DELAWARE VETERINARY DENTAL PRACTICE · Pet Dental MD Book a consultation ↗
Dental trauma, explained

Something broke. What exactly?

“A fracture” can mean a broken jaw—or a broken tooth. They are not interchangeable problems, and they do not follow the same treatment plan. Start by choosing the path that sounds like your pet’s injury.

Veterinarian examining a dog's mouth
First question Is the problem in the bone or the tooth?
01 / Jaw fractures

The bone pattern
guides the repair.

Jaw fractures are not one diagnosis. Location, displacement, fragmentation, contamination, soft-tissue injury, and the patient’s bite all influence the safest repair. [1–8]

Simple

A limited fracture line with relatively few fragments.

Open

The fracture communicates with the mouth or skin and may be contaminated.

Displaced

Bone segments have shifted, potentially changing the bite.

Comminuted

The bone is broken into multiple pieces and needs careful stabilization.

Jaw fracture warning signs: a suddenly crooked bite, inability to close the mouth, jaw movement, bleeding, facial swelling, crying when opening the mouth, or refusing food after trauma.
Jaw fracture treatment

Align the jaw.
Protect the bite.

01 / Diagnose Image the injury

Oral examination, dental radiographs, and CT when complexity or skull involvement requires it.

02 / Plan Restore the bite

Reduction is planned around tooth position, occlusion, nerves, blood supply, and soft tissue.

03 / Stabilize Support healing

Options may include wiring, acrylic splints, external support, plates and screws, or conservative care. [1–8]

04 / Recheck Monitor recovery

Pain control, nutrition, activity restriction, and follow-up help detect infection or malocclusion.

The goal is not simply “stronger bone.” A repair must also preserve a comfortable, functional bite. A stable repair that leaves the teeth colliding can create a second problem.
02 / Tooth fractures

Fractures can hide
beneath the gumline.

The visible crown is only part of a tooth. A fracture can travel through enamel and dentin, expose the pulp, split the root, or trigger infection that is invisible during a quick look at home. [9–16]

What you may see A chip, a missing corner, a red or dark spot, swelling, or nothing obvious.
What your pet may show Chewing changes, guarded behavior, drooling, pawing, or less interest in toys.
The hidden pain pattern

Pain does not always
look like pain.

Many dogs and cats continue eating despite a fractured tooth. Watch for repeated, small changes—especially around chewing, play, grooming, and being touched around the face.

Chewing Uses one side

Drops food, tilts the head, pauses, or avoids hard treats.

Behavior Acts guarded

Pulls away from face handling, hides, or becomes irritable.

Mouth Drools or paws

Lip licking, blood-tinged saliva, rubbing the face, or pawing.

Routine Stops playing

Less interest in toys, tugging, grooming, or carrying objects.

Do not wait for appetite loss. Eating does not rule out dental pain. A dental examination with intraoral radiographs is the way to evaluate the part of the tooth you cannot see.
Calm dog looking toward the camera
Tooth fracture treatment

Save the tooth—or
remove the pain.

Treatment depends on fracture depth, pulp vitality, root structure, periodontal support, age, function, and prognosis. There is no single “broken tooth” procedure. [9–16]

Recontour

Selected small, superficial injuries may be smoothed and monitored.

Restore

Bonded or full-coverage restorations can protect suitable tooth structure.

Root canal

Infected pulp is removed, the canal is disinfected and sealed, and the tooth is restored. [10–14]

Extract

Removal may be the safest option when a tooth cannot be predictably saved.

Quick answers

You might be wondering…

Can a pet have a fractured tooth and still eat?

Yes. Eating does not rule out oral pain. Pets may adapt, choose softer food, chew on one side, or continue eating despite a painful tooth.

Will a broken tooth heal on its own?

Enamel does not grow back, and an exposed or infected pulp does not reliably heal without treatment. Dental radiographs are needed to assess the tooth.

Does every fractured tooth need extraction?

