How to know if you have a fractured tooth (and what to do)
A tooth fracture is more common than you might think. Whether it occurs from biting into something too hard or an unfortunate accident, a broken tooth is more than just an aesthetic concern. Ignoring the problem can lead to significant dental issues. Early intervention not only alleviates unnecessary discomfort but also prevents potential complications.
Our team at WFWE is equipped with the knowledge and tools to help you act decisively. So, when choosing your endodontist for your essential endodontics work, know that you're in the best hands with Dr. Nieves and Dr. Fitzhugh. This blog post aims to teach you how to recognize, prevent and find treatment for cracked teeth.
Different types of tooth fractures
Not every fracture is the same and knowing the difference helps in deciding the right treatment approach.
Craze lines
These are tiny, superficial cracks in the enamel layer of your teeth. Although craze lines may make your teeth look more worn, they're largely cosmetic and don't pose any serious risks. Often resulting from normal wear and tear, they may not require extensive treatment but should be monitored.
Fractured cusp
This occurs when a piece of the tooth's chewing surface breaks off, typically around a dental filling. It might cause mild discomfort, but rarely results in significant pain. Treatment often involves a simple filling or bonding.
Cracked tooth
A cracked tooth means a fracture that extends from the chewing surface down toward the root. This kind of fracture can cause pain and sensitivity, particularly when chewing. Without timely intervention, the crack can progress and potentially reach the pulp.
Split tooth
When a crack in a tooth has propagated into two segments, it's termed a split tooth. This situation is serious, often necessitating extraction, as repairing the tooth is increasingly difficult if not improbable.
Vertical root fracture
Perhaps the most elusive type, vertical root fractures occur when cracks start at the root of the tooth and move upward. These fractures may show minimal symptoms but often require extraction due to their challenging position.
Understanding the common causes of tooth fractures
Despite their robust structure, teeth are not immune to fractures. Understanding common causes can help identify preventive strategies.
Physical trauma
Accidents happen and teeth can fracture from sudden impacts such as sports injuries or unfortunate falls. Wearing protective gear like mouth guards during physical activities can mitigate this risk.
Chewing on hard substances
Biting hard objects like ice, nuts and candies puts your teeth under undue pressure, increasing the likelihood of fractures. It's advisable to approach such items with caution or avoid them altogether.
Bruxism or teeth grinding
The repetitive act of grinding or clenching your teeth, medically known as bruxism, can lead to stress fractures over time. Custom-fitted night guards can prevent significant damage by cushioning your teeth.
Large fillings
Teeth with large fillings may already be compromised in structure, predisposing them to fracture. Regular dental check-ups are essential for detecting and mitigating this risk early.
Age-related wear and tear
Teeth naturally wear out over time, making them more susceptible to fractures as we age. An increased focus on dental hygiene and regular dental assessments are prudent as preventive measures.
Spotting symptoms of a fractured tooth
Perceiving the signs of a fractured tooth can be tricky but is crucial for timely treatment.
Pain when biting or chewing
An evident symptom is sharp pain when biting down, which hints at a possible fracture disrupting the tooth's structure.
Sensitivity to temperature extremes
Experiencing sensitivity to hot, cold, or sweet foods could indicate a crack in the tooth that's reached the inner layers.
Swelling around the gums
Swelling or irritation in the gums near a specific tooth might suggest an underlying crack and deserves the attention of a dental professional.
Intermittent discomfort
Tooth pain that comes and goes is characteristic of a fractured tooth, particularly if the crack intermittently affects the pulp.
Trust the experts for a proper diagnosis
Seeking a diagnosis from an endodontist is an essential step in managing tooth fractures effectively. Our team at WFWE will work closely with your dentist to ensure the process and recovery are smooth, leading to healthy teeth for years to come.
Importance of visiting an endodontist
An accurate diagnosis requires a dental expert who understands the complexities of tooth fractures. Endodontists specialize in saving teeth, focusing on the internal dental tissues.
Diagnostic tools and procedures
Endodontists might employ a variety of diagnostic tools, each serving a distinct purpose:
Visual examination to give a preliminary assessment.
X-rays that reveal damage not visible to the naked eye.
Cone-beam computed tomography (CBCT) for detailed imaging that helps in understanding complex cases.
Exploring treatment options for fractured teeth
The right treatment depends on the fracture type and its severity.
Managing minor fractures
Minor damages like craze lines might only need some polishing or cosmetic bonding to improve appearance and prevent further cracking.
Addressing cracked or fractured teeth
Moderate cracks generally benefit from dental bonding, while more significant fractures could require crowns to restore function and aesthetics.
Split tooth interventions
Severe damage leading to a split tooth often demands extraction, with options like dental implants or bridges for replacement to restore oral function.
Handling vertical root fractures
Vertical root fractures typically call for extraction due to the complexity of repair. An endodontist may be able to conduct a limited repair, provided the fracture is detected early enough.
Strategies for preventing tooth fractures
Preventive care can significantly reduce the risk of tooth fractures.
Avoid chewing on hard objects
Making a conscious effort to avoid hard substances can protect your enamel and reduce the likelihood of fractures.
Use a mouthguard
If you're athletic or grind your teeth at night, wearing a mouthguard provides protection against fractures.
Commit to regular dental check-ups
Routine check-ups allow for early intervention, addressing potential issues before they escalate into fractures.
Manage dental issues capable of leading to fractures
Pay close attention to any large fillings or other vulnerabilities within your teeth to prevent fractures.
When to seek help from an endodontist
Understanding the urgency with which to seek dental care can protect your smile.
Persistent pain that won’t go away
If pain is prolonged, it could indicate a deeper problem requiring examination.
Difficulty with chewing or biting
Ongoing difficulties with eating isn't normal and should be evaluated by a dental professional. Your dentist will work with our endodontics team to find the root of the problem and create a solution for your discomfort.
Incessant sensitivity
When sensitivity persists and becomes unbearable, it's prudent to consult an endodontist.
A call to action for your dental health
Professionals at West Fort Worth Endodontics are trained experts in addressing fractured teeth as well as other major dental issues. Our focus remains on recognizing symptoms early to preserve as much of your natural tooth structure as possible.
Adhering to best practices and professional advice ensures a healthy smile and reduces the distress tooth fractures may cause. Whether you're managing symptoms or aiming to prevent them altogether, professional care remains critical. Get in touch with our team to explore options tailored to your unique dental needs.
Understanding the nuances of tooth fractures can empower you as a patient, guiding decisions and ensuring that you receive the best care possible. Rest assured, our board certified endodontics are here to help you. Saving your teeth and relieving your pain is our priority.