How to repair a molar that has split into two halves
Mar 17, 2022
Source: Cainiu Health
Dr. Fu Gang
Introduction
1. Local restoration: If the crown exhibits wedge-shaped fracture but the root remains intact, the pulp chamber can be accessed under local anesthesia, and the infected pulp tissue removed.
2. Splinted crown restoration: If the pulp chamber floor of a molar is compromised and the roots are separated, the shorter, less stable root may be extracted while preserving the healthier, more robust root.
3. Dental implant restoration: If the root is significantly mobile with a poor prognosis, extraction followed by immediate dental implant placement may be performed.
Dental diseases manifest not only as tooth pain but also as tooth fractures. Many people assume that tooth cracks are related to calcium deficiency; however, this is not always the case.
How to Repair a Molar Split in Half
If a molar has fractured, the first step is to seek professional dental care and undergo appropriate diagnostic examinations. Treatment will then be tailored according to the depth and extent of the crack.
Repair Options:
1. Local Restoration: If the crown exhibits a wedge-shaped fracture but the root remains intact, the procedure may involve local anesthesia, pulp chamber access, removal of infected pulp tissue, root canal preparation and disinfection, followed by root canal obturation using gutta-percha points. An inlay is then fabricated to restore the anatomical contour of the crown. When minimal tooth structure remains, a post-and-core can be cemented into the root canal to enhance retention, followed by fabrication of a porcelain-fused-to-metal or all-ceramic crown.
2. Fixed Bridge (Abutment-Supported Crown): If the pulp floor of the molar is compromised and the roots have separated, the shorter or less stable root may be extracted while preserving the healthier root. A fixed bridge incorporating the remaining root and adjacent teeth is then fabricated for restoration.
3. Dental Implant Restoration: In cases where the root is significantly mobile and carries a poor prognosis, extraction followed by immediate dental implant placement is recommended. This approach helps preserve alveolar bone volume and delays bone resorption.
If the crack extends deep into the root or the tooth is completely fractured, the damaged tooth must be extracted and replaced with a dental implant. Therefore, treatment selection should be guided by a qualified dentist and carefully tailored to the patient’s individual clinical condition.
The above outlines how to repair a molar split in half. We hope this information is helpful to you.
