
Treatment of Cracked Teeth in Portland, OR
Certain cracks in teeth are too tiny to be detected on X-rays. Sometimes the cracks are under the gum. These small cracks are known as "cracked tooth syndrome.” Cracked tooth syndrome is most common in lower back teeth (molars). This is because these teeth take on most of the chewing forces.
Some people grind or clench their teeth. These people may be more likely to have cracked tooth syndrome. Sometimes, a person's bite can exert excessive pressure on a single tooth. This can cause the teeth to crack.
Teeth that have large fillings might be more prone to cracking. Teeth that have undergone root canal treatment are weaker than other teeth and may also be more likely to crack. People with one cracked tooth are more likely to have others, either at the same time or in the future.

Symptoms
The tooth may hurt sometimes when you bite or chew. Sensitivity or pain can vary from mild to intense. It might be painful only when eating certain foods or biting in a particular way. You will not feel a constant ache, as you would if you had a cavity or abscess. The tooth may be more sensitive to cold temperatures.
If the crack gets bigger, a piece of the tooth can break. You may also develop an infection. This can happen in the gum around the fractured tooth. You might notice a bump on the gum near the tooth that resembles a pimple. This is known as a fistula.
Many people with cracked tooth syndrome have symptoms for months. Diagnosing cracked tooth syndrome can be challenging because the associated pain is unpredictable.

Diagnosis
Your dentist will examine your mouth and teeth, focusing on the tooth in question. He or she may use a sharp instrument called an explorer to feel for cracks in the tooth. Your dentist will also look at the gums around the tooth. You may have X-rays taken. But X-rays often do not show the crack.
Your dentist might employ a special instrument to examine the tooth. There are different kinds of tools. One looks like a toothbrush without bristles. It covers one part of the tooth at a time when you bite down. If you experience pain, it probably indicates a crack in that specific area of the tooth.
Your dentist might use a very bright light on the tooth. He or she may stain it with a special dye. If the tooth already has a filling or crown, your dentist may remove it in order to see the tooth better.
