The Treatment Depends on How Deep the Chip Goes
Not all chips are equal. The treatment your dentist recommends will depend on whether the damage is limited to enamel, has reached the dentin layer underneath, or has exposed the nerve.
Small enamel chips. These are the most common and the most straightforward. If the chip is minor and the tooth structure is intact, dental bonding is usually the first option. A tooth-colored composite resin is shaped directly onto the tooth in a single visit – no anesthesia required for most cases. Results look natural and hold up well with normal care.
Larger chips reaching the dentin. Dentin is the softer layer beneath enamel. When a chip exposes it, sensitivity to temperature and pressure increases significantly.
Depending on the size and location, treatment might involve bonding, a veneer for front teeth, or a crown for a back tooth that needs more structural support.
Chips that expose the nerve. If the chip is deep enough to expose the pulp – the inner tissue of the tooth – the situation becomes more urgent. Pain, especially to heat or spontaneous throbbing, suggests nerve involvement. This typically requires root canal treatment before the tooth can be restored with a crown.
A chip that leaves the tooth structurally compromised. Sometimes what looks like a chip is actually part of a larger crack that extends further into the tooth. An exam and X-ray will reveal whether the tooth can be saved with a restoration or whether other options need to be considered.