If you're experiencing intermittent sharp pain when biting or releasing pressure, especially when chewing, you may have a cracked tooth. Early diagnosis is crucial to prevent further damage.
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Cracked Tooth Syndrome (CTS) refers to an incomplete fracture of a posterior tooth, typically extending from the chewing surface toward the root. These cracks often develop in teeth with large fillings or following root canal treatment, though they can occur in otherwise healthy teeth.
The condition is notoriously difficult to diagnose as cracks may be invisible on X-rays and too small to see with the naked eye. The characteristic symptom is sharp, fleeting pain upon biting or releasing bite pressure, particularly when chewing.
Using magnification loupes and specialised lighting to identify hairline cracks. We may apply disclosing dye to make fine cracks more visible.
Having you bite on a specialised tool (tooth slooth) to reproduce the pain and identify which cusp or portion of the tooth is affected.
Digital X-rays and potentially 3D imaging to assess the extent of damage and rule out other conditions. In some cases, monitoring over time may be necessary for definitive diagnosis.
Treatment depends on the location, depth, and extent of the crack. Early intervention offers the best prognosis.
The most common treatment for cracked tooth syndrome. A crown encases the entire tooth, holding it together and preventing the crack from spreading. This protects the tooth structure while restoring full function.
Best for: Cracks that haven't reached the tooth root or nerve
If the crack has extended into the pulp (nerve chamber), root canal therapy is necessary before placing a crown. This removes infected or damaged nerve tissue, then seals and protects the tooth.
Best for: Cracks affecting the pulp with nerve involvement
When a crack extends below the gum line or splits the tooth vertically, extraction may be the only viable option. We then discuss replacement options such as dental implants or bridges to restore function and aesthetics.
Necessary for: Cracks extending below bone level or complete tooth splits
For very minor craze lines (superficial cracks in enamel only) that cause no symptoms, we may recommend monitoring with regular check-ups and avoiding habits that could worsen the condition.
Suitable for: Superficial craze lines without symptoms
Early diagnosis and treatment of cracked tooth syndrome can save your natural tooth. Contact us today for a comprehensive evaluation.
Additionally, if you’re having a dental implant placed, a crown can be put on the implant to restore your smile and the function of your teeth. Each crown is modified to what your needs are, blending in perfectly with the appearance of your other teeth.
There are two appointments required. First, we’ll take impressions, which are then sent to our laboratory, where your crown will be fabricated. When complete, the crown is returned to Brisbane in Ocean Smiles, and we’ll welcome you back for another appointment to place it.
At Brisbane CBD Dental Clinic, we believe in conservative dentistry and won’t recommend any treatment that isn’t essential. Even with crowns, if we feel that your tooth can survive another year or two without it, we’ll inform you so that you can decide what’s best.
To find out more about crowns in Brisbane CBD and if they might be the right solution for you, contact us today! Our friendly team will be happy to discuss your concerns or get you booked in for an appointment.