Cracked Teeth & Extractions
Oral trauma or injuries to the mouth can be frightening. In most cases, they are also unexpected. Cracked teeth are quite common and can cause serious damage to the teeth. Cracked teeth can also impact a patient's smile when the affected tooth is toward the front of the mouth and visible when smiling. Depending on the severity of the damage, a cracked tooth can result in pain, sensitivity, and also cause long-term damage to the tooth.
A common question patients have regarding a cracked tooth is if it needs to be extracted. There is not an easy answer to this question. Dentists will work diligently to avoid extraction, but the tooth may need to be removed in cases of significant damage. Unfortunately, severe cracks may damage the tooth beyond repair.
The ideal treatment will vary based on the location and severity of the crack. The dentist will need to evaluate the tooth and extent of the damage in order to recommend the best plan solution. Dentists will not suggest extracting a cracked tooth without first examining the patient’s mouth and understanding the amount of damage.
Patients who have a cracked tooth are likely to experience increased sensitivity of the tooth. Another symptom commonly associated with a crack is throbbing pain, which may be triggered by chewing. The patient may also have more prominent sensitivity when the tooth is exposed to hot or cold things. Patients with sensitivity or pain which does not improve over time should follow up with the dentist right away to discuss the cause.
During the dental visit, the dentist will likely complete the following steps to determine the cause of the issues:
1. Examine the teeth and mouth to understand the patient’s oral health. The dentist will review the patient’s medical history and any other medical conditions.
2. Identify and evaluate the cracked tooth to determine the severity of the issue
3. Evaluate if the tooth has any signs of decay, an x-ray may also be ordered for improved visibility
4. Assess the mouth for any signs of infection or gum disease
Prior to discussing any treatment options, the dentist must complete a thorough examination and the steps above in order to have a full understanding of the patient’s oral health. A complete examination also aids in determining the ideal treatment for a cracked tooth.
Below is a summary of common treatments used to restore a cracked tooth.
Crown
A dental crown is an effective solution for restoring the appearance and function of a cracked tooth. The crown is placed over the damaged tooth and functions just like the natural teeth. Crowns can last for many years when they are properly cared for.
Root Canal
In cases of more severe cracks, the dentist may recommend a root canal. This is a good solution which can be used to preserve a damaged tooth. Root canals are an effective treatment which can preserve the tooth and help avoid an extraction. During treatment, the dental professional will treat and remove infection of the tooth. The tooth will then be cleaned and sealed to prevent further decay. A crown is often placed to protect the tooth and restore its function.
Extraction
Cracks which are severe and split the tooth into two pieces or extend into the root, often require extraction of the tooth. Extraction may also be necessary for patients who have advanced gum disease. Following the removal of the tooth and healing of the mouth, patients can discuss tooth-replacement options.
Cracked teeth should be treated in a timely manner to prevent further damage. Patients who think they may have a cracked tooth should follow up with their dentist immediately.