How an endodontist treats cracked teeth

When it comes to oral health, a cracked tooth is one of the most important dental issues to get checked out as soon as possible. Understanding the intricacies of cracked teeth, their implications if left untreated and how endodontists like Dr. Fitzhugh and Dr. Nieves address this common dental problem can be the difference between saving a tooth and losing it. In this blog post, we'll go over how we approach cracked teeth at West Fort Worth Endodontics, the types of cracks we encounter and how we help our patients save their natural teeth through endodontics.

Cracked teeth require immediate attention to prevent further complications

Cracked teeth present a unique challenge in dental care. The reasons behind a tooth cracking can range from obvious incidents, like an accident or chewing on hard foods, to less visible causes, including uneven chewing pressure or temperature extremes from food consumption. The risks associated with untreated cracked teeth extend beyond tooth pain; they include infection, further fracture and even tooth loss.

Endodontists treat cracked teeth to prevent further infection of the root canal

Endodontics is a dental specialty focusing on the dental pulp and tissues surrounding the root of a tooth. Endodontists are dental specialists who save teeth through various procedures that involve the pulp (nerve) and root of teeth. They are adept at diagnosing tooth pain, helping patients understand the causes of tooth pain and performing root canal treatment and other procedures relating to the interior of the tooth. When dealing with cracked teeth, an endodontist's expertise is invaluable.

Types of cracks we typically see at WFW Endodontics:

Not all cracks are the same, and understanding the type of crack is crucial for effective treatment:

  • Craze lines: These are tiny cracks that only affect the outer enamel. Usually, they are superficial and require no treatment.

  • Fractured cusp: This type of crack often occurs around a dental filling. It may not affect the pulp and, therefore, not cause much pain.

  • Cracked tooth: This type of crack extends from the chewing surface down towards the root. Early diagnosis is essential to save the tooth.

  • Split Tooth: This is often the result of an untreated cracked tooth. It can be identified by a crack with distinct segments that can be separated.

  • Vertical Root Fracture: These cracks begin in the root and move upwards. They often show minimal symptoms until the surrounding bone and gum become infected.

Visual aids, such as diagrams or x-ray images, help patients understand the type of crack they have, guiding them towards appropriate treatment options. Our board-certified endodontists always take the extra time necessary to help our patients understand what their diagnosis is and how we'll approach the treatment before and after the procedure is performed.

Diagnosing a cracked tooth

The process of diagnosing a cracked tooth starts with a detailed dental history and examination. Our endodontists may use various tools and techniques to diagnose the condition, including:

  • Magnifying glasses or microscopes for a closer look.

  • Dental dye that enhances visibility of the crack.

  • X-rays, although they may not always show the crack.

  • A test involving biting on something soft that temporarily aggravates the symptoms to locate the source of pain.

Treatment options for a cracked tooth

Treatment depends on the type, location, and extent of the crack:

  • Root Canal Therapy: When the crack extends into the pulp, a root canal is often the best way to save the tooth and prevent further damage.

  • Dental Crown: To protect the tooth and restore its function after root canal therapy, a dental crown may be applied.

  • Tooth Extraction: In cases where the tooth is severely damaged and cannot be saved, extraction may be the only solution. This is always a worst-case scenario and is not typically performed on a regular basis.

  • Surgical Intervention: For certain types of cracks, particularly those involving the root, endodontic surgery may be necessary.

Recovery and aftercare of cracked teeth

Post-treatment, it’s crucial to follow an aftercare regime that includes maintaining oral hygiene, avoiding certain foods temporarily and regular dental checkups. Recovery varies based on the complexity of the crack and the treatment applied, with most treatments having a favorable prognosis when followed up appropriately.

In the realm of dental health, understanding the challenges, treatment options and recovery expectations associated with cracked teeth can guide patients toward making informed decisions about their care. Endodontists play a pivotal role in this journey, using their specialized expertise to treat these conditions effectively and ensuring patients can return to enjoying the full function and appearance of their teeth.

For endodontic care seekers and dental patients navigating the complexities of cracked teeth, knowledge is indeed power—power to choose the right care, to understand the process, and to ensure the health and longevity of your smile. Remember, timely intervention by a specialized endodontist can save your tooth and prevent further health complications, reinforcing the importance of seeking professional dental advice if you suspect you have a cracked tooth.

If your cracked tooth is causing you tooth pain (or might in the future), contact us

At WFW Endodontics, our board-certified endodontists are experts at managing tooth pain, treating cracked teeth and saving your teeth so you don't need an extraction. If you're experiencing tooth pain or have had dental trauma that is giving you worry, don't hesitate to contact us ASAP to be seen by our board-certified endodontists. Our passion is helping patients relieve tooth pain and save their original teeth!

WFW Endodontics Team

News, knowledge and know-how from the West Fort Worth Endodontics team.

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What is an endodontist? A deep dive into the root canal specialist profession