No. Some teeth may be candidates for restoration or root canal therapy. Extraction is recommended when the tooth cannot be predictably preserved or is causing ongoing pain.

What makes a jaw fracture different?

Jaw fractures can destabilize the bite and affect the bones, nerves, airway, and soft tissues. Treatment focuses on alignment, stability, and functional healing.

Why are dental radiographs important?

The visible crown is only part of the tooth. Radiographs show roots, bone support, hidden fracture lines, pulp changes, and infection that cannot be assessed from the surface alone.

Delaware Veterinary Dental Practice

A broken mouth
needs a clear plan.

Concerned about a fractured tooth, jaw, or bite? Start with a dental consultation at DVDP.

Book a dental consultation ↗

Or call 302-463-2879

Clinical references
  1. Arzi B, Verstraete FJM. Internal Fixation of Severe Maxillofacial Fractures in Dogs. Veterinary Surgery. 2015;44:437–442.
  2. Batle PA et al. Traumatic skull fractures in dogs and cats: comparative analysis of neurological and computed tomographic features. Journal of Veterinary Internal Medicine. 2020;34:1975–1985. doi:10.1111/jvim.15838.
  3. Bubenik L. Treatment of fractures of the mandible and maxilla by mini titanium plate fixation systems in dogs and cats. NAVC Proceedings. 2005.
  4. De Paolo MH et al. Craniomaxillofacial Trauma in Dogs—Part I: Fracture Location, Morphology and Etiology. Frontiers in Veterinary Science. 2020;7:241. doi:10.3389/fvets.2020.00241.
  5. De Paolo MH et al. Craniomaxillofacial Trauma in Dogs—Part II: Association Between Fracture Location, Morphology and Etiology. Frontiers in Veterinary Science. 2020;7:242. doi:10.3389/fvets.2020.00242.
  6. Freeman A, Southerden P. Mandibular fracture repair techniques in cats: a dentist’s perspective. Journal of Feline Medicine and Surgery. 2023;25.
  7. Glyde M, Lidbetter D. Management of fractures of the mandible in small animals. In Practice. 2003;25:570–577.
  8. Tundo I et al. Location and distribution of craniomaxillofacial fractures in 45 cats presented for treatment of head trauma. Journal of Feline Medicine and Surgery. 2019;21:322–328.
  9. Soukup JW, Hetzel S, Paul A. Classification and epidemiology of traumatic dentoalveolar injuries in dogs and cats: 959 injuries in 660 patient visits. Journal of Veterinary Dentistry. 2015;32:6–14. doi:10.1177/089875641503200101.
  10. Goldschmidt S et al. The influence of force direction on the fracture pattern and fracture resistance of canine teeth in dogs. Journal of Veterinary Dentistry. 2017;34:8–17.
  11. Campbell RD et al. Comparing intraoral radiography and computed tomography for detecting radiographic signs of periodontitis and endodontic disease in dogs. Frontiers in Veterinary Science. 2016;3:68.
  12. Verstraete FJM, Lommer MJ, Arzi B. Oral and Maxillofacial Surgery in Dogs and Cats. 2nd ed. Elsevier; 2020.
  13. Lee DB et al. Radiographic outcome of root canal treatment in dogs: 281 teeth in 204 dogs. JAVMA. 2022;260:535–542.
  14. Strøm PC et al. Radiographic outcome of root canal treatment of canine teeth in cats: 32 cases. JAVMA. 2018;252:572–580.
  15. Feigin K et al. Analysis and assessment of pulp vitality of 102 intrinsically stained teeth in dogs. Journal of Veterinary Dentistry. 2022;39:21–33.
  16. Watanabe R, Frank D, Steagall PV. Pain behaviors before and after treatment of oral disease in cats. BMC Veterinary Research. 2020;16:100.
  17. Mills DS et al. Pain and problem behavior in cats and dogs. Animals. 2020;10:318.