This fracture is found above the gums, and normally happens when you bite down too hard on something. Normally, this fracture doesn t involve the nerve. Once the fractured area of the tooth breaks off, the pain will go away. Although the exposed dentin may cause you some pain, you can visit the dentist and have it repaired. Laughing gas and IV sedation can put your mind at ease, so you won t be uncomfortable during your surgery or extractions. Although dental pain is something that many fear, it isn t near as bad as they may think. Most of the fear stems from not knowing, or thinking that it will hurt more than it actually does. Your reaction to different material, the shape of the tooth, extent of repair, and where the filling is needed will be determining factors as to what material is used with your filling. The gold fillings that are used are made in a laboratory, then cemented into place by the dentist. Gold material fits well with the gums, and can last you for many years. Once the extractions have been completed, there is normally little to no swelling involved. Your dentist will prescribe you some pain medicine, which you should use as soon as you arrive home. If you are going to use IV sedation, you ll need to someone to accompany you, as you won t be able to drive home. Normally, this will result in a filling, crown, or root canal, although you won t have to have the tooth removed. Dentists always look to save teeth, as they don t like to remove a tooth unless they absolutely have to. If the tooth has become abscessed, the dentist will put you on antibiotics such as penicillin until the infection has subsided enough to remove the tooth. You shouldn t force the tooth into place, rather try and jiggle it around. You can also use moist tissue to hold the tooth in place, until you can get to a dentist. If you ve got a fractured tooth, the treatment will all depend upon how bad the booth has been fractured. No matter how light the fracture may be, it is very important that you get to a dentist as soon as you can.