Cracked Tooth? Don’t Wait Here’s Why It Can’t Be Ignored

By Dr. Taylor Hunt

Early evaluation of a cracked tooth is crucial because failing to address the issue can lead to increased pain, infections, and more extensive, costly repairs. Symptoms of a cracked tooth often include sensitivity and pain, which can escalate to a dental emergency if ignored, and treatment options may involve dental bonding and dental crowns.

Here we delve into the importance of early assessment of a cracked tooth. Dental care has significantly advanced since the days when teeth were extracted without anesthesia; however, some dental issues still go unnoticed and are often diagnosed too late. A cracked tooth is one such condition that can lead to tooth extraction if not treated promptly. While various factors can cause a crack, the most common culprits are decay, trauma, and bruxism (teeth grinding). Additionally, individuals with a condition known as dentinogenesis imperfecta have teeth that are more brittle and susceptible to fractures. Ignoring a cracked tooth can lead to worsening pain, infections, and more extensive repairs. The symptoms of a cracked tooth can vary widely and may include tooth sensitivity and tooth pain:

  • Sensitivity in the tooth
  • Pain when chewing or biting
  • Pain upon releasing pressure after biting or chewing
  • Sensitivity to hot and cold temperatures
  • Swelling around the tooth

A dentist can diagnose a cracked tooth by taking a thorough medical history and asking about symptoms, followed by a clinical examination and possibly dental x-rays.

Unfortunately, cracked teeth can be challenging to identify, often requiring an experienced dentist to assess the patient’s symptoms effectively. Once diagnosed, several dental treatment options are available, including:

  • Bonding: Repairing the tooth with a composite resin material, which is typically the most conservative option.
  • Crowns: Placing a cap over the damaged tooth, especially when a significant portion is missing.
  • Root Canal: If the damage or infection has reached the tooth’s root, a root canal may be necessary to remove the infected pulp before placing a crown or filling.
  • Medication: Dentists may prescribe anti-inflammatories and pain medications as needed.

Unfortunately, many patients tend to wait and see if their symptoms will resolve on their own, but this is rarely the case. Early detection and diagnosis can significantly reduce treatment costs and help preserve not only the tooth but also the patient’s overall health and quality of life. Cracked tooth syndrome often occurs without a clear impact injury, leading patients to delay seeking care until the pain intensifies, complicating diagnosis and treatment. The longer a patient waits to consult a dentist, the more advanced the condition may become. Early intervention can save the tooth, whereas late-stage problems may necessitate extraction. Dr. Taylor Hunt, the general dentist at Hunt Dentistry in Taylor, Arizona, emphasizes, “The best chance you have is to get the tooth fixed early by a dentist. Ignoring the problem will only make it harder and more expensive to fix.” Early evaluation of a cracked tooth is essential to avoid increased pain, infections, and the need for more extensive repairs.

Key Takeaways:

  • Don’t ignore a cracked tooth – it can lead to pain, infection, and costly repairs.
  • Untreated cracked teeth can cause deeper fractures and increase the risk of infection.
  • Early evaluation is crucial for preventing further damage, minimizing pain, and increasing chances of successful treatment for a cracked tooth.

 

What Is a Cracked Tooth?

A cracked tooth is a surprising and painful dental emergency that occurs when the tooth structure and enamel integrity are compromised. This condition often results from chewing hard foods or experiencing dental trauma.

A cracked tooth can lead to various dental health issues, making it crucial to have it assessed and treated by dental professionals as soon as possible to prevent further complications. Understanding the implications of a cracked tooth and the necessity for prompt dental care is essential for maintaining your oral health.

 

How Does a Tooth Get Cracked?

A tooth can become cracked due to various factors, including dental trauma from impact injuries, excessive pressure while chewing, or the gradual effects of tooth wear and enamel degradation over time—often exacerbated by poor oral hygiene and dental health risks.

