Because we live longer and more stressful lives today, we are exposing our teeth to many more years of potentially damaging habits such as clenching, grinding, and chewing on hard objects.
Cracked teeth do not always show any visible signs of damage, but may present a variety of symptoms: erratic pain to biting, cold sensitivity. The pain may come and go, making it difficult for your doctor to locate the source.
Why Cracked Teeth Hurt
When the outer hard tissues of the tooth are cracked, chewing can cause movement of the pieces, and the pulp becomes irritated. When biting pressure is released, the crack can close quickly, resulting in a momentary, sharp pain. Irritation of the dental pulp can be repeated many times by chewing.
Eventually, the pulp will become damaged to the point where it can no longer heal itself. The tooth will not only hurt during chewing but may also become sensitive to extreme temperatures. In time, a cracked tooth may begin to hurt all by itself. Extensive cracks will lead to infection of the pulp tissue, resulting in pain, swelling and need for emergent dental care.
Types of Cracked Teeth
There are many different types of cracked teeth. The treatment and outcome for your tooth depends on the type, location, and extent of the crack.
Craze lines are tiny cracks that affect only the outer enamel. These cracks are extremely common in adult teeth. Craze lines are very shallow, cause no pain, and are of no concern beyond appearance.
When a cusp (the pointed part of the chewing surface) becomes weakened, a fracture sometimes results. The weakened cusp may break off by itself and the pain will usually be relieved. A fractured cusp will be restored with a full crown by your dentist.
Some cracks extend from the chewing surface of the tooth vertically toward the root. A cracked tooth may not be completely separated into two distinct segments. Because of the position of the crack, damage to the pulp is common. Root canal treatment is frequently needed to treat the injured pulp.
Your dentist will restore your tooth with a crown to hold the pieces together and protect the cracked tooth. At times, the crack may extend below the gingival tissue line, which requires extraction.
Vertical Root Fracture
Vertical root fractures are cracks that begin in the root of the tooth and extend toward the chewing surface. They often show minimal signs and symptoms and may therefore go unnoticed until the surrounding bone and gum become infected. Treatment may entail extraction of the tooth. However, endodontic surgery is sometimes appropriate if a portion of the tooth can be saved by removal of the fractured root.
Preventing Cracked Teeth
While cracked teeth are not completely preventable, you can take some steps to make your teeth less susceptible to cracks.
- DO NOT chew on hard objects such as ice, unpopped popcorn kernels, or pens.
- Do not clench or grind your teeth, if you are a nighttime grinder, use a custom fabricated Night Guard.
- Wear a mouthguard or protective mask when playing contact sports.
Early diagnosis is important. Even with high magnification and special lighting, it can be challenging to determine the extent of a crack. A cracked tooth that is not treated will progressively worsen, and eventually result in the loss of the tooth. Early diagnosis and treatment are essential to saving these teeth.