CRACKED TOOTH & CRACKED TOOTH SYNDROME
A very common problem with “root canal teeth” and teeth with large fillings.
Toothache due to a crack will start when you chew or put pressure on the tooth, it will get worse as the crack continues to enlarge. The fractured piece may feel loose or actually fall off and an abscess can develop at any time. It’s easy to visualize the mechanics of the problem – picture an ice cube or piece of glass with a crack, every time you apply pressure or tap on top of the ice or glass, the crack will get bigger until the crack goes completely through.
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Pain from a cracked tooth can start as an occasional” twinge” or “zinger” or it can be sudden and severe and continuous from the very start.
Symptoms of a cracked tooth
Not every cracked tooth will produce symptoms. But when it does, common ones include:
- pain when chewing or biting, especially when you release the bite
- sensitivity to heat, cold, or sweetness
- pain that comes and goes, but is rarely continuous
- swelling of the gum around the affected tooth
Treatment of a Cracked Tooth
Treatment depends on the size of the crack, where it’s located, your symptoms, and whether the crack extends into the gum line. Depending on those factors, your dentist may recommend one of the following:
Bonding
In this procedure, your doctor uses a plastic resin to fill the crack, restoring its look and function.
Crown
A dental crown is a prosthetic device usually made of porcelain or ceramic. It fits over the damaged tooth or caps it.
To fit a crown, your dentist first shaves off some enamel from your tooth to make room for the crown in your mouth. They then make an impression of the tooth, pick out a color that matches your teeth, and send the impression off to a dental lab to make the crown.
This process may take a couple of weeks. When the crown returns, your dentist fits and cements it over your cracked tooth.
With advances in technology, some dentists can mill a porcelain crown right in the office and place it that day.
With proper care, a crown can last a lifetime.
Root canal
When a crack is so extensive it extends into the pulp, your dentist, or a specialist such as an oral surgeon or endodontist, will recommend a root canal to remove damaged pulp and restore some integrity to the tooth. This procedure can prevent the tooth from becoming infected or weakening further.
Extraction
When the structure of the tooth, and the nerves and roots that lie below it, are very damaged, removing the tooth maybe your only option.
No treatment
Many people have tiny, hairline cracks in the enamel of their teeth. If these cracks don’t affect appearance and don’t produce pain, your doctor may advise leaving them alone.
Can a cracked tooth heal on its own?
A cracked tooth will not heal on its own. Unlike your bones, which have a lot of blood vessels and are therefore able to repair themselves, tooth enamel does not have any blood supply and is not able to repair itself when damaged. You cannot simply wait for the crack to heal on its own.
Easing Your Pain From a Cracked Tooth until you see a Dentist
While these temporary remedies may not work (or work as you might like them to) in every situation, they may provide you the relief you need to make the time until your appointment more tolerable:
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- Use an over-the-counter (OTC) pain-relief medication like Motrin or Advil (ibuprofen) or Tylenol (acetaminophen). Be sure these are safe to use with any other medications you may be taking. You’ll probably want to avoid aspirin, which can slow blood clotting and cause problems if and when you need a root canal.3
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- Floss between the teeth that are cracked or broken. Removing food particles and plaque, the sticky film that coats the teeth and contains bacteria may reduce pain. Be careful not to poke too deeply around the affected tooth.
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- Use oil of cloves (eugenol), which can be found in most health food stores. A natural anesthetic, it’s been used in dentistry for over a century. Soak a small piece of cotton in the oil, then blot the cotton on a piece of tissue to remove the excess. Hold the cotton on the painful tooth for 10 seconds, making sure you don’t swallow any of the oil.4
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- Try an OTC dental anesthetic like Orajel (benzocaine) or Anbesol (lidocaine), which you can find at most pharmacies.5 Or you can seal the affected tooth with an OTC temporary filling material (Dentemp).
- Sleep with your head elevated. The inflammation of the nerve associated with a cracked tooth is very painful and is often what causes the most uncomfortable pain. Elevating your head when resting may ease some of the pressure in the area of a toothache.
- Rinse with warm salt water two to three times a day. Saltwater works as an antiseptic to remove bacteria from the infected area.
Read more: My Tooth Hurts – What Should I Do?
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Disclaimer:
The information on this website is for information purposes only. Is not a substitute for a proper professional care and advice. Each patient’s outcomes, risks, potential complications, and recovery differ. Any dental procedure, minor or major, carries risks, some minor and some serious. Before and after images seen on our Social Media and website pages are our actual patient and have been published/posted with our patients’ permission. All of our patients photos are subject to Copyrights protection. We are strong believers in responsible aesthetics. Every cosmetic, medical, or dental procedure comes with its own set of risks and benefits. Cosmetic Dentistry results will vary from patient to patient. Call our office and book for an actual in-office consultation for us to assess if you are a good candidate for a particular treatment. All of our Specials and packages posted on this site are subject to terms, conditions and availability. The exact fee for a particular cosmetic procedure will be determined after a preliminary assessment distinguishing your unique personal needs and the type of work needed. The prices mentioned on any of our website as well as any mentioned payment plan by a third party source, are just a guide and is subject to change. Call the third party financing providers or visit their website for more info. Please call the office on 9629-7664 for further queries or clarification.
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