Plus these well-known causes, chewing habits play a significant role in the integrity of teeth. Common behaviors, such as chewing on hard objects or grinding teeth at night, can place undue pressure on teeth, leading to fractures. Individuals with underlying dental issues, such as tooth decay or previous dental work, may have teeth that are more susceptible to cracking.

Additionally, lifestyle factors like high sugar consumption and a lack of dental care can further increase the risk of tooth cracking by weakening enamel and worsening tooth decay.

 

What Are the Symptoms of a Cracked Tooth and Potential Dental Complications?

The symptoms of a cracked tooth can vary significantly from person to person, and early dental assessment is crucial. Some individuals experience severe sensitivity to hot or cold temperatures, while others may endure persistent tooth pain. There are also cases where individuals exhibit no symptoms at all.

Therefore, it is essential to schedule regular dental checkups and examinations to detect any potential issues early on.

Sensitivity to Hot or Cold

Sensitivity to hot or cold is a common symptom of a cracked tooth, often resulting from compromised enamel that exposes the underlying nerve endings. This exposure can lead to discomfort during meals or even while consuming beverages.

Sensitivity occurs when the protective layer of enamel deteriorates, leaving the delicate structures beneath vulnerable to temperature fluctuations. Enamel can wear away due to excessive grinding, acidic foods, or injuries, which heightens sensitivity, particularly in individuals with existing dental issues.

As the nerve endings become more stimulated, even simple actions like sipping a warm drink can trigger sharp pain, impacting daily life. Several dental treatments can help address this discomfort, including:

  • Fluoride treatments to strengthen enamel and reduce sensitivity, addressing oral health care needs,
  • Bonding agents that seal exposed dentin for relief, and
  • Root canal therapy for severe cases to alleviate pain caused by nerve involvement.

Understanding the connection between cracked teeth and sensitivity can guide patients toward effective treatments and improved oral health management.

Pain When Biting or Chewing

One significant symptom of a cracked tooth is pain during biting or chewing. This discomfort may indicate that the crack has worsened due to the extra pressure on the compromised chewing surface, often leading to severe pain. When individuals experience this type of pain, it can signify a deeper issue that could potentially lead to serious complications, such as infection or tooth loss. Understanding the forces that contribute to this pain is essential, as they are usually related to how the tooth responds to different pressures while eating.

To determine the extent of the crack and the appropriate course of action, a dental exam is necessary. Here are some key points to consider:

  • Symptoms: Accompanying symptoms may include pain, sensitivity to hot or cold, and swelling.
  • Diagnosis: Dentists may use X-rays or other imaging techniques to assess the severity of the fracture.
  • Treatment options: Depending on the fracture’s extent, treatment may involve a filling, a crown, or even a root canal.

For this reason, it is crucial to seek evaluation by a dentist at a reputable dental clinic to effectively manage oral health and prevent this type of pain from escalating into more serious dental conditions.

No Symptoms at All

In some cases, a cracked tooth may not exhibit any symptoms at all, posing a silent threat to dental health. This situation can be particularly dangerous because the absence of pain does not imply that there is no damage.

If left unaddressed, it can lead to severe dental complications and even tooth loss. Regular dental visits are crucial for maintaining oral health and for diagnosing asymptomatic cracked teeth.

During these appointments, dentists can identify early signs of cracking that may not be painfully obvious to the patient. Early detection allows for preventive measures to be implemented since asymptomatic problems can rapidly escalate into infections if untreated. Timely intervention can prevent the need for more complicated procedures later on.

It is important to recognize that even the slightest discomfort—or the absence of discomfort—should be a cause for concern, prompting regular dental checkups. Therefore, regular check-ups are vital for overall dental health and for identifying small cracks before they develop into more significant issues.

 

What Happens if You Ignore a Cracked Tooth?

Cracked teeth can lead to serious dental complications, including tooth infections and oral infections, which may result in a dental emergency that requires immediate treatment.

If these cracks are left untreated, bacteria can infiltrate the tooth structure, leading to prolonged pain and potentially resulting in tooth loss.

