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Cracked Tooth Syndrome: Understanding, Treatment, and Prevention


Cracked tooth


At Crown Isle Dental, we often encounter patients with Cracked Tooth Syndrome, a condition that might seem complex at first. Given the intricate nature of this syndrome, it's common for patients to seek clarity about the details provided during their visit. This guide aims to demystify Cracked Tooth Syndrome, addressing common questions and concerns.


What Causes Teeth to Crack?

Cracked Tooth Syndrome frequently affects teeth that have undergone significant filling. Decay and the subsequent filling process weaken the tooth's structure, making it susceptible to stress fatigue. Over time, the repetitive force from biting can cause a hairline fracture, typically originating at a filled cavity's bottom corner. Psychological stress can exacerbate the situation, leading to nocturnal teeth grinding.


Does Grinding Worsen the Condition?

Yes. Grinding is a prevalent habit, often triggered by stress, that significantly increases the strain on your teeth, particularly the premolars and molars. This can lead to further cracking, especially if protective mechanisms are worn down. Solutions such as crowns combined with the nightguards can help protect your teeth from additional damage.


Why Is Biting Painful?

The microscopic flexing of the tooth stimulates the nerve through fluid-filled tubules in the dentine. This movement causes a pumping action that irritates the nerve, resulting in pain when biting.


Sensitivity to Hot and Cold?

This is a classic sign of nerve inflammation, aggravated by the crack and bacterial infiltration, leading to heightened sensitivity to temperature changes.


Consequences of Ignoring the Syndrome?

Leaving Cracked Tooth Syndrome untreated often results in the gradual worsening of the condition, potentially leading to root canal treatment or tooth extraction. The crack may deepen over time, causing persistent pain and possibly leading to an abscess.


Effective Treatment Options?

The most reliable solution involves immobilizing the crack with a crown, which distributes chewing forces evenly across the tooth, preventing further damage.


Additional Benefits of a Crown?

A full crown seals the tooth, protecting against bacterial leakage and further microcracks, ensuring the longevity of your dental health.


Can Recovery of the Nerve Be Guaranteed?

No treatment can guarantee nerve recovery, with about 10% of treated teeth still experiencing nerve death. Early intervention is crucial to minimize damage and bacterial invasion.


What If the Nerve Doesn't Recover?

In such cases, Root Canal Therapy (RCT) or Endodontic Therapy becomes necessary to remove the dead nerve tissue and seal the tooth.


Could My Tooth's Nerve Already Be Dead?

It's possible for nerves to die unnoticed, often due to gradual bacterial invasion. Regular dental check-ups can help identify such issues early.


Is It Safe to Leave a Dead Nerve Untreated?

Ignoring a tooth with a dead nerve can lead to sudden and severe dental emergencies. Prompt treatment is advisable to prevent further complications.


Is a Crown Still Necessary for a Dead Nerve?

Absolutely. A crown is even more critical for teeth with dead nerves to prevent the spread of existing cracks and avoid tooth extraction.


Success Rate of Root Canal Therapy?

While Root Canal Therapy is highly successful, the presence of a crack can complicate recovery, sometimes necessitating tooth extraction.

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At Crown Isle Dental, we're committed to offering comprehensive care to ensure your dental health remains in optimal condition. For more information or to schedule a consultation, call us at 250-338-2599.

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