A very common and often difficult problem for patients is having cracked teeth. Teeth crash for a wide variety of reasons; the most common reasons are having back teeth with moderate to large silver fillings. Patients with parafunctional habits such as grinding or clenching teeth and having cracked teeth that were never fixed. teeth that have had root canals are also good candidates for cracking.
Many teeth have surface cracks which are not a problem; once a crack begins to discolor, we become suspicious of the crack as it progresses into the teeth. In a tooth that has a vital nerve, cracks can actually cause chronic inflammation and eventual irreversible nerve damage. Sometimes, this process is symptomless until the nerve damage is irreversible. We monitor any cracks that are visible every time you come in for exams. Unfortunately, often very since cracks exist which are undetectable at the beginning. Cracked teeth are one of the most unpredictable and difficult scenarios for doctor and patient. Diagnosis is sometimes a product of process of elimination.
Teeth with moderate to large silver fillings eventually will crack! Most of the time, the fillings to not brake but rather the enamel of the tooth does. Usually, these cracks will progress until a corner of the tooth breaks. These breaks will be to the deepest part of the filling and beyond. It is very common to remove an old silver filling and find a significant crack underneath the filling very close to the nerve chamber. Many of these cracks are symptomless but often a patient will begin to have symptoms and hypersensitivity to hot, cold, and sweets, discomfort while chewing or biting, and eventually escalating pain as the nerve becomes damaged. We try and stop this progression by removing the old filling, following and removing the crack and placing a protective lining in the deepest area. This is usually followed by a dental crown. Unfortunately, a significant percentage of teeth with moderate to deep cracks will eventually require root canal therapy in spite of our efforts to stop them. Therefore, the sooner we identify and treat active cracks, the lower the possibility of root canal therapy.
Worse case scenario with cracked teeth are cracks in the root system. It is one of the most common reasons for failure of root canals and usually results in extraction of the tooth. We have a variety of options to help reduce the risk of cracked teeth, which we will discuss with you if we find cracks in any teeth.
If you have any cracked teeth, come into our Park Ridge dental office. As a Chicagoland dentist, Dr. Rubino has seen it all, you can have confidence in his ability to treat your dental concerns, including cracked teeth.
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