Increased Risk of Infection and Oral Diseases

A cracked tooth significantly increases the risk of infection, as bacteria can enter the fracture, potentially leading to conditions such as an abscess. This situation often necessitates emergency dental care to prevent further complications.

Deeper Fractures

A cracked tooth or tooth fracture can lead to increasingly serious issues over time if left untreated. A small crack may develop into deeper fractures that jeopardize the entire tooth structure, potentially requiring more invasive dental procedures. This could ultimately result in the need for root canals, extractions, or even replacement teeth. If not addressed, the consequences for dental repair can escalate significantly. A minor crack can create an entry point for bacteria, leading to decay that may spread to both the affected tooth and neighboring teeth.

Regular dental check-ups are crucial for professionals to evaluate the extent of damage to a cracked tooth. These assessments typically include the following procedures:

  • Visual Inspection: A thorough dental examination can reveal any external cracks or chips, as well as assess the health of the surrounding gums.
  • X-rays: X-rays enable dentists to evaluate internal fracture lines that are not visible from the outside.
  • Vitality Testing: This test determines whether the nerve of the tooth is still alive and healthy or if it requires nerve treatment.

Costly Repairs

Seeking an emergency dentist early can mitigate the costs associated with cracked teeth.

Neglecting a cracked tooth can result in higher costs over time. When a tooth is cracked early on, simpler dental interventions are typically sufficient.

However, if treatment is delayed, more complex dental procedures become necessary, ultimately impacting both costs and overall dental health.

 

How Is a Cracked Tooth Diagnosed?

Diagnosing a cracked tooth involves a thorough dental examination and dental x-rays to assess the severity of the fracture and any damage to the tooth’s structure that may be hidden from view. Early dental appointments are crucial for preserving oral well-being.

This process is crucial for maintaining optimal oral health.

During the diagnostic evaluation, the dentist typically asks about any symptoms the patient may be experiencing, such as pain while biting, sensitivity to temperature, or swollen gums. Regular dental checkups are essential for identifying these issues early, allowing for prompt treatment and the avoidance of complications.

If a cracked tooth is suspected based on the initial examination, dentists will use several tools to aid in diagnosis, including:

  • X-rays: These are essential for revealing cracks within the tooth that are not visible during a routine examination.
  • Transillumination: This method employs light to help visualize cracks.
  • Diagnosis by exclusion: This involves determining that the source of pain is due to a cracked tooth rather than other dental conditions.

Understanding how cracked tooth diagnosis is performed, especially the significance of x-rays and regular dental visits, is vital for preserving the strength and function of a tooth and preventing more serious issues. Consulting with local practices like Hunt Dentistry can offer personalized insights into dental solutions.

 

What Are the Treatment Options for a Cracked Tooth?

The treatment for a cracked tooth depends on the severity of the crack and can range from simple dental bonding and crowns to more invasive procedures, such as root canals or tooth extraction, if necessary.

Bonding

Dental bonding is a common and effective solution for addressing minor cracks in teeth. This procedure involves applying a tooth-colored resin to restore both the appearance and function of the tooth, ensuring seamless integration with the existing tooth structure. Plus enhancing aesthetic appeal, dental bonding also reinforces the tooth’s strength.

The process typically begins with the slight roughening of the enamel to allow for better adhesion of the composite resin. Addressing enamel damage during bonding is crucial for effective tooth repair.

Next, a conditioning liquid is applied to promote bonding. The dentist then molds the resin to match the natural contour of the tooth and hardens it using a special light.

The benefits of dental bonding are numerous:

  • Cost-effective: Compared to crowns or veneers, dental bonding is a more affordable dental restoration method.
  • Quick procedure: Most bonding can be completed in a single visit.
  • Minimally invasive: Little to no alteration of the tooth structure is required.

