Fracture Beneath The Gumline

Not all dental emergencies are apparent at first sight. Some emergencies may seem like no big deal, until some “unanticipated” consequences force the patient to realize that they are suffering from a problem. One of the many problems that fit this description is suffering a fracture below the gumline.


The enamel and the cementum of the teeth can crack, fracture and break for several reasons. Poor oral health may have left the enamel weakened, and the force of eating and chewing and biting may cause the tooth to fracture. When this happens, a part of your tooth breaks off, revealing the pulp chamber in the interior of the tooth. A sudden trauma to an otherwise healthy tooth can also cause the tooth to break as well, and traumas resulting from accidents frequently leave people with fractured teeth. Sometimes conditions like osteoporosis, cancer, AIDS, diabetes and ongoing, systemic infections can leave the body severely demineralized, which can also cause the enamel and the cementum to be weak, and this can make teeth more susceptible to breakage and fracturing. 

Beneath the gumline

When fractures occur on the visible portion of teeth, they become reported immediately,as even the most braze individual will become scared if they see that a part of their tooth just broke off. However, it is much rarer to see someone report an incident of breakage beneath the gumline. When a tooth breaks beneath the gumline, it may not be wobbly at all, it may be quite firm, and the movement may be so slight that they may think that it is no issue at all.Since the actual fracture is invisible, hidden by the gingiva, it is difficult to gauge how severe the problem is and how bad the breakage is, and thus it is difficult to know what kind of measures should be taken to deal with the issue. 

Words of wisdom

There is a very easy way to gauge how you know that you have a problem. If your tooth is more mobile than it was previously, then you need to get to a dentist immediately. If a tooth is moving or wobbling, no matter how little, even if it seems imperceptible, you need to see a dentist, as you probably have broken your tooth underneath the gums, and the tooth will start to rot while still in your mouth, which can cause severe problems later on. 

If you have suffered a trauma to the mouth and your tooth is not at the same angle it previously was, it is quite likely that it is broken, and if the fracture is not visible, it is quite likely that the fracture is somewhere beneath the gingiva, and the cause of your problem can only be solved by a dentist. If you feel a slight wobble, or any mobility after a trauma, you can be sure that you are dealing with a broken tooth, and you need to see a dentist immediately. 

If there is swelling, bleeding from above the tooth, and soreness that does not seem to go away, or weird lumps or protrusions that were not there previously, it is also advised that you see a dentist immediately and book an emergency appointment.