Yes — including when there is barely anything left above the gum.
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Yes. A tooth broken at the gumline or hollowed out by decay can still be removed — it is a routine procedure. When there is not enough tooth left to grip, the dentist removes it in sections, or lifts it with a small amount of bone work under local anaesthetic. What matters is that the root comes out completely, because a fragment left behind is what causes infection later.
People put off coming in because they expect to be told off about the state of a tooth. That is not how this office works. We see teeth in every condition, every week, and nobody here is interested in making you feel bad about one. The only thing that matters is getting you out of pain and sorting out what is left.
If the break is above the gumline and the root is sound, a root canal and a crown will often save it, and a saved tooth beats a gap. If the crack runs below the gum, or decay has undermined the root, removing it is the honest answer rather than spending money on something that will fail. We show you the X-ray and explain which of the two you are looking at.
Very few, but some are referred rather than done here — teeth fused to the bone, roots wrapped around the nerve canal in the lower jaw, or cases where a medical condition or a medication such as a bisphosphonate changes how the bone heals. We tell you at the exam if yours is one of those and arrange the right person to do it.
Longer than it should, which is the problem. Decay does not reverse, and once it reaches the nerve the tooth will abscess eventually — sometimes months later, usually at the worst possible moment. The pain stopping is not the same as it healing.
Not without discussing it first. Where a front tooth has to go, we talk through the options for filling the space before we remove anything, so you know what happens next.