Assess the depth
A quick exam and X-ray show whether the chip is enamel only, into dentin, or into the nerve, and whether the root is intact.
A chip breaks a piece off a tooth without loosening what remains. Small enamel chips are cosmetic, but a chip that reaches the inner dentin or nerve becomes painful and needs prompt repair.
It depends on how deep it goes. Call 1-855-219-4656 if the tooth hurts, is sensitive to air or cold, shows a pink or red spot at the break, or has a sharp edge cutting your tongue. Those need same-day care. A tiny, painless chip on the edge of a front tooth can wait a few days, but it still needs sealing so the exposed surface does not decay.
Chips happen to careful people too: an olive pit, a frozen candy bar, a stray elbow. The fix is usually simple and fast, and the earlier it is done, the more of your natural tooth the dentist has to work with.
Three layers matter. A chip confined to enamel does not hurt. One that reaches dentin is sensitive and needs covering soon. One that exposes the pulp bleeds or shows pink and needs treatment the same day to save the nerve.
| Do | Don't |
|---|---|
| Save the fragment in milk or water. Sometimes it can be bonded back on | Do not throw the piece away before the dentist has seen it |
| Cover a sharp edge with dental wax, sugar-free gum or a small piece of paraffin | Do not file the edge down with a nail file or sandpaper |
| Rinse with warm water and take ibuprofen or acetaminophen if it aches | Do not chew on the chipped tooth or bite into anything hard |
| Keep cold and sweet foods away from the tooth if it is sensitive | Do not use superglue or a store-bought kit on a chip that hurts |
A quick exam and X-ray show whether the chip is enamel only, into dentin, or into the nerve, and whether the root is intact.
Small and medium chips are rebuilt with tooth-colored composite in about 30 to 60 minutes with no drilling into healthy tooth. Larger chips on back teeth may need an onlay or crown.
If the pulp is exposed, the dentist places a protective liner or starts a root canal, then covers the tooth. A follow-up checks that the nerve has settled.
| Treatment | Without insurance |
|---|---|
| Emergency exam + X-ray | $100–$250 |
| Composite bonding | $150–$500 |
| Temporary crown | $90–$300 |
| Permanent crown (large chip on a back tooth) | $800–$2,000 |
| Root canal (nerve exposed) | $700–$1,500 |
Estimates from partner clinic fee schedules. Your dentist quotes the exact fee before treatment. See the emergency dental cost guide and the no-insurance guide.
Treatments a dentist may use: Broken tooth repair, Lost crown and filling replacement, Pediatric emergency dentist.
Need help right now? Call 1-855-219-4656, free, 24 hours a day.
Medically reviewed by Dr. FULL NAME, DDS. Last reviewed . Sources: Mayo Clinic, Broken or knocked-out tooth, ADA MouthHealthy, Dental Emergencies. Editorial policy.
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