A jagged corner after the hit
A fresh sharp edge can nick the tongue or lip. The dentist decides whether it can be safely smoothed or whether that would thin the crown too far, alter its shape or leave an impact crack untreated.

A puck, an elbow or a slip on the ice can chip a crown in an instant. From Georgetown, book a check that looks at the broken surface, the crown material and the tooth beneath, since an impact can affect more than you can see.
Rec-league hockey, a backyard game, a stumble on an icy step: crowns take hits like any tooth. Sometimes the result is a small flake off the surface, and when that is all, a limited repair may restore the crown without replacing it.
Impacts are tricky, though. The force that chipped the crown may also have loosened it, cracked it deeper inside or bruised the tooth and supporting tissues. A repair should only follow once those possibilities have been checked, because patching the surface would not address a problem underneath.
When you call from Georgetown, describe how the injury happened, when you noticed the chip and how the tooth feels now, including any tenderness when biting. At the visit we examine the crown and the tooth together, then talk through polishing, a localized repair, replacement or other care and what each can realistically do.

Tell the dentist what you feel as well as what you see. A small chip may matter more than it looks if it cuts your lip or tongue, changes your bite or came from a blow strong enough to affect the tooth below.
A fresh sharp edge can nick the tongue or lip. The dentist decides whether it can be safely smoothed or whether that would thin the crown too far, alter its shape or leave an impact crack untreated.
Front teeth are the ones most often struck. Let the dentist know how the chip affects your smile, and ask whether new material would be noticeable against the crown, today and a few years from now.
Tenderness when you chew after an injury is worth reporting. The dentist examines how your teeth meet on the crown and whether the discomfort points to something beyond the chipped surface.
Call promptly if the crown moves, the tooth aches, the gum swells or you had a significant blow to the face. Damage to the crown surface and an injury to the tooth can happen together.
If the examination shows the damage is confined to a small area and the crown remains firmly in place, repairing it may preserve a restoration that still works well. That is most realistic when the tooth underneath came through the impact without needing treatment that would rule out a surface repair.
A repair may not look or wear exactly like the original crown. Its lifespan and colour match depend on your circumstances, and some repairs are intended only to protect the tooth while recovery from the injury is monitored. Ask whether yours is a lasting solution or a step along the way.
A minor chip from a knock does not always mean replacing the crown. Assessment helps show when a limited approach is enough and when the break is too large, or too close to the bite, for repair to hold.
You may want a sharp edge gone or a missing piece rebuilt so your smile looks whole again. Ask how the repair targets your concern and whether a small difference in finish may remain.
Documenting the injury and the repair gives the dentist a baseline for later checks. If the crown or tooth changes in the months ahead, that history helps decide what to do next.
The approach depends on the crown, the break and what the impact did. The visit starts with an examination and a clear account of your options, which may include waiting, monitoring or replacing the crown.
The dentist looks for cracks and movement in the crown, checks the gum and nearby tissues and asks about pain and tenderness since the injury. Records about the crown help, but the examination is what guides the advice.
Some injured teeth are best treated straight away, others after a short wait to see how they settle. Together you decide on polishing, rebuilding or replacing, and on the timing. Ask about appearance, purpose, care and what would happen if the area breaks again.
If a repair is suitable, the area is prepared using a technique matched to that type of crown, then built up and finished. Where only an edge needs attention, it is carefully refined without adding material.
Your teeth are brought together on the treated crown so any high spots can be adjusted. Ask what to avoid while things settle and whether a follow-up visit is recommended to recheck the tooth after the injury.
Instructions should reflect both the repair and the injury. A polished edge needs little special care, while bonded material or a temporary fix may come with specific precautions, so check with the team before going back to normal.
Returning to hockey, basketball or other contact activities without protection puts the repaired crown at risk. Ask whether a mouthguard is advisable, and mention any grinding or clenching so the dentist can consider that too.
Continue gentle brushing and interdental cleaning as advised. The crown edges and gum around them still need daily care, particularly if the tissues were bruised. Ask for guidance if cleaning feels uncomfortable.
Contact the clinic if the repair roughens or breaks, or if the tooth becomes more sensitive or tender over time. Do not file the repair yourself. The team will assess whether further care is needed.
Patient information: Cleveland Clinic — dental crowns
These questions link the type of injury and the size of the chip with what a repair can and cannot do. They may help you know what to watch for.
Book a visit at our Bronte Street clinic after a chip from a fall or impact. We examine the crown and the tooth supporting it, explain whether repair is appropriate now or later, and help you plan sensible next steps.
Bring any broken piece in a sealed container. Call right away about significant pain, swelling, a loose crown or a change in your bite after an injury.