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 Gary P

I highly recommend Advanced Endodontic Associates. I have been a patient of Dr. Ira Zohn in the past and most recently of Dr. Fabio Appolito. Dr. Appolito took care of me during the Covid-19 pandemic and I am thankful that he was there taking emergencies. As a physician, I appreciate dedicated expert care and these are the best endodontists you can find anywhere. State of the art equipment, a wonderful caring staff and skilled correction of my problem. It is scary to enter the office when you are in severe pain, but wonderful to leave pain-free! Thank you!!!

- Gary P

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Patient Review By Karyn R

This was the best dental experience I ever had! Dr. Apolito and his assistants were so professional and extremely friendly. It was truly painless and enjoyable. I never thought I would say a dentist visit was enjoyable but it was. The ladies in the office were so friendly and very informative. They explained everything completely and they did follow up with a call to see how I was doing. I highly recommend! I wish they did complete dental care!!!!

- Karyn R

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Patient Review By Al D

Actually two visits with two different doctors but review is same for both....excellent. I was in a great deal of pain. The office was extremely understanding and helpful in getting me in for emergency appointments despite the Covid crisis. The online paperwork, entry process, and safety steps taken made me comfortable I would not leave with anything I didn't go in with. Communication was great before, during and after the procedures. Can sleep and eat again.

- Al D

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Patient Review By Beth J

I was so scared of having to have a root canal. The experience from the first phone call thru the procedure was "painless". Even during this trying time the professional nurses, receptionist and doctor were wonderful. The unknown of how the procedure would be was far worse than the procedure. Dr. Zohn was wonderful from the first shot thru. I would highly recommend this practice. All the reviews of top dentist in New Jersey are TRUE!

- Beth J

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Patient Review By Sarah S

I am so grateful to Dr. Apolito for the procedure. It was super smooth and painless. The staff were very friendly and helpful. It was overall a fantastic experience. Would definitely Dr A!! Thank you!!

- Sarah S

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Patient Review By Jay M

As a local dentist I’ve been referring to this group for years. My patients were always happy and I’ve always been happy with the clinical results. One day I found myself in need of a root canal for a painful tooth. Dr Apolito got me in right away and took great care of me. His skills & expertise are exceptional. I was totally as ease as the root canal was done and have been pain free ever since.

- Jay M

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Patient Review By Susan F

Thank you Dr Zohn for a pleasant and comforting experience!! My son was very apprehensive to get a root canal after a traumatic injury. You and your staff couldn’t have been more kind, calming and caring, and we thank you!!

- Susan F

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Patient Review By camillo D

A very satisfying experience. Dr. Zohn made me feel very comfortable and relaxed. His assistant was very capable. The office was very agreeable in that they scheduled an appointment the same day I called.

- camillo D

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Patient Review By Matt G

I am so thankful you all took the time to see me today. Everyone was so nice.so pleasant. Debbie was a dream and Dr Thai and her assistant were Aces! I thank you so much for your amazing handiwork and calming presence. Take care and stay well.

- Matt G

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Patient Review By Leonard Z

My Root Canal went smoothly and without any pain. Dr. Zohn was on point. Would definitely recommend him.

- Leonard Z

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