cracked tooth syndrome

Condition Uncommon
Description
Conditions (1)
Cracked Tooth Syndrome is the name we give any tooth that hurts when you bit on it and regularly does this. It does have to be diagnosed to make sure no other reason is causing pain. CTS can be with a tooth that has a large filling, small filling and even no filling. Know that when it hurts to bite down or eat on that tooth you may be the proud owner of a tooth that will only get worse.
Authored by Dr. Earl A. Sandroff

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Dr. Stanley Lin answered:

What is the treatment for cracked Tooth Syndrome?

Crown

Root_canal
Usually a crown would be recommended for cracked tooth syndrome. In some cases, you may need a root canal too if the crack has progressed close enough to irritate the nerve.
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Difference between crack in tooth or cracked tooth syndrome?

Discomfort

Teeth
Teeth with cracks generally do not hurt. Teeth with cracked tooth syndrome generally hurt when biting. This makes it important to treat cracked teeth before they begin to hurt, or before they actually fracture.
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What is the definition or description of: Cracked tooth syndrome?

Pain with biting

Head-teeth
Cracked Tooth Syndrome is the name we give any tooth that hurts when you bit on it and regularly does this. It does have to be diagnosed to make sure no other reason is causing pain. CTS can be with a tooth that has a large filling, small filling and even no filling. Know that when it hurts to bite down or eat on that tooth you may be the proud owner of a tooth that will only get worse.
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Dr. Robert Mokbel answered:

Is cracked tooth syndrome the same thing as a fractured tooth? Part of one of my molars cracked off while eating last night, and I'm trying to do research to figure out what happened. Are they the same thing? .

Not the same

Root_canal
A tooth fractures if it has decayed & weakened the remaining structure or if it had incomplete treatment ( after a root canal), A cracked tooth does not necessary have a cavity or a filling, excessive pressure placed on your teeth from grinding or clenching can make it sensitive or it may start hurting spontaneously, treatment differs based on the symptoms and the extent of the crack or fracture
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What does cracked tooth syndrome feel like? I occasionally have a sharp, shooting pain in one of my right rear molars when I chew. I've looked, and don't see anything that looks like a crack, and don't remember ever hearing or feeling a tooth crack. .

Most bizarre

Why_no_more_silver
Unfortuantely, CTS is one of the most bizarre things we deal with--and VERY difficult to diagnose accurately. Most will never "feel" the event that cracked it--as it can occur during sleep when clenched--usually on a tooth with old silver filling or large cavity. Pain to biting pressure (sometimes) , non-lingering pain to hot and cold temp changes are typical. Best results if treated EARLY!
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Once you have cracked tooth syndrome, are you going to inevitably get more cracks? I've been told I have cracked tooth syndrome and several small cracks in one of my molars. I'm not sure what causes it, but I'm worried that once it's started I will just w

Cracked

Cracked Tooth Syndrome (CTS) involves a crack in the tooth portion that is above the gum line. 90 % of CTS is fixed with a simple crown. It keeps the cracked part of the tooth above the gum line from moving & all the symptoms from being stimulating. The other 10% need root canal as well because the crack has reached the root canal system. If the crack is one of the above (described as favorable) this is a complete cure. If the tooth is cracked further below the gum, involving a fracture (or crack) of the root, the tooth will need to be extracted. Your dentist will know because there will be a space in the attachment of the tooth to the bone, just in the location of the crack. Xray evidences this type of crack, whereas CTS is not discernable on xray exam.
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Dr. Bruce Terry answered:

Does this sound like cracked tooth syndrome? When I bite or chew hard things, it hurts in the left rear of my mouth and my dentist couldn't find anything on the X-ray. He said there was no cavity, and I can't figure out any other reason it would hurt. .

"Cracked

"Cracked Teeth" are often hard to detect. Some of the clues that we can use when xrays are normal include: 1. No prior restoration (filling) with pain to biting can suggest a crack/fracture. 2. Use of a Tooth Sleuth or bite stick to test different corners of the tooth could detect a weak point. 3. A CBCT (cone beam CT) can help visualize a fracture 4. Pulp testing can determine if a particular tooth is more sensitive to thermal stimuli than other teeth.
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Cracked tooth syndrome? At my last visit to the dentist, she told me I have cracked tooth syndrome and have tiny cracks in several of my teeth. I go back in 10 days for this, and I'd like to know what caused it, or if there's anything I can do to stop it.

Some clarification

Crown
This comes from weakened tooth structure & excessive biting forces, either independently or in combination. People who suffer from bruxism or bite on hard foods are more prone to developing cracks in their teeth. There is a difference between visible surface cracks & CTS! Not all surface cracks are of concern or cause pain. CTS typically causes pain on biting, even more on release. Nite guard?
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Did I develop cracked tooth syndrome from grinding my teeth? I've had some pain in my rear right molars for a while now, but nothing ever shows up on X-rays. I also grind my teeth and night, and am wondering if I could have developed cracked tooth syndrom

Dr.

Dr. McLeod is correct. Fractured teeth don't always show the fracture on the radiograph. Is the tooth sensitive to thermal stimulus? Have your dentist put extreme pressure on the cusps of the affected teeth, one at a time. This may indicate which tooth, if any, has a fracture. Fractured teeth are sometimes very difficult to isolate and diagnose.
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How do dentists treat a cracked tooth?

Root canal or crown

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Teeth without symptoms nor decay do not need treatment. If a tooth is sensitive to cold or sweets and has a crack associated with these symptoms, but does not hurt to bite on ever, then perhaps a filling is recommended. If an instant sharp pain is felt upon biting or the release from biting at specific times, then a crown is first recommended. If it has a crown, then a root canal is recommended.
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