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Sometimes teeth break because they have been weakened by untreated tooth decay, or because old dental work is failing. Repairing this may involve any of the procedures mentioned above. If the tooth has broken off at the gum line, it will probably have to be extracted.
Very rarely, a permanent tooth may have trouble erupting because the gums harden and, though the new tooth can be felt below the surface, it has trouble pushing its way through the gum. Then the dentist may make a small incision to help it along.