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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.
1 When tooth decay (also referred to as a cavity) becomes so large that a filling cannot be used to restore the tooth to health, a dental crown may be necessary. 2  A broken down tooth. 3  If a tooth chips or fractures, a dental crown may be needed. 4  A large filling breaks.