However, there are limitations to consider. The longevity of dental bonding may not be as long-lasting as that of other restorative options, and the material can be more susceptible to staining and chipping over time. Therefore, while dental bonding offers immediate aesthetic improvements, patients should carefully evaluate their long-term dental health needs before opting for this treatment.

Crown

A dental crown is used to encase a cracked tooth when the damage is too significant to repair with other treatments. Crowns provide durability and restore both the functionality and comfort of the affected tooth.

Before proceeding with the placement of a crown, dentists will assess the extent of the damage and determine the most appropriate course of action. After properly preparing the tooth to accommodate the crown, the dentist places the crown over the remaining tooth structure.

Dental crowns can be made from various materials, including porcelain, metal, and resin. Porcelain crowns closely match the natural color of teeth and are ideal for use on front teeth. In contrast, metal crowns offer high strength and durability, making them suitable for molars that endure significant chewing forces. Resin crowns are typically less expensive but are more susceptible to wear over time.

The benefits of dental crowns extend beyond aesthetics; they also help prevent further decay, distribute bite forces evenly, and enhance overall comfort in the mouth. By restoring the appearance of the tooth, crowns play a crucial role in maintaining overall oral health.

Root Canal

If a crack in a tooth has reached the pulp, a root canal may be performed to remove any damaged or infected tissue and alleviate discomfort. Typically, the tooth is then restored with a crown or filling. When a tooth crack involves the nerve inside the tooth, it can cause significant pain and may lead to infection. The primary goal of root canal therapy is to save the tooth and restore its function. This procedure not only relieves pain but also prevents complications that can arise from untreated tooth infections.

The procedure involves several essential steps:

  • Diagnosis: A dentist will evaluate the symptoms and may use X-rays to assess the extent of the damage.
  • Treatment: The process begins with numbing the area, after which the damaged pulp is removed.
  • Sealing: The area is thoroughly cleaned and sealed, creating a barrier against bacteria.
  • Restoration: Finally, a crown or filling is placed to restore the tooth’s original shape and appearance.

Each of these steps is crucial to ensure the tooth remains healthy and lasts as long as possible, which is why it is important to address damaged teeth promptly.

Extraction

In cases where a tooth is irreversibly damaged or causes excessive toothache, extraction may be the only viable option.

Following the extraction, it is crucial to seek further dental care to maintain oral health and explore replacement options, such as dental implants. Tooth extraction is typically performed when a tooth is damaged beyond repair due to excessive decay, trauma, infection, or other issues that compromise its stability. When a dentist determines that extraction is necessary, they will conduct an examination, which may include X-rays of the affected tooth or teeth.

The extraction procedure itself is generally straightforward. The area surrounding the tooth will be numbed, and the damaged tooth is usually removed shortly thereafter. For more complex extractions that require surgical intervention, the patient may be sedated for the duration of the procedure.

In the days and weeks following a tooth extraction, the following steps are generally recommended to aid in recovery:

  • Avoid hard foods for at least a few days after the extraction.
  • Apply a cold compress to the area for a few minutes at a time to reduce inflammation.
  • Take pain relief medications as prescribed or as needed for any discomfort.

It is also important to maintain proper oral hygiene by gently brushing the teeth around the extraction site and rinsing regularly with saline solutions to keep the area clean.

Follow-up visits to the dentist for in-person examinations are recommended to monitor the extraction site and discuss long-term replacement options if necessary, such as dental implants or dental bridges.

An artificial tooth can be used to fill the gap left by the missing tooth, with dental implants being one of the most common solutions. Alternatively, dental bridges offer a more traditional method of tooth replacement, where a false tooth or teeth are anchored onto the remaining healthy teeth.

By understanding the extraction procedure and post-operative care options available, patients can ensure long-term dental health, whether they choose to pursue additional dental work or not.

 

Why Is Early Evaluation Important for a Cracked Tooth?

Early evaluation helps manage gum swelling and prevent further complications.

Prompt evaluation of a cracked tooth is crucial to prevent further complications that may result from delayed treatment. Early dental assessments enable more effective and less invasive treatment options, ultimately helping to preserve your overall oral health.

