Cracked and Fractured Teeth

People today live longer and dentists work a great time ensuring for many people to keep their teeth healthier than ever before. Today our teeth are exposed to longer years of crack due to our induced habits such as clenching, grinding and especially chewing hard things such as ice can result in cracks and fractures in teeth. Often, teeth with cracks do not show on radiographs (x-rays), sometimes making for a difficult diagnoses.

The patient reaches dental practice complaining of intense pain on chewing in a certain area of ​​his mouth, however its commonly seen that patients are not able to ascertain which tooth is troubling them. Are these all molars or just one tooth. It's usually a back molar teeth, which becomes an obvious rational for the dentist as the dentists would allow the patient to bite on a piece of wood placed on top of the suspected tooth. Quite often, dentist may not discern any issue with the teeth, either clinically, meaning in the mouth, or on an x-ray.

There are times when dentists would like to explore tooth with no fillings or decay. Hower at times it's likely to be a tooth with an intact filling, having no visible associated problems. Nothing appears wrong, however the patient feels intense pain whenever applying biting pressure to the top of the tooth. Sharp pain from applied pressure along with no obvious signs of a problem with the tooth is an obvious characteristics of cracked tooth syndrome.

The dentist using an instrument that rests on one part of the tooth at a time can further verify the deduction. There will frequently be severe pain when pressure is applied to only one particular cusp (the pointed parts of a back tooth), and not to the others. If the tooth does have a crack in it, movement of the affected cusp causes the pain. The other cusps usually prove to be non-painful when the same pressure is applied. The "movement" of the fragment is usually minuscule, and not visible to the naked eye.

Can a Tooth Have a Crack Without Any Visible Signs of One?

When a vital tooth, meaning a tooth with a living nerve, develops a real crack, the crack commonly does not spread all the way through the tooth. This type of crack is referred to as a greenstick fracture because, like a green branch on a tree, although the fracture is actually present, the intact sections of the branch hold it together.

The crack usually circulates through the sensitive parts of the tooth, the dentin, several times implicating the living nerve. When pressure is applied to the cracked area of ​​the tooth, a minuscule amount of movement in that area places pressure on the nerve, or other sensitive tooth structure and even though the movement is very small, the pain is severe. Teeth have no natural healing abilities, so the pain will shriek out whenever pressure is applied to the biting surface of that tooth.

Can pain in a tooth fracture subside?

The pain will not go away until one of two things happen. Sometimes, the cracked piece of tooth may break off on its own, alleviating the intense pain when pressure is applied to it. If this happens, the tooth can generally be repaired with a crown or perhaps a simple filling and the patient, along with her tooth, goes of pain free into the sunset. The other option is that the nerve may eventually die as an outcome of it being under constant attack by the moving section of tooth. If this should occur, the pain to pressure may be relived; however, the dead nerve leaves the patient susceptible to a dental abscess unless a root canal and successive crown procedure are completed.

Please Remember

Statements made in this article are for informational purposes only and are not intended to be substituted for the advice of a medical professional. Information and statements has not been evaluated by the American Dental Association or any federal regulation agency and are not intended to diagnose, or treat any disease or medical condition. I do not claim to represent the opinions of any dental or medical professionals. Its just an attempt to share my views on dental issues with all.