Will Falconer, DVM Moderator
Hi Shayda,
I find you just have to watch the mouth periodically and how your dog deals with food and water when there's a tooth fracture. Anything like suddenly backing away from food or water, or grabbing and then dropping food would indicate pain from the exposed tooth. Most seem to tolerate them quite well, but you'd also want to examine the area at least a couple times a week.
If pain and redness and swelling, I'd get the extraction done.
Softer bones, but still made of real bone are best: poultry is a good bet.