Cracked teeth demonstrate many types of symptoms, including pain when chewing, temperature sensitivities, or even the release of biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort.
Chewing can cause movement of the cracked pieces of your tooth, and the pulp within the tooth becomes irritated. At the same time, when biting pressure is released, the crack can close quickly, resulting in sharp pain. Eventually, the pulp will become damaged and tooth will consistently hurt, even when you are not chewing. It is possible that cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the problematic tooth.
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Types of Cracks
These are tiny cracks that only affect the outer enamel of the tooth. These cracks are more common in adults. These types of cracks are superficial and are usually of no concern.
When a cusp becomes weakened, a fracture may result. The cusp may break off or be removed by a dentist. A fractured cusp rarely damages the pulp, so root canal is not necessary. Your dentist will usually restore the tooth with a full crown.
This type of crack extends from the chewing surface of the tooth and vertically migrates towards the root. In some cases, the crack may extend below the gum line. It is possible for the crack to extend further into the root. Damage to the pulp is commonplace. In this case, root canal treatment is usually necessary. A cracked tooth that is not treated will worsen, resulting in the loss of the tooth. Therefore, early detection is essential.
A split tooth is usually the result of an untreated cracked tooth. It can be identified by a crack with distinct segments. This type of tooth can never be saved intact. Yet, the position and extent of the problem will dictate whether any portion of the tooth can be saved. Sometimes, endodontic retreatment by the doctors and restoration by your dentist can be used to save a portion of the tooth.
Vertical Root Fracture
A vertical root fracture begins at the root and extends towards the chewing surface of the tooth. Unfortunately, they show minimal symptoms and may go unnoticed. Treatment involves endodontic surgery if a portion of the tooth can be saved by removal of the fractured root. Otherwise the tooth will have to be extracted.
Advanced Endodontic Associates, PA
Patient Review By Joette D
I was referred to Dr. Ira Zohn by my dentist. Dr. Zohn was thorough, patient, kind, and informative . He examined my teeth and after considering and discussing each possibility, he advised me to wait and not to have the root canal at the present time. He is a gentleman and a true professional. I appreciate his honesty and care. I will definitely be going back when necessary. My heartfelt thanks to Dr. Zohn and his staff. This office is extraordinary!
- Joette D
Patient Review By Emanuel C
I had to have a root canal on my back molar. Gina and Deana were wonderful and made me feel very comfortable. Dr. Apolito was Amazing! My treatment was painless, thank you very much Dr. Apolito!
- Emanuel C
Patient Review By Ellen G
I was very nervous coming into the office for my procedure. I had only had one other root canal, and it was a complete disaster (done by another doctor). The staff was very warm and friendly and explained everything prior to it happening. Dr. Apolito walked into the room and immediately put me at ease. It was clear he had done a few of these, and told me exactly what to expect and what I would feel. He was on point! Once the Novocain took effect, I felt nothing! As much of a mess as the first root canal was, that was as good as this one was. I was slightly sore for a few hours, and then it was like it had never been done. I would HIGHLY recommend Dr. Apolito and his staff to anyone and everyone!
- Ellen G
Patient Review By Laura C
Wonderful experience! I was a nervous wreck for my first root canal! Dr Ostrometskaya was amazing! From the front desk, to the office manager (my friend Doreen!), to the Dr and her assistant Chelsea, every one was beyond nice and very reassuring that it would be quick and painless! I was so surprised at how quickly it was done (about 15 minutes)! I would highly recommend anyone needing an Endodontist to go here!
- Laura C
Patient Review By Brooke K
Due to a situation at my regular dentist during a root canal, a piece of the "pin" for lack of terminology, was stuck in my root. Also, this was the third time he was trying to do the root canal and clearly he was not the man for the job. My dentist called for me being it was an emergency and right away I was in. I drove to the Ocean office and the office staff kindly greeted me and helped with my insurance information. It was not long that I was seen even though I did not have an appointment and was being seen as an emergency case. The lovely dental assistant (please forgive me I do not remember her name, I was a little stressed out) took the time to listen to me and was even able to reassure me I was now in good hands. She used a special scanner to see what was going on with this tooth and knew right away what had happened. Dr. Ostrometskaya then came in and realized I was upset and nervous and took the time to reassure me that this is what they do. Root canals. And darn were they good. They got right to business. The numbing worked (at my dental office he had tried this procedure theee times and each time he was unable to numb me all the way and yikes did that hurt beyond belief). But not here. I was probably numbed and material was used to specifically home in on the one tooth. The Dr. set to work and she emulated poise, confidence, and knowledge of what needed to be done. And she did it. And I was not in pain! The office even provided a print out for after care and a follow up appointment must occur due to the nature of the tooth and they even accommodated me as my insurance is running out this month. What a team. What a fantastic experience. So professional and yet compassionate. I am so happy my dentist called and I was able to experience the first time since this disaster of a procedure started a feeling that all will be well with this tooth. Thank you to Dr. Ostrometskaya team. I so appreciate it!!!!
- Brooke K
Patient Review By Cheryl C
I have to say I was extremely impressed with Dr. Antonett Thai & her assistant Lauren! Lauren & I enjoyed some laughs together before Dr. Thai came in which really put me at ease. I went to the office for a scan & ended up having a root canal that very same day. It was so smooth & Dr. Thai was so caring, considerate, & gentle. The 2 of them worked together so efficiently & proficiently I was very impressed! And it was totally painless! Even the next day I didn't need Tylenol! I can't recommend Dr. Thai highly enough & if I ever need any other work done I'll definitely go back to her!
- Cheryl C
Patient Review By Jill M
I am so happy with my experience, Dr Thai was so nice and gentle. I was made comfortable, and felt relief Immediately. I would highly recommend Dr Thai
- Jill M
Patient Review By Dave B
I had an hot tooth that needed a root canal and I couldn't get an appointment with my Endodontist but she recommended Advanced. I was leaving in on vacation in 2 days and Advanced fit me in the same day. I arrived on time and was seen right away. Tina the dental tech was great, as was Dr. Apolito. They answered all my questions, showed me the x-rays and explained what they would be doing. The procedure was quick and painless - I was in and out in 50 minutes. The staff are all friendly and helpful and I highly recommend Advanced Endodontics to anyone who needs and Endodontist.
- Dave B
Patient Review By Isabella B
I saw Dr. Apolito twice for re-treatment procedures, once in 2017 and again on May 24, 2021. Dr. Apolito and his assistants worked well together and demonstrated professionalism, while being friendly and considerate. The woman at the reception desk were also friendly and kind, especially Sue. Many thanks to Dr. Apolito and his staff. Best regards.
- Isabella B
Patient Review By Dini L
I was referred to DR Zohn by a couple of people but was so impressed by his knowledge confidence and amazing hands in treating my intense pain of my old root canal done by a diff dentist that needed to have a part redone He really has a calming professional personality and it made my experience so great . I would recommend him to all who needs work done
- Dini L