, drain fat, and set aside (Tip: Water will first be removed from the mince and the meat will begin to brown only when fat has been rendered. This will take approx. 5-7 mins). In the same pot, add more olive oil and sweat onion, celery, and carrot until soft. Add a pinch of salt to assist in drawing out moisture. Add mince back into the pot. Add the tomato puree until all the ingredients are nicely coated and cook for about 2 min. Add passata followed with milk. Simmer for 3 minutes. Deglaze pot with chicken stock. Check seasoning (it should be slightly under seasoned as flavors will intensify after simmering). Heat oven to 275 degrees and simmer gently for 1.5 -2 hours until reduced and thickened. It should be very rich. Check seasoning once more and add salt and pepper to taste. Simmer more on stove top if necessary. In a separate pot, boil water and season generously with salt (how the water is seasoned will dictate the taste of the pasta). The recommended time for the egg fettucine is extremely al dente. Drain when cooked to taste. Combine sauce with pasta, shave parmesan or pecorino, and enjoy! (Tip: If you want to go super fancy, grate parmesan into a bowl. Sprinkle loosely into a non-stick pan on medium heat in a web pattern, remove when a light golden brown, and allow to dry on a cooling rack)
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