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Cracked teeth, broken teeth, and the subsequent pain they bring are more common than many realise. Whether it’s a hairline crack in the tooth enamel or a more significant vertical root fracture, these issues can range from mildly inconvenient to intensely painful.

Various factors can lead to tooth cracks or even a split tooth, from biting hard foods to teeth grinding. However, with broken tooth pain relief strategies and timely interventions, managing the pain becomes more straightforward.

While some might be tempted to turn to home remedies, only a dentist can diagnose a comprehensive cracked tooth and recommend treatments such as root canal therapy or tooth extraction.

If you’ve ever experienced a chipped or broken tooth, it’s essential to understand the underlying causes, the range of treatment options, and the preventive measures to protect your dental health.

The Anatomy of a Tooth

The tooth is a complex structure consisting of three vital parts: the hard outer layer, tooth enamel, the softer middle layer, dentin, and the innermost area, dental pulp, housing blood vessels and soft tissue. When a tooth experiences damage, such as tooth cracks or fractures, the extent and location of the damage can influence the type of pain and complications one might face. For instance, hairline cracks in the enamel might not cause immediate pain, but a crack reaching the dental pulp could necessitate root canal therapy. Moreover, deeper fractures, like vertical root fractures, can affect the tooth’s longevity, potentially leading to tooth loss. Given the brittle tooth structure, understanding these components is essential for diagnosing issues like cracked tooth syndrome and seeking appropriate treatments.

Causes of Cracked Teeth

Cracked teeth can be a painful dental problem that stems from various causes. Trauma or injury is a common cause, leading to cracked tooth pain that necessitates a visit to the dentist. Temperature extremes, like when one bites into something icy after consuming hot beverages, can shock the tooth enamel and result in hairline cracks. Habitually biting on hard substances or foods can jeopardise the tooth structure, making it brittle.

Old, large amalgam dental fillings may expand and contract, possibly leading to vertical root fractures in the affected tooth. As time passes, natural wear and tear, possibly exacerbated by teeth grinding, can wear down our tooth enamel, increasing the risk of a split tooth or even a fully broken tooth. The pain can sometimes be alleviated temporarily with OTC pain relief, but broken tooth pain relief should ideally come from an appropriately qualified health professional.

Moreover, those with a dental history involving root canal therapy might be more prone to tooth fractures. This is because the dental pulp containing blood vessels and soft tissue has been removed, possibly resulting in a more brittle tooth structure. A vertical root fracture could lead to tooth extraction in more severe cases.

Types of Tooth Cracks

Tooth cracks vary in type and severity, often causing varying degrees of cracked tooth pain. Understanding these different types is vital for accurate diagnosis and treatment.

Craze Lines

NAVIGATE: AFFORDABLEdentalimplantsSYDNEY.COM.AUThese are tiny hairline cracks in the tooth enamel. While they might seem alarming, they are mostly cosmetic and rarely cause pain or require treatment.

Fractured Cusp

This occurs when a piece of the tooth’s chewing surface breaks off, often due to biting hard foods or trauma. The fractured cusp might result in tooth pain, especially when chewing.

Cracks that extend into the gum line

Such cracks start on the tooth surface and move towards the gum line. If not treated, they can lead to further damage, possibly resulting in tooth loss.

Split Tooth

When cracks propagate, a tooth can be split into two distinct segments. A split tooth usually results from untreated cracked teeth, and a tooth extraction is often required to address the issue.

Vertical Root Fracture

This is a crack beginning in the root and travelling upward. Such fractures are challenging to detect and may not exhibit symptoms until the surrounding bone and gum are infected.

Patients experiencing cracked tooth pain or suspecting any form of tooth cracks should see a dentist promptly. Only a dentist can diagnose a cracked tooth and recommend appropriate treatment, be it a simple dental filling, root canal therapy, or more invasive procedures.

Symptoms Associated with a Cracked Tooth

A cracked tooth can manifest in various ways, and the symptoms might be subtle or pronounced, depending on the type and location of the crack. Recognising these symptoms is vital to ensure timely treatment and prevent further complications.

Intermittent Pain while Chewing

One of the most common symptoms of a cracked tooth is sporadic pain when biting down on food. This tooth pain can be sharp and sudden, especially when biting on hard foods, or maybe a dull ache that lingers.


The affected tooth may become sensitive to temperature changes. Consuming hot or cold beverages and foods can trigger a sharp, jolting pain. Similarly, sweets can induce sensitivity, making it uncomfortable to enjoy certain treats.

Swelling of the Gum

The gum around the damaged tooth might become swollen and tender to touch. This could indicate an infection or an inflammatory response to the tooth crack.

Difficulty Pinpointing Pain

The pain from a cracked tooth can be elusive, making it hard to determine its exact location. This can be particularly true for vertical root fractures, where the crack begins in the dental pulp and extends outward.

