Toothache can manifest in numerous ways. It might be sharp, intermittent in nature (occur occasionally), or occur when a person takes food into their mouth. Many people ignore these signs at first because the pain doesn’t feel constant or severe.
These small signs may, however, signal a much larger problem than one imagines, the one we refer to as cracked tooth syndrome. This condition can go undiagnosed until the tooth breaks down more severely into the inner aspects of the tooth. If the tooth has started to resemble cracks, this level of severity may necessitate root canal treatment to save the tooth.
At Clove Dental Riverpark, we see many patients that have been surprised to learn that a small crack can lead to significant issues. Early detection of cracked tooth syndrome helps prevent complications.
What is Cracked Tooth Syndrome?
Cracked tooth syndrome is the presence of a small crack that can develop on a tooth that cannot be seen to the naked eye. The cracks themselves may be very small, but can functionally impact the tooth.
Unlike a completely broken tooth, the presence of a small crack does not necessarily result in immediate injury to the tooth. However, each time someone chews, the compression forces generated by chewing will transfer through the tooth and result in irritation of the tooth’s internal tissues.
Why Cracks Are Hard to Detect
The symptoms of cracked tooth syndrome are often elusive because there may not be clear indicators.
Some potential signs are-
- A crack that is too small to be detected by an X-ray.
- Pain that may only occur during particular movements.
- Not displaying any visible surface damage and may take time before showing signs of injury to the tooth.
Due to these many unknowns about the crack, patients may delay seeing a dentist if they believe their discomfort to be temporary or minor.
Common Causes of Cracked Teeth
Cause 1
Hard food consumption (chewing on ice, hard candy, unpopped popcorn kernels) has been shown to create minute cracks.
Cause 2
Excessive teeth grinding (also referred to as bruxism), particularly while sleeping, subjects the teeth to excessive pressure.
Cause 3
Teeth with a larger filling have been shown to exhibit weaker structures, making them more susceptible to cracking.
Cause 4
Rapid temperature fluctuations (i.e., from consuming hot to cold food) result in creation of enamel stress.
Although these contributing factors may seem insignificant, repeated stress over time can lead to further damage and potentially require a root canal.
Symptoms You Should Not Ignore
Unlike most conditions associated with symptoms of pain recorded continuously, those suffering from cracked tooth syndrome may not experience pain continually; rather, they may experience pain intermittently.
The following symptoms should be noted-
- Sharp pain when biting or chewing.
- Sensitivity to hot or cold foods.
- Pain that comes and goes.
- Discomfort that is hard to pinpoint.
Although some of these signs and symptoms may seem manageable initially, over time the discomfort can worsen dramatically.
Treatment Options Based on Severity
Not every cracked tooth will require the same treatment; the severity of the crack affects the approach.
Minor Cracks
When the crack is shallow, we may suggest a composite resin bonding or crown to protect the tooth.
Moderate Cracks
If the crack has reached deeper layers of the tooth but has not yet affected the pulp, a crown can be used to help prevent any further damage.
Severe Cracks
If the crack has infected the pulp, root canal therapy will be needed prior to placing a crown.
Split Tooth
If the crack extends too far, saving the tooth may not be an option, and extraction may be required.
Can Cracked Teeth Be Prevented?
Though most cracked teeth cannot be prevented, certain steps can be taken to lower the chances of cracking your teeth.
- Avoid chewing hard objects.
- Use a night guard if you grind your teeth.
- Address small issues before they worsen.
Establishing these habits can help keep your teeth intact and avoid future root canal treatment.
Final Thoughts
Cracked tooth syndrome is a silent but severe condition. What may begin as mild discomfort, can develop into a more complicated condition if left unattended.
Knowing the signs of cracking and going for timely treatment can aid in limiting complications. Even though root canal therapy can successfully save a tooth that has been damaged, preventing the need for one is always the best course of action.