A cracked tooth occurs when a fracture develops in the tooth enamel and possibly extends into the dentin or pulp. This can result in symptoms like pain or discomfort when chewing, sensitivity to temperature changes, or even a sharp pain that comes and goes [1]. 

While some may hope that a cracked tooth might heal naturally, understanding the nature of cracked teeth is crucial in determining the best course of action to maintain oral health.

Types of Tooth Cracks

There are several different types of tooth cracks, including:

• Craze lines. These are superficial cracks in the tooth’s enamel that are often shallow and do not cause pain, and often do not require treatment [2].
• Fractured cusp. Occurs when the pointed part of the chewing surface of the tooth breaks off, and it usually does not harm the pulp.
• Cracked tooth. This type of crack usually extends from the chewing surface toward the root, potentially affecting the pulp.
• Split tooth. This is when a crack has created two distinct segments of the tooth.
• Vertical root fracture. Begins at the root and moves upwards, often causing severe damage.

Since tooth enamel does not regrow, a cracked tooth cannot heal on its own. Regardless of whether you have a fractured cusp or a split tooth, treatment is necessary.

Consequences of Untreated Cracked Teeth

Neglecting a cracked tooth can lead to several complications. The crack can enlarge over time, leading to increased pain, infection, or even loss of the tooth. For deeper cracks, if the pulp becomes infected, it may require more intensive treatment such as root canal therapy.

Treatment Options for Cracked Teeth

A cracked tooth requires professional intervention to prevent tooth infection, decay, and tooth loss. The type of treatment varies based on the severity and type of crack:

• Dental bonding. Minor cracks can often be repaired with a tooth-colored composite resin, similar to that used in fillings [3].
• Dental crowns. For more substantial cracks, a crown might be used to provide strength and protection to the tooth.
• Root canal therapy. If a crack affects the pulp, a root canal might be necessary to remove infected tissue and save the tooth.
• Extraction. In cases where the tooth is severely cracked and cannot be saved, extraction might be the only viable option.

Do You Have a Cracked Tooth?

If you suspect that you have a cracked tooth or are experiencing any discomfort, it’s crucial to consult with a dentist as soon as possible. Early intervention can prevent further complications and help maintain optimal oral health. Schedule an appointment with your dentist today to discuss your symptoms and explore your treatment options.

Sources:

1. https://www.aae.org/patients/dental-symptoms/cracked-teeth/
2. https://pmc.ncbi.nlm.nih.gov/articles/PMC8694987/
3. https://jada.ada.org/article/S0002-8177(14)64128-3/fulltext 

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Whether or not you require urgent care for your smile all depends on the symptoms you’re having as well as whether or not you feel you can wait. Let’s review some common dental problems and whether or not they require professional care as soon as possible.

Severe Pain, Bleeding, or Swelling Shouldn’t Wait

If you’re experiencing excruciating pain or have significant bleeding or swelling in your oral cavity, you shouldn’t wait to seek emergency dental care. Any of these symptoms could be detrimental to your health, and could even be indicative of a potentially life threatening infection.

When you need attention as soon as possible for your smile, it’s best to go to a dental practice if you’re able to. Many dental emergencies can be promptly and accurately handled by a dental office rather than going to the emergency room at a hospital [1].

Fallen Out Restorations, Chipped Teeth May Be Able to Wait

There are some instances where a dental problem requiring professional care can wait. Some people who have fallen-out dental restorations such as fillings or dental bridges can wait until the next available appointment or the next day to get care.

Depending on the level of discomfort and the severity of the problem, some dental injuries such as chipped teeth may also be able to wait. However, if you have a knocked-out tooth or a severely chipped or cracked tooth, it’s best to get in to see your dentist as soon as possible [2].

Jaw fractures and tooth infections should also never wait to be seen!

When in Doubt, Always Call Your Dentist

If you’re having any pain, discomfort, swelling, or bleeding in your oral cavity and aren’t sure if the problem can wait, call your dentist. They can review your symptoms and let you know if they think you should be seen immediately or if you can wait.

For many people, only they know whether or not they need emergency attention. Some people feel their discomfort can wait a day or two, while others feel that they need to be seen as soon as possible. Your dentist can make a recommendation based on your symptoms—and most dentists offer emergency hours or services so they can get you in to be seen immediately!

Don’t Wait to Seek Treatment for a Dental Emergency!

Whether or not you feel you have a dental emergency that can wait, don’t hold off too long to get your smile seen. Even if you need to go to the emergency room, never wait to get severe pain, bleeding, or swelling addressed. Call your dentist if you have any questions about a dental emergency!

Sources:
1.https://www.ada.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_08
2. https://www.mouthhealthy.org/en/dental-care-concerns/dental-emergencies

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