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What is Cracked Tooth Syndrome?

Cracked tooth syndrome is a dental condition characterized by a small crack in a tooth, typically not visible on X-rays.

This crack can cause intermittent pain when chewing, especially with certain foods or temperatures. The symptoms may include sensitivity to hot or cold substances. Treatment varies based on the severity of the crack and may involve dental procedures such as crowns, bonding, or root canal therapy. 

If you experience symptoms of a cracked tooth, it’s crucial to book a consultation appointment to evaluation your teeth for appropriate diagnosis and care.

What are the causes of a cracked tooth?

Cracked teeth can result from various factors, including:

1. Chewing on hard objects: Biting down on hard substances like ice, nuts, or unpopped popcorn kernels can lead to cracks.

2. Teeth grinding (bruxism): Habitual grinding or clenching of teeth, often during sleep, can weaken tooth structure and contribute to cracks.

3. Trauma: Accidents, falls, or injuries to the face can cause cracks in teeth.

4. Temperature changes: Rapid temperature variations, such as consuming hot and cold foods or drinks in quick succession, can stress teeth and lead to cracks.

5. Large fillings: Teeth with extensive dental fillings may be more prone to cracking, especially if the filling is disproportionate to the tooth’s remaining structure.

6. Age-related wear: Aging can cause natural wear and tear on teeth, increasing the risk of cracks over time.

How can we treat a cracked tooth?

The treatment for a cracked tooth depends on the extent and the location of the crack.  However, this is one of the hardest treatments to prescribe in dentistry because the depth of a crack cannot be determined very accurately.  At times the simplest options for treatments are used first and if symptoms proceed we move down the treatment pathway. 

Common approaches depending on severity include:

1. Doing nothing and Monitoring:  Some small cracks may not require immediate intervention but need regular monitoring by a dentist to ensure they don’t worsen over time.

2. Dental bonding:  For minor cracks, composite resin bonding may be applied to repair the tooth and restore its appearance.

3. Dental onlays or crowns: If the crack is more extensive, a dental onlay or crown (cap) may be recommended to cover and protect the damaged tooth, restoring its strength and function.

4. Root canal treatment: If the crack extends into the pulp (inner part of the tooth containing nerves and blood vessels), a root canal procedure may be necessary to remove the damaged pulp and seal the tooth.

5. Extraction: In severe cases where the crack is extensive and cannot be effectively treated, tooth extraction may be considered, followed by replacement options like dental implants or bridges.

It’s crucial to see me for a proper diagnosis and to determine the most suitable treatment based on the specific characteristics of the cracked tooth. Early intervention is key to preventing further complications.

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