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Cracked Tooth Treatment

Expert diagnosis and treatment for cracked and fractured teeth. Emergency appointments available for severe cases.

Understanding Cracked Teeth

Cracked teeth are a common dental problem that can range from minor cosmetic issues to serious conditions requiring immediate treatment. Early detection and proper treatment are crucial for saving the tooth.

Different types of tooth cracks and fractures requiring endodontic treatment

Why Cracks Develop

Teeth can crack for various reasons, from everyday wear and tear to sudden trauma. Understanding the causes can help prevent future cracks and protect your oral health.

Chewing on hard objects (ice, pencils, nuts)
Grinding or clenching teeth (bruxism)
Large fillings that weaken tooth structure
Age-related wear and tear
Sudden temperature changes in the mouth
Trauma from accidents or sports injuries

Types of Tooth Cracks Explained

Watch this educational video to learn about the different types of tooth cracks and their treatments.

Types of Tooth Cracks

Different types of cracks require different treatments. Understanding the severity helps determine the best approach.

Craze Lines - dental crack type showing mild damage
Mild

Craze Lines

Tiny cracks in the outer enamel that are usually harmless and don't require treatment. These superficial lines are common in adult teeth.

Treatment:

Usually no treatment needed, monitoring only

Fractured Cusp - dental crack type showing moderate damage
Moderate

Fractured Cusp

When a piece of the tooth's chewing surface breaks off, usually around a filling. Often occurs in teeth with large fillings.

Treatment:

Crown or onlay to restore function; root canal if crack reaches nerve or symptomatic (pain, sensitivity to temperature, chewing discomfort); extraction if severely damaged

Cracked Tooth - dental crack type showing serious damage
Serious

Cracked Tooth

A crack that extends from the chewing surface toward the root, potentially requiring root canal therapy for complete treatment.

Treatment:

Root canal therapy and crown; extraction if crack extends below gum line

Split Tooth - dental crack type showing severe damage
Severe

Split Tooth

A crack that has progressed to separate the tooth into distinct segments. Often results from untreated cracked tooth.

Treatment:

Extraction and replacement usually required

Vertical Root Fracture - dental crack type showing critical damage
Critical

Vertical Root Fracture

Cracks that begin in the root and extend toward the chewing surface. Often occur in teeth that have had root canal treatment.

Treatment:

Usually extraction required

Understanding Cracked Tooth Treatment

The extent of the crack determines whether a tooth can be saved or requires extraction. Early detection is crucial for preserving the tooth.

Cracked tooth comparison showing treatable vs non-treatable cracks

Cracked Tooth Treatment Options

A cracked tooth denotes a crack that extends vertically from the chewing surface of the tooth towards the root. Although the tooth remains in one piece, the crack may gradually progress. Early detection is crucial for preserving the tooth.

Treatable Cracks

If the crack has reached the pulp or if the tooth is symptomatic (pain, discomfort, sensitivity to cold/hot, etc.), the tooth can usually be treated with a root canal, post and crown procedures to prevent the crack from spreading.

Non-treatable Cracks

However, if the crack extends below the gum line, it becomes irreparable, rendering the tooth unsalvageable and requiring extraction, grafting, and a dental implant placed (a dental bridge is sometimes an option as well).

Important: Early detection and treatment are very important. An untreated cracked tooth can deteriorate rapidly, ultimately leading to tooth loss and possibly surrounding bone loss. Timely diagnosis and intervention play a pivotal role in saving a cracked tooth.

Signs of a Cracked Tooth

Cracked teeth can be difficult to diagnose because symptoms may come and go. Watch for these warning signs.

Common Symptoms

Sharp pain when biting down or chewing
Sensitivity to hot, cold, or sweet foods
Pain that comes and goes intermittently
Discomfort when releasing bite pressure
Swelling of the gum around the affected tooth
Difficulty pinpointing which tooth hurts

When to Seek Emergency Care

Some cracked tooth situations require immediate attention to prevent further damage and save the tooth.

Severe, constant pain that doesn't respond to pain medication
Visible crack or piece of tooth that has broken off
Swelling in the gums or face around the affected tooth
Emergency Line: (425) 697-9777

Treatment Options for Cracked Teeth

Treatment depends on the type, location, and severity of the crack. Early treatment provides the best outcomes.

Bonding or Crown

For minor cracks, dental bonding or a crown can protect and restore the tooth.

Root Canal Therapy

If tooth is symptomatic and causes pain, discomfort, chewing discomfort, pressure, temperature sensitivity or the nerve is exposed, then root canal treatment can be attempted to save the tooth.

Extraction & Replacement

Severely cracked teeth may need extraction and replacement with an implant or bridge; or no replacement.

Early Detection is Key

The sooner a cracked tooth is diagnosed and treated, the better the chance of saving it. Don't wait if you suspect you have a cracked tooth.

Don't Let a Crack Become a Crisis

Early treatment of cracked teeth can save your tooth and prevent more extensive procedures. Contact us today for expert evaluation and treatment.

Serving the Greater Seattle Area

Expert cracked tooth repair and dental trauma treatment for patients throughout the Eastside communities. Emergency appointments available.

Areas We Serve

Issaquah
Sammamish
Bellevue
Redmond
Newcastle
Renton
Mercer Island
Kirkland
Bothell
Woodinville
Preston
Carnation
Fall City
North Bend
Snoqualmie
Hobart
Covington
Roslyn
Cle Elum
Maple Valley
Black Diamond
Tukwila
Kent
SeaTac
Seattle

Don't see your city listed? We welcome patients from throughout the greater Seattle area. Call us to discuss your cracked tooth treatment needs.