Prevents Further Damage

Addressing a cracked tooth promptly is essential to prevent it from worsening and affecting surrounding structures, thereby reducing the risk of more serious issues that could impact overall oral health. Regular dental checkups play a critical role in this regard, as they allow for early evaluation and treatment, both of which are vital for tooth longevity.

Early evaluation helps prevent complications; when problems are identified early, they can often be treated before they worsen or even reversed altogether. This is particularly relevant for issues like tooth cracking and decay. If cracks are left unnoticed, undiagnosed, or untreated during routine checkups, complications such as pulp exposure are more likely to occur.

During routine dental visits, dentists can detect issues that the average person may not notice and provide personalized care and guidance tailored to an individual’s unique oral health needs. Additionally, proactive oral care practices—such as regular brushing and flossing, along with healthy dietary choices—further enhance the success of these evaluations.

By recognizing the importance of both regular assessments and good hygiene, patients can position themselves to maintain their oral health and avoid more severe complications in the future.

Minimizes Pain and Discomfort

Seeking early evaluation for a cracked tooth can significantly reduce pain and discomfort, ensuring that patients do not have to endure tooth pain for extended periods while waiting for treatment. Prolonged discomfort can heighten anxiety and diminish overall dental comfort.

By pursuing early intervention, individuals can alleviate their short-term dental discomfort and enhance the likelihood of receiving a comprehensive assessment of their condition.

Assessment techniques, including digital X-rays, clinical examinations, and reviews of patient history, are vital for accurately diagnosing the issue. These methods enable dental professionals to determine the most effective treatment plan tailored to each individual’s circumstances.

Assessment options for a cracked tooth include the following:

  • Visual Examination
  • Palpation Techniques
  • Radiographic Imaging

On the treatment side, options range from basic tooth bonding and crowns to more advanced procedures such as root canals. These treatments are designed not only to relieve pain but also to enhance the overall patient experience.

Increases Chances of Successful Treatment

Rapid assessment and intervention for a cracked tooth significantly enhance the likelihood of successful treatment outcomes, offering more conservative options instead of emergency measures that cannot restore the tooth to its original functionality.

When patients seek treatment promptly after experiencing pain or noticing damage, the dentist can employ effective techniques to address the issue without resorting to the most invasive procedures.

This often includes options like bonding or crowns, which help preserve a significant portion of the tooth structure. Early intervention can also prevent complications such as infection or further cracking, which may necessitate more invasive treatments later on.

Ultimately, recognizing the signs of a cracked tooth early and seeking help promptly can make a crucial difference in achieving a positive outcome for dental health.

At Hunt Dentistry, we emphasize the importance of early intervention to minimize dental emergencies and ensure dental comfort through personalized care and regular assessments. Incorporating high-quality dental materials, our practice aims to enhance your oral health outcomes significantly.

We are committed to providing exceptional dental services that align with your health needs. Our dental practice focuses on prevention and early evaluation, key components to avoiding complications.

We recommend regular visits and healthy oral hygiene practices to prevent fever or other health issues related to dental neglect.

More About The Author

 

Dr. Taylor Hunt, a proud graduate of the Oregon Health and Science University in Portland, Oregon, further honed her expertise with advanced education at the Birmingham VA Medical Center in Birmingham, Alabama. Today, she leads Hunt Dentistry in Snowflake, AZ, offering a blend of general dentistry, restorative dentistry, and pediatric dentistry, including specialized Botox treatments for TMJ. Boasting over a decade of experience in dental medicine, Dr. Hunt is deeply committed to providing top-tier dental care. Outside the office, she’s an avid fan of Arizona sports and enjoys golf, camping, and exploring the rugged landscapes in her UTV. Learn more about Dr. Hunt by visiting her about page or see her and her team’s latest posts in dental health and adventures in Arizona on Facebook. Call or click to book your appointment today!