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What is Cracked Tooth Syndrome?

November 20, 2013

As the name implies, cracked tooth syndrome is when your tooth has a crack or fracture that extends into the dentin of your tooth. Sometimes the crack can reach the pulp of your tooth, which may result in pain.



Causes

There can be many causes for a fractured tooth. Some include: grinding, chewing on hard food (ice, popcorn kernels, hard candy,) and injury. A large change in mouth temperature may also cause your teeth to crack, such as eating hot soup and then drinking cold water right afterward. Teeth that have large restorations may be susceptible to fracture as the restoration weakens the tooth structure. These are some of the most common causes, but there are others.


As the causes of cracked tooth syndrome are so varied, it is hard to prevent. However, there are some measures you can take to help prevent cracked teeth. If you are a heavy grinder, wearing a nightguard or NTI can help reduce pressure and reduce the risk of fracturing a tooth – especially if you have restorations on your teeth. Avoid chewing on hard foods. Cracking nuts and opening items with your teeth should be avoided as well.


Diagnosis

Fractured teeth can be difficult to diagnose. They do not show up on x-rays and are sometimes difficult to see during a visual exam. Cracks that extend through the enamel and reach into the dentin and pulp may cause intermittent pain when you chew or bite. You may also experience sensitivity to hot and cold. If the fracture is only in the enamel, you may not experience any symptoms.

If you believe that you have a cracked tooth, you should schedule an appointment with your dentist. As there are many different causes of tooth pain, our Evanston dentists are able to take x-rays and test your teeth to determine the cause of your pain. Although cracked teeth do not show up on x-rays, if there is another cause, such as decay or an abscess; it may appear on an x-ray.


Treatment

Treating cracked tooth syndrome depends on the severity of the fracture. If the crack is small and doesn’t reach all the way to the gum line, our Evanston dentists will most likely recommend a large onlay. If the crack is larger, they may recommend a crown. In either case, the onlay or crown helps stabilize the tooth and may address the issue.


As there is no way to tell how far a crack reaches into a tooth, the crown or onlay may not solve the issue. If you are still experiencing pain after you have a crown placed, then the next option would be to have root canal therapy. In this case, the crack has most likely reached into the pulp of the tooth or far below the gum line. In some cases, during your root canal therapy, the endodontist may discover that the crack reaches all the way through the root of your tooth. If this is the case, then the tooth should be extracted. After extraction there are several different options to replace your tooth – including implants or a bridge.


Diagnosing a cracked tooth may be difficult, but this is even more of a reason to get your tooth fixed as soon as possible. A tooth that is treated early has a better chance of survival. By the time you feel pain, it may be too late to save your tooth. If you are in pain, contact our Evanston dentist office so that our dentists can help.

February 4, 2025
Preventative dental care is a proactive approach to maintaining oral health by preventing diseases and addressing potential issues before they become serious. It involves regular dental check-ups, cleanings, and other preventive measures that help keep teeth and gums healthy. This form of care is essential as it allows for early detection of dental problems, which can prevent more severe conditions such as gum disease and tooth decay. Regular check-ups can identify issues like cavities, misalignment, and oral cancer at an early stage, making them easier and less costly to treat. The economic benefits of preventative dental care are significant. By addressing issues early, patients can avoid expensive treatments in the future. A study published by the American Dental Association highlights that investing in preventative care can lead to substantial cost savings over time. Routine Cleanings: A Cornerstone of Oral Health Routine dental cleanings are vital for removing plaque and tartar buildup that cannot be eliminated by regular brushing and flossing alone. These cleanings play a crucial role in preventing gum disease and tooth decay. During a cleaning, dental hygienists use specialized tools to clean areas that are difficult to reach with a toothbrush, ensuring a thorough cleanse of the oral cavity. Dental professionals generally recommend that individuals have their teeth cleaned every six months, although this frequency may vary based on individual needs and risk factors. According to Dr. Marcos Montoya of Stephens Dentistry, "Regular cleanings are an essential part of maintaining oral health. They help prevent serious dental issues and keep your smile bright and healthy." The Role of Sealants and Fluoride Treatments Dental sealants and fluoride treatments are effective preventative measures that protect teeth from decay. Sealants are thin, protective coatings applied to the chewing surfaces of the back teeth, where decay often starts. They act as a barrier, preventing food particles and bacteria from settling into the grooves of the teeth. Fluoride treatments involve the application of fluoride to the teeth to strengthen enamel and make it more resistant to decay. These treatments are beneficial for both children and adults, particularly those with a higher risk of cavities. According to the Centers for Disease Control and Prevention , fluoride is highly effective in preventing cavities. Tips for Maintaining Oral Hygiene at Home Maintaining oral hygiene at home is crucial for overall dental health. Daily practices such as brushing twice a day and flossing once a day are fundamental. Using tools like electric toothbrushes and water flossers can enhance cleaning by reaching areas that traditional brushes might miss. A balanced diet also plays a significant role in supporting oral health. Foods rich in calcium and phosphorus, such as dairy products and leafy greens, help strengthen teeth. Conversely, limiting sugar intake and avoiding smoking can prevent decay and gum disease. Lifestyle habits have a profound impact on oral health. Smoking and excessive sugar consumption can lead to serious dental issues, including cavities and periodontal disease. By adopting healthy habits, individuals can significantly reduce their risk of dental problems. Common Misconceptions About Dental Prevention Several misconceptions surround dental prevention. One common myth is that only sugary foods cause cavities. While sugar is a major contributor, acidic foods and poor oral hygiene can also lead to decay. Another misconception is that dental visits are unnecessary if there is no pain or visible issue. Regular check-ups are essential for detecting hidden problems that may not yet cause discomfort. Some individuals believe that home remedies can replace professional treatments. While good home care is important, it cannot substitute for professional dental services. Personalized advice from dental professionals is crucial, as they can provide tailored recommendations based on individual needs. The Local Perspective: Dental Care in Evanston and Surrounding Areas In Evanston and surrounding areas like Skokie, Highland Park, Wilmette, and Winnetka, local dental practices emphasize the importance of preventative care . Stephens Dentistry , a prominent practice in the region, has been committed to patient-focused care since 1959, offering a range of services that prioritize prevention. Community initiatives and local programs often promote dental health awareness, encouraging residents to prioritize their oral health. Cultural attitudes towards dental care in these areas reflect a growing recognition of the importance of prevention, with many individuals actively seeking regular dental services. Access to dental care facilities in Evanston and its neighboring regions is generally good, with practices like Stephens Dentistry providing comprehensive services to ensure the community receives the care it needs. By focusing on prevention, these practices help residents maintain healthy smiles and avoid costly treatments in the future.
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