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 Ketav S

I had lot of pain in my tooth.I took an emergency appointment for Dr. Apolito and saw him.He took a X-ray and did couple of checks on my tooth and told me that my tooth is still not that bad that I have to go for root canal. And he was sooooo right. My pain was due to the big cavity filling done the previous week. Doctor told me that I should give at least 3 weeks to become pain free. I want to thank doctor Apolito - because of his advice I did not get the root canal done and able to save my original tooth. I really appreciate him.In future if I ever have to go for root canal I will get that done with Dr. Apolito.

- Ketav S

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Patient Review By michael k

Dr Zohn and Shirley were excellent. Considering I was there for a root canal, it couldn't have gone better. I would recommend Dr Zohn to everyone. His engaging personality and his unique ability to make a patient feel comfort in a time of stress is unmatched. I have been going to dentists for 60 yrs and this was by far, my best experience,

- michael k

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Patient Review By Kelly R

Dr. Zohn is friendly, professional and takes the time to explain exactly what he will be doing, which is very calming. My whole experience was pain free. I thank him for taking such excellent care of me!

- Kelly R

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Patient Review By Phyllis McCartin M

My procedure was an emergency arranged by my dentist. Everyone was especially pleasant and supportive. Although there was some difficulty getting me anesthetized the procedure went well. The follow up went much more smoothly and was much less painful. The restoration was completed and I feel great.

- Phyllis McCartin M

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Patient Review By Debra Q

I was scheduled an appointment the same day I called due to pain. My dentist referred me to this office. They were very pleasant and wanted to make me comfortable as I went through it unpleasant procedure. Although I am in pain a day later it is to be expected. They took x-rays before during and after the root canal to make sure everything was done perfectly.

- Debra Q

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Patient Review By Kathleen M

Excellent experience! I highly recommend!!

- Kathleen M

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Patient Review By Susan B

Everyone was friendly and patient. The office is very clean. I was told what they were going to do before it was done. I like to be informed of the procedure. Hopefully I do not need another root canal but if I do, I would certainly go back to them.

- Susan B

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Patient Review By Joe M

Incredibly knowledgeable and great in helping get through a dental emergency and save the tooth. I would recommend Dr. Pellicano to anyone needing an endodontist.

- Joe M

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Patient Review By daniel l

Excellent experience

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Patient Review By Zulmira

Great team

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