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 Jerry B

This is the 2nd Root Canal i have done with Dr Zohn and its nothing short of magic. In and out in quick time, totally painless with the best most up to date equipment and procedures. This office and Dr Zohn should be the 1st call anyone makes if they are having dental issues that require service. Also ,the assistants and the office is 1st class and very helpful !!

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Patient Review By Michael P

I could not be more enthusiastic about providing feedback on my experience with Advanced Endodontic Associates. I had a root canal procedure done. Dr. Pellicano was the absolute best. Before the procedure, he showed me the cavity and the nerve on an x-ray. He patiently explained what needed to be done and why. He helped me relax by assuring me that I would experience no pain while he performed the root canal procedure. Dr. Pellicano's assistant, Donna, was kind, warm, and quite professional as she assisted with this procedure. If a root canal procedure can be done pleasantly, it could not be better done than by Dr. Pellicano and his assistant, Donna.

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Patient Review By Caroline G

My experience with Advanced Endo was wonderful! Would recommend to everyone!

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Patient Review By susan m

Thank you so much to Jess at the front desk to Kelly the dental assistant to Doctor Pellicano! I called needing an appointment for what I believed was an infection in my gums and was put it right away! Upon visiting the office Jess was so delightful and helpful with all the paperwork and gave me out of pocket information regarding services I may need. Kelly the dental assistant was very gentle and thorough. I can’t say enough about Dr. Pellicano not only did he take his time and did a thorough exam he was extremely kind and caring. I would highly recommend Advanced Endo! Thank you to the Ocean office again!

- susan m

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Patient Review By Randy Z

i was referred here after being in severe pain and discomfort from a tooth that was in dire need of a root canal. i knew it needed one and i had put it off for years (due to not liking dental work)until it finally came back to bite me. x rays showed bone loss and damage to the root of the tooth. my options were root canal or pull the tooth. Dr. Zohn said if i were his son hed try to save the tooth. after it was finished i had to wait 4 months to see if the tooth and bone loss in my jaw would heal. x rays showed it healed great and i can now finish the procedure with a post and crown. im thankful for Dr. Zohn he saved my tooth.

- Randy Z

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Patient Review By Bryan W

Needing a root canal procedure is not what anyone wants, but the doctor and staff made the experience a good as it could be. They were able to evaluate and do the procedure in one visit. I was able to get back to work that afternoon. With issues that had to be addressed at work, the root canal was not even the worst part of my day.

- Bryan W

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Patient Review By adler s

very Professional

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Patient Review By Mary P

Everyone is very polite and friendly, which makes you feel very comfortable. When calling for appointment, they were going to give me one in more than a week, once I told them how uncomfortable it was to drink anything hot or cold, they gave an appointment that day. Which was fantastic. Thank you all so much for taking exceptional care of me!

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Patient Review By Jane B

This is the 3rd time with Dr O. She is fantastic and very caring.

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Patient Review By Trisha S

AMAZING experience! I was in such extreme pain and needed a Root Canal asap, Dr. Zohn was so understanding and caring. He told me he would relieve my pain and it wouldn't hurt at all. He was so right! I didn't feel a thing! He explained everything he was doing and made me feel so safe. Dr. Zohn is incredible along with his Assistant and office staff, I've been telling everyone about him and the office. BEST DENTIST EVER!!

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