Have you ever bitten down on food and felt a sharp pain that disappears almost immediately? You may be experiencing Cracked Tooth Syndrome (CTS).
What is Cracked Tooth Syndrome?
Cracked Tooth Syndrome occurs when a tooth develops an incomplete crack, usually extending through the enamel and into the dentine. These cracks can be difficult to see but can cause significant discomfort.
Common Symptoms
The symptoms can vary, but commonly include:
- Sharp pain when biting or chewing
- Pain that is worse when releasing pressure after biting (a classic sign of Cracked Tooth Syndrome)
- Sensitivity to cold, sweet foods, or temperature changes
- Intermittent pain that is difficult to pinpoint
- Discomfort when chewing certain foods
Which Teeth Are Most Commonly Affected?
Cracked Tooth Syndrome most frequently affects the back teeth (molars) because they absorb the greatest chewing forces.
Risk Factors
Several factors increase the risk of developing a cracked tooth:
- Large fillings or restorations that weaken the remaining tooth structure
- Teeth grinding or clenching (bruxism)
- Heavy biting forces
- Steep or prominent tooth cusps
- Age-related wear and tear
How is it diagnosed?
Because cracks are often invisible on X-rays, diagnosis relies on a careful clinical examination. Your dentist may use:
- A Tooth Slooth or FracFinder to identify pain on biting and release
- Transillumination, where a bright light is shone through the tooth to help reveal cracks
- Magnification and detailed clinical assessment
Treatment Options
Treatment depends on how deep the crack extends and the condition of the tooth’s nerve (pulp).
Reversible Pulpitis
If the nerve is irritated but still healthy, treatment may involve:
- Protecting the tooth with a crown or onlay
- Adjusting the bite if necessary
- Managing clenching or grinding habits
Irreversible Pulpitis
If the crack has caused permanent nerve damage, the tooth may require:
- Root canal treatment
- Followed by a crown to protect the remaining tooth structure
Split Tooth
If the crack progresses and the tooth splits into separate segments, the tooth often cannot be saved and extraction may be necessary.
Following extraction, replacement options may include:
- A dental implant and crown
- A dental bridge
- A removable partial denture
The most suitable option will depend on the location of the tooth, surrounding teeth, bone support, and your individual circumstances.
Early Diagnosis is Key
Cracks rarely heal on their own and can worsen over time. Early diagnosis and treatment can often prevent the need for more extensive procedures and help preserve the tooth.
If you’re experiencing pain when biting or releasing pressure, contact Dural Dental Practice for an assessment. Our team can help identify the cause of your symptoms and recommend the most appropriate treatment to keep your smile healthy and comfortable.
