Cracked Teeth

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

A depiction of craze lines on teeth

Craze lines

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.

A 3D model of a tooth with a fractured cuspFractured Cusp

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.

A 3D model of a cracked toothCracked Tooth

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 3D model of a split toothSplit Tooth

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.

A 3D model of a tooth with a vertical root fractureVertical 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

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Patient Review By Rene H

Dr. Apolito took care of my abscess and root canal in a quick, painless manner. He was very reassuring and confident that he would be able to take care of it in one visit. The recovery was quick with very little discomfort. The office staff was pleasant and accommodating. I would highly recommend this office and Dr. Apolito.

- Rene H

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Patient Review By Alison M

Had an appointment, but when tooth started bothering me they got me in that day. Everyone is extremely nice. Doctor was awesome. For someone with high anxiety, this went so well and was completely painless.

- Alison M

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Patient Review By Fred Nolte

Dr. Ostrometskaya and her assistant made my visit very comfortable. Kept me appraised on each step of the procedure as we went along. I experienced no pain whatsoever!! Her work is nothing but completely professional. Would have no problem recommending her for procedures. The reception staff is polite and very comforting. They are very nice and pleasant ladies. I thank you all very much!

- Fred Nolte

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Patient Review By Alicia C

Dr. Apolito's confidence in correcting my root canal issue put me immediately at ease, and thus I gladly moved forward with excitement of soon being pain free. Being treated by a knowledgeable Dr., as well as a professional staff, provided me with a wonderful experience. My great appreciation and thanks to Advanced Endodontics, I've never felt better and I highly recommend!!

- Alicia C

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Patient Review By Karen K

Dr. O was very professional and concerned about how I was during my procedure and told me what she was doing and how I might feel afterwards. The receptionist (at this moment) I cannot think of her name was very friendly and nice during check in and out.

- Karen K

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Patient Review By Jamie B

Dr Zohn, his dental assistant and entire office team were an absolute dream. I called the office this morning in an absolute panic as I was experiencing the worst pain of my life. Jessica was so helpful in getting me on the schedule. I am the WORST dental patient as I am extremely anxious. Dr Zohn was absolutely amazing. He was patient, gentle and so so compassionate. I am so grateful!!

- Jamie B

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Patient Review By Bob D

Dr Ostrometskaya and her team are excellent!!! I highly recommend this practice.

- Bob D

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Patient Review By Melanie H

From someone who is very afraid of dental procedures, I could not have had a better experience. Dr. Zohn was just amazing. I had a PAIN-FREE root canal. Dr. Zohn and his assistant Shirley were so kind and empathetic. The procedure was done in one hour and was easier than I ever expected. Dr. Zohn is a kind, empathetic man. He put my mind and anxiety at ease right away. If you need a root canal, Dr. Zohn is your guy!!

- Melanie H

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Patient Review By Elizabeth C

I am the biggest baby when it comes to any kind of dentistry, but I was in horrible shape and needed a root canal badly. I had let it go for so long due to COVID-19, by the time I got to Dr. Apolito, my tooth was in very bad shape and I was in an extreme amount of pain. That is not even to mention my nerves, which were through the roof. The woman at the reception desk was so kind and understanding. Dr. Apolito immediately made me feel very at ease with his friendly, caring way. He talked about his family and all the current events going on. He explained everything to me that he was doing and kept asking me if I was ok. I knew I was in good hands from the start. Then before you know it, the procedure was completed and I could leave. I'm sorry, but I hate the dentist; however, for any future problems I may have, I will not hesitate to come to Dr. Apolito at Advanced Endodontic Associates. Thank you Dr. Apolito, for taking such good care of me!!!

- Elizabeth C

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Patient Review By Laura P

I said no to the phone call because I am writing this review right after my procedure. I’m sure I will receive a call. Dr. Ostrometskaya is great! She and Lauren, her assistant work so well together. I was nervous and they are both extremely calming. Debbie at the front desk is friendly and efficient. I would definitely recommend this office and Dr. Ostrometskaya to anyone looking for an endodontist.

- Laura P

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