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Plaza Dental Group: 14111 Douglas Pkwy Suite 103 Urbandale IA 50323

What should I do if a molar has broken off at the gum line?


A broken molar is a dental emergency, as it has the potential to cause severe pain, small chips, and fractures. Therefore, visit your dentist immediately if a molar has broken off at or under your gum line. 

Read more to learn the causes, symptoms, and treatment options of a broken molar.

Causes of a Broken Molar

Factors contributing to a broken molar are:

  • Weakness caused by filling
  • Aging teeth
  • Accidentally biting something hard
    Tooth decay caused by untreated cavities 
  • Chronic teeth grinding
  • Recurrent cavities
  • Sudden changes in the mouth temperature
  • Facial trauma from sports injuries and accidents 

Symptoms of a Broken Molar

A broken molar at your gum line will cause you to:

  • Sense the missing or broken part of your tooth with your tongue.
  • See the broken tooth appearing pink or yellow. If the tooth appears dark brown or black, it may indicate tooth decay.
  • Feel the sharp and jagged edge of the remaining fragment in your gum, which can cause inflammation.
  • Bleed from broken blood vessels.
  • Experience pain from exposed nerve roots or while consuming cold or sweet foods or beverages.

Complications of a Broken Molar

If not treated, a broken molar can cause:

  • Tooth decay due to the lack of enamel to cover blood vessels and nerves 
  • Abscess 
  • Nerve damage 
  • Infection, which may spread to your jaw bone

Treatment for Broken Molar

Many factors, including the depth of the break and how quickly you act, will help your dentist determine the available options for broken molars. These may include:

  • Reattaching Bone Fragment

    Your dentist will use bonding agents to reattach the broken tooth if your tooth is not deeply broken. They may combine this procedure with a root canal if the tooth pulp is exposed. 

  • Root Canal 

    When your tooth’s inside is inflamed or infected, a root canal is performed to remove the pulp (containing nerves and blood vessels) from your tooth’s center and replace it with rubbery filling. 

  • Extrusion

    When a molar is broken below your gum line, you will be asked to wear aligners or braces on the fractured tooth for some weeks to pull it above your gum line.

  • Filling or Crown

    If the damage is minor, your dentist may use a filling to fix your broken molar or crown to cover it. They may perform a crown lengthening procedure if not enough tooth is exposed to hold the crown.

  • Tooth Extraction or Replacement

    If your tooth cannot be restored, your dentist will extract it and replace it with a denture, endosteal implant, or dental bridge.  

How Long Is the Recovery?

Your recovery can take a few days to a few weeks depending on the procedure performed to fix your broken molar. Follow the after-care instructions recommended by your dentist including, avoiding sticky or crunchy foods, chewing with the broken tooth, and drinking using a straw.   

How to Prevent a Broken Molar?

  • Do not use your teeth to break or cut anything.
  • Avoid clenching and grinding your teeth.
  • Avoid chewing on hard foods.
  • Reduce consuming foods and beverages high in sugar. 
  • Wear a mouthguard when playing contact sports. 

Fractured teeth are vulnerable to decay and infection because they lack protective enamel, which covers the nerves and blood vessels inside. Untreated broken molars can cause infection, abscess, and nerve damage. Bacteria from this contamination can also infect your jaw bone, surrounding teeth, and gums. 

If you need to fix your broken molar, schedule an appointment with our emergency dentist in Urbandale today!  

Plaza Dental Group

Plaza Dental Group is a leading group of dentists in Des Moines, IA that provides high-quality dentistry in a comfortable and stress-free environment. We have a team of caring and highly-skilled professionals that uses state-of-the-art technology and delivers excellent service to the patients. Request an appointment today!

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I had my first appointment for dental implants today and met the entire team. I was thoroughly impressed with their positivity and professionalism. They were very empathetic and caring. I trust absolutely that this will be a great experience. Thank you!
D Yates
D Yates
I cannot say enough amazing things about Plaza Dental, Dr. Dietrich and her amazing team- Carlee, Carley, Bekka, Lacey, and Jayde! ♥️I walked in feeling embarrassed, emotional, discouraged, and honestly terrified because of past experiences with dentist offices.At Plaza Dental they truly cared about ME and not just my teeth. At every appointment they cheered me on, hyped me up, and made me feel comfortable and confident again. They celebrated every little step with me, and because of them, I now have a brand new smile and feel like I have my life back.There really are not enough words to thank these women for what they have done for me. Their kindness, compassion, encouragement, and support changed so much more than just my smile. I will forever be grateful.read more
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Samantha Darrah
Talia has been my hygienist for over 10 years and continues to provide me exceptional care and education around my dental health. I would recommend Plaza Dental Group to anyone looking for a new dentistry in the Des Moines area.
Austin Rader
Austin Rader
I’m 66 years old and still had anxiety about dentist visits. After today I will be happy to go to the dentist. Only wish I found this office sooner.
Jennifer Anderson
Jennifer Anderson
Had an unexpected tooth ache which escalated over night. Called the minute they opened and They graciously got me Rignt in!From start to finish the team went above and beyond. Thank you for putting me at ease and taking such remarkable care!Would not go anywhere else highly recommend!!!
Jo Jordan
Jo Jordan
Lacey was the best dental hygienist I’ve ever had. She was very thorough, assuring, and knowledgeable. Couldn’t have asked for a better experience at the dentist!!!!
Logan Saccoman
Logan Saccoman
My daughter has been my dental hygienist for the past 20 years and has decided to stay at home with her kiddos, therefore I needed to try a new hygienist. I was pretty apprehensive and thought I’ll make the 2 hour drive , have one last appointment then find someone in my. Lacy was my hygienist . She was amazing!!! She was knowledgeable, gentle, informative and thorough. The best part was that I felt like I was sitting there with my daughter. Lacy exceeded my expectations. I’ll definitely be making the two hour drive. Lacy, you’re my new hygienist and I couldn’t be more pleased.I am not one to leave reviews, but I felt my experience was note worthy.read more
Candy Elsbury
Candy Elsbury
Dr Odland is the best dentist in iowa. Susie has really helped me with my dental issues. She is great and caring. Dr Langel is doing a great job just like dr odland.
Darlene Raedeker
Darlene Raedeker
That Lacey has the hands of an angel. Manages to do an entire cleaning without spraying me in the face or getting toothpaste everywhere, bless her heart. The tall guy was ok.Boy that front desk was just the best, can’t remember her name for the life of me. Jane? Jayde? Erin? 10/10 team there.
Jayde Witte
Jayde Witte
Friendly yet professional!! VERY PLEASED with the result. Appreciate all the learning happening during the visit! Explanation for everything!! So happy I’m with Plaza Dental!!
Randi Black
Randi Black
Great experience here, they did an xray to check what’s wrong and figured it out right away. They were very understanding and explained everything clearly and I had no anxiety here at all.
Chloe Winfred
Chloe Winfred

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14111 Douglas Pkwy Suite 103 Urbandale IA 50323

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