For anyone experiencing these symptoms or suspecting tooth cracks, seeing a dentist is crucial. Only a dentist can diagnose a cracked tooth properly and recommend the best course of action, whether it’s root canal therapy, a dental filling, or even tooth extraction in severe cases.

Complications if Left Untreated

If left untreated, a cracked tooth can lead to a cascade of complications that impact more than just oral health. Understanding these repercussions is essential to stress the urgency of seeking dental intervention.

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Spread of the Crack

The initial hairline cracks can progressively worsen. Over time, chewing on hard foods or teeth grinding can expand these cracks, compromising the tooth enamel and exposing the dental pulp.

Increased Risk of Infection

Once the inner structures of the tooth, especially the dental pulp, become exposed, bacteria can infiltrate, leading to infections. Such infections not only cause cracked tooth pain but can also necessitate root canal therapy.

Potential for Tooth Loss

The structural integrity of a broken or cracked tooth diminishes. If the crack spreads or deepens, the tooth may become so damaged that tooth extraction becomes the only viable option.

Development of Abscesses

Infections can culminate in the formation of abscesses. This painful condition emerges when pus accumulates at the gum line or within the soft tissue around the affected tooth. Besides causing severe tooth pain, abscesses can lead to systemic symptoms, emphasising the importance of a timely cracked tooth diagnosis.

It’s crucial to see a dentist if one suspects a cracked or chipped tooth. Only a dentist can appropriately determine the extent of the damage and suggest the best course of action, ensuring that complications are kept at bay.

Treatment Options

Treatment options for a cracked or broken tooth depend on the extent and location of the damage, as well as the patient’s dental history and overall health. Let’s delve into some commonly prescribed treatments:


This is a minimally invasive procedure where a dentist applies a tooth-coloured composite resin to fill in the crack or replace the chipped part of the tooth. This bonding material is sculpted to match the original tooth’s shape and then hardened with UV light. It’s a preferred choice for minor cracks and chips.


If the crack is extensive or significant tooth structure is lost, a crown, often made of porcelain or ceramic, is placed over the damaged tooth. Crowns act as protective caps, restoring the tooth’s function and appearance. Learn more information

Root Canal

Root canal therapy becomes necessary when the dental pulp, which houses blood vessels and soft tissue, becomes exposed or infected due to the crack. The damaged pulp is removed during this procedure, and the tooth is sealed to prevent further complications.

Tooth Extraction

In severe cases where the tooth is beyond repair, or the risk of infection is high, tooth extraction may be recommended. Post extraction, dental implants or bridges can be considered to replace the missing tooth. Explore in more detail

Pain Management Strategies

Managing cracked tooth pain is pivotal for patient comfort. Over-the-counter pain relief options can be recommended, or stronger prescriptions might be provided in cases of severe pain.

It’s imperative to see a dentist if one suspects a tooth injury. Only a dentist can offer a comprehensive diagnosis and advise on the best course of treatment.

Preventive Measures

Preventing a cracked or broken tooth is fundamental in preserving dental health and averting the pain and complications associated with such injuries.

Avoiding Chewing on Hard Objects

Chewing on hard foods or non-food items, like ice or pencils, can lead to tooth cracks. Teeth grinding, especially at night, can also exacerbate the issue, leading to hairline cracks or even significant fractures over time.

Wearing Mouthguards

Those involved in contact sports or physical activities with a risk of facial trauma should always wear protective mouthguards. These shields cushion blows, significantly reducing the risk of cracked or broken teeth.

Regular Dental Check-ups

Routine dental examinations help identify potential issues before they become severe and offer advice based on one’s dental history. A dentist can pinpoint weak or compromised areas and recommend appropriate interventions.

Maintaining Good Oral Hygiene Practices

Strengthening tooth enamel through fluoride treatments and avoiding acidic foods and drinks can prevent tooth decay and lessen the risk of fractures. Consistent brushing, flossing, and mouthwash can remove harmful bacteria and keep teeth strong.

Adopting a proactive approach to dental care can save one from the pain and costs associated with treating a damaged tooth.

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In the intricate dance of our dental health, the early detection and timely treatment of a cracked tooth can spell the difference between a fleeting inconvenience and a prolonged ordeal. Cracked teeth can be subtle, masquerading behind symptoms like intermittent tooth pain or sensitivity to temperature. But, left untreated, even the smallest of cracks can pave the way for severe complications, including infections, abscesses, and even tooth loss.

It’s essential to remember that only a dentist can provide a definitive cracked tooth diagnosis. So, if you suspect your tooth is cracked or broken or experience any form of tooth pain, don’t delay. The sooner you act, the better your chances of preserving the affected tooth and maintaining your radiant smile.

Your dental health is a direct reflection of your commitment to self-care. Could you not take it lightly? If you’re looking for expert care and a team that prioritises your well-being, visit Sure Smile Dental today. They are more than equipped to guide you to dental health and give you peace of mind. After all, a sure smile is a confident smile!

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.


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