Cracked Tooth: Causes, Symptoms, and Treatment Options

Advancements in modern dentistry are helping people keep their natural teeth longer. However, with longer lifespans and higher stress levels, habits such as clenching, grinding, and chewing on hard objects have made cracked teeth increasingly common.

If your dentist or endodontist has told you that you may have a cracked tooth, this guide will help you understand what it means, what symptoms to look for, and how it can be treated.

Why Have I Been Referred to an Endodontist?

All dentists are trained to diagnose and treat cracked teeth. However, some cases can be difficult to detect and may require advanced diagnostic tools and expertise.

Endodontists specialize in saving natural teeth through root canal and microsurgical treatments. Your referral ensures that you receive the most accurate diagnosis and the best possible care.

Why Does a Cracked Tooth Hurt?

To understand the pain, it helps to know the anatomy of a tooth. Inside every tooth lies the pulp — a soft tissue containing nerves, blood vessels, and connective tissue.

When the hard outer layers (enamel and dentin) are cracked, chewing can cause movement of these pieces, irritating the pulp. When the pressure is released, the crack may close, causing sharp, sudden pain.

If left untreated, the pulp may become inflamed or infected, leading to constant pain, temperature sensitivity, or even an abscess.

Types of Cracked Teeth

1. Craze Lines

• Tiny, shallow cracks in the enamel.
• Common in adults and typically painless.
• Mostly a cosmetic concern.

2. Fractured Cusp

• A portion of the chewing surface breaks off, often around a filling.
• Pain usually subsides once the cusp is removed.
• Usually restored with a full crown; root canal rarely needed.

3. Cracked Tooth

• The crack extends from the chewing surface toward the root.
• May cause pulp damage and require root canal followed by a crown.
• Early detection is vital to prevent worsening or extraction.

4. Split Tooth

• Occurs when a cracked tooth progresses into two distinct segments.
• If the fracture extends below the bone, extraction is required.
• Sometimes part of the tooth can be saved with restoration.

5. Vertical Root Fracture

• Begins in the root and often goes unnoticed until infection develops.
• Discovered when gum or bone near the tooth becomes infected.
• Treatment may involve removing the fractured root or extracting the tooth.

Can a Cracked Tooth Heal?

Unlike broken bones, cracks in teeth cannot heal themselves. However, timely dental treatment can:

• Stop the crack from spreading
• Relieve pain and sensitivity
• Preserve the tooth’s structure and function

A dental crown provides maximum protection. While success isn’t guaranteed in every case, early diagnosis and treatment greatly improve the outcome.

Summary

Cracked teeth are a common dental issue caused by stress, aging, or biting on hard objects. They often present as intermittent pain or discomfort when chewing. Early diagnosis by your dentist or endodontist is key to saving the tooth. Treatment may include bonding, crowns, root canal therapy, or extraction. With proper care, most cracked teeth can continue functioning comfortably for many years.

Frequently Asked Questions (FAQ)

How can I tell if I have a cracked tooth?

You may feel sharp pain when biting or releasing pressure, or sensitivity to hot and cold. Sometimes, the pain comes and goes, making it difficult to pinpoint the affected tooth.

Can a cracked tooth heal naturally?

No, cracks do not heal on their own. Dental treatment is necessary to prevent the fracture from worsening or causing infection.

Will I need a root canal?

If the crack has reached the pulp, a root canal is typically required before placing a crown to protect and stabilize the tooth.

What happens if I ignore a cracked tooth?

Ignoring a cracked tooth can lead to deep fractures, infection, or complete tooth loss. Early treatment is crucial to saving your natural tooth.

How can I prevent cracked teeth?

Avoid chewing on hard objects like ice or popcorn kernels, wear a night guard if you grind your teeth, and visit your dentist regularly for checkups.

Book Your Appointment

If you suspect you have a cracked tooth or are experiencing dental pain, don’t wait. Early treatment can save your tooth and prevent complications.🦷 Book Your Consultation Now