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 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
Patient Review By Mike Z
Dr Ira was like a Navy Seal. In and out in less than hour. He fixed a “hot tooth” with precision and care. Saved my weekend after a week of terrible pain. And huge thank you to Christine for working with me on my schedule - this place is awesome.
- Mike Z
Patient Review By Jacqueline G
I am so Happy i was introduced to this office! They took me in as an emergency appt and fixed my tooth right away. I was in pain for a week! i walked out of the office in way less pain then i walked in with. I am very thankful for the office.
- Jacqueline G
Patient Review By Anthony D
Absolutely painless dentistry is what you'll find from this office and their amazing staff. My tooth had just broke the day before and they got me within hours with the help of Doreen! Jess and Christine greeted me and were able to answer any of my questions with ease. Dr. Apolito and Shirley eased my anxiety and completed the root canal - pain free! I can go into my weekend without concern for my tooth becoming a problem. Thank you again!
- Anthony D
Patient Review By Robert B
Like most patients I was a bit nervous coming into the office for revision of a root canal. But from the initial phone call to the moment I arrived I was greeted and assisted by a very professional and courteous staff which put me at ease. Christine was very helpful and patient with me when filling out my paper work /history. Dental Assistant Kelly made me comfortable and put me at ease. The minute Dr. Zohn came into the treatment room I knew I was in good hands; Not only is he competent but you can tell he really cares about the patient; he made sure I was comfortable and in no pain. I sense that Dr. Zohn and his staff not only care about you while you are in the office but also afterwards, and want you to return to your life feeling well. I can highly recommend Advanced Endodontics; They are the best!
- Robert B