A cracked tooth can happen at any time. Sometimes you know it, such as when you bite down on something hard. Other times, the crack happens gradually. Cracks can range from a minor inconvenience to a serious dental emergency, depending on the severity of the damage.
Regardless of how and why, cracks can worsen if not addressed. So, it is important to seek treatment early before it gets worse.
Let’s take a closer look at a cracked tooth and some treatment options that an endodontist may recommend.
What Causes a Cracked Tooth?
Teeth are very, very strong, but they are not indestructible. That's why cracks can develop for several reasons.
- Biting down on hard foods or ice
- Grinding teeth or clenching the jaw
- Trauma or injury
- Large fillings that weaken the tooth
- Aging or natural wear and tear
There are some cracks that are superficial and only affect the outer enamel. Others, however, extend into the inner pulp where the nerves and blood vessels are located. Both need to be addressed by an endodontist.
How Do You Know if You Have a Cracked Tooth?
There are some cracks you are going to physically see and feel, usually when it happens. But for those who come on slowly, cracked teeth do not always cause constant pain, making them difficult to recognize.
Sharp pain when biting or chewing, sensitivity to temperature, discomfort that comes and goes, or swelling around the tooth are all signs you could have a crack. If you experience them, schedule an appointment, as untreated cracks can deepen and increase the risk of infection or tooth loss.
Treatment Options For a Cracked Tooth
Treatment of cracked teeth is highly personalized. Your endodontist will evaluate how extensive the crack is and whether the pulp has been affected. Then, a treatment plan can be determined.
Dental Bonding or Filling
For small or superficial cracks, a filling or bonding material may be all that is needed to restore the tooth and protect it from causing further damage. This option is often ideal for cracks that have not reached the inner layers of the tooth.
Dental Crowns
A dental crown is one of the most common treatments for cracked teeth. They completely cover the tooth and help hold it together. Function and strength are restored, as well as aesthetic value. Today, most crowns are custom-made to look natural and blend in beautifully with the teeth around them.
Crowns are often used for moderate cracks or when a tooth needs some extra help restoring its integrity.
Root Canal Therapy
So, what happens if the crack does reach the inner pulp area of the tooth? A root canal is usually needed. This is because bacteria can enter the sensitive area and cause infection and inflammation.
During a root canal, the pulp is removed, and the inside of the tooth is disinfected and then sealed to prevent future issues. A dental crown is often used to fully restore the tooth.
Extraction
Unfortunately, there are some cracks that are too severe to repair. Vertical fractures that extend below the gumline, for instance, can make it nearly impossible to save.
An endodontist strives to preserve a natural tooth whenever possible. The sooner you have an evaluation of your cracked tooth, the more treatment options you will have available to you. Act fast and let us determine the most effective plan for you.
Frequently Asked Questions
Can a cracked tooth heal on its own?
No. Unlike bones, teeth cannot heal themselves. Professional treatment is needed to prevent the crack from getting worse.
Does a cracked tooth hurt?
Not always. Some patients feel discomfort, usually intermittently. Others may not even realize the tooth is cracked. The more severe the fracture, the more likely it is to cause pain.
How do I know if I need a root canal for a cracked tooth?
If the crack reaches the pulp and causes inflammation or infection, a root canal may be necessary.
Can I still eat with a cracked tooth?
You should always avoid eating on the affected side until the tooth is evaluated. Chewing pressure can make it worse.
What happens if a cracked tooth is left untreated?
Untreated cracks can deepen and lead to infection, severe pain, and even tooth loss.
At Towson Endodontics, we are committed to helping patients save their natural teeth whenever possible. If you are experiencing tooth pain or believe you may have a cracked tooth, we are here to provide you with an expert evaluation and treatment. Contact us today to schedule an appointment.
