Cory Martin is the author of seven books including "Love Sick" a memoir about dating, life in Hollywood and dealing with MS. Her essays have appeared online with CNN, HuffPost, Everyday Health, Psychology Today, Folks, The Mighty, and more.
Edmund Khoo, DDS, is board-certified in orthodontics and is a Diplomate of the American Board of Orthodontics.
Chipped teeth can not only be an issue for your overall oral health, affecting the roots of the teeth and appearance, but they can also be painful. Chipped or cracked teeth can cause pain when chewing or exposed to hot or cold temperatures. Pain can occur erratically as well.
In some cases, you might not have symptoms. However, a fracture or missing piece of the tooth can be visible.
Treatment for a chipped or cracked tooth varies depending on the extent of the crack or chip. Smaller cracks or chips may be repaired easily. Others may require more serious treatment.
In this article, you will learn the difference between a chipped and cracked tooth, when to see a dentist, different treatment options, their costs, and how to prevent future chips or cracks.
A chipped tooth and a cracked tooth, though similar, are different.
A crack in the tooth usually starts near the gum line and spreads toward the chewing surface. Though the tooth remains intact, a fracture line may become visible across the tooth. In some cases, the fracture is only visible using a microscope, and a dental professional has to find it.
In other cases, the crack may extend through the entire tooth from the chewing surface to the root (the part of the tooth inside the bone socket).
A chipped tooth is a tooth that has broken. A small or large piece may have been knocked off through a fall, sports injury, or other trauma to the mouth, including biting something hard.
Chipped teeth are the most common dental injury.
A chipped tooth is best treated as soon as possible after the injury to prevent further damage.
Cracked teeth should also be treated as soon as possible. An untreated crack can cause permanent damage to the tooth and its roots to the point that it is no longer functional and needs to be pulled.
There are various types of cracked teeth. They are:
It is important to see a dentist for most chipped and cracked teeth. But in some cases, as with craze lines, there is no need to see a dentist.
Craze lines are tiny cracks on the surface of the teeth that may be visible but are very shallow. Though these lines may affect the appearance of the teeth, they are extremely common in adults and do not cause issues.
See your dentist immediately if your chipped tooth reveals roots or pulp (the interior part of the tooth that has the nerve and blood vessels) or the pain is extreme. Most dentists will reserve time in their schedules for emergencies or have an after-hours line to help you assess the injury.
Teeth do not repair themselves once cracked or chipped. Treatment is likely necessary. Repairing a cracked or chipped tooth can be minimal or require extensive treatment depending on the type of crack and how much of the tooth is affected.
The goal of treatment is to stop the crack or chip from worsening and relieve pain. There are several different types of treatment to achieve this goal.
Cracked tooth syndrome encompasses the various types of cracked teeth ranging from craze lines to vertical root fractures.
A temporary crown (a cap that goes over the tooth) may be placed on a tooth experiencing cracked tooth syndrome. Though these are not effective in the long run, they can help prevent further damage by changing how the teeth come together when biting down.
This temporary solution avoids putting unnecessary pressure on an already cracked tooth.
A filling, like the ones used for cavities, may be placed over a fractured tooth to protect it. Fillings are most often used in the case of a fractured cusp on the biting surface of a molar.
Veneers are a layer of material that is placed over the tooth to improve its appearance and protect the surface of the tooth from further damage. Veneers are a common choice for treating a chipped tooth as they can restore appearance.
They can also be used for smaller cracks. Veneers can be made from porcelain or composite and are formulated to match teeth.
A root canal may become necessary if the crack extends into the root of the tooth. This can cause infection and damage to the root, which needs to be treated. During a root canal, the pulp and damaged part of the tooth is removed.
After a root canal, the dentist will place a crown over the tooth to protect the remaining parts of the tooth in order to help avoid extraction.
Crowns can restore a tooth that has been cracked or chipped. A crown is a cap that goes over the tooth and is made of a strong material that looks like the tooth. Crowns provide strength and prevent further damage by restoring the tooth to its original shape and function.
If a filling is too big to be supported by the remaining tooth, a crown can be placed over it to protect the tooth.
Depending on the type of treatment required and insurance, the cost to repair a cracked or chipped tooth can range from several 100 dollars for a filling to close to $1,200 or more for a crown or root canal.
If you are concerned about cost, it is best to call your dentist and ask for their range of prices as each dentist and situation will be different.
There are simple steps you can take to prevent a chipped or cracked tooth. These include but aren’t limited to:
Chipped and cracked teeth can be painful and affect your oral health. Seeking treatment as soon as possible can help prevent further damage. A dentist will determine the correct treatment option, which could include a temporary crown, veneers, filling, root canal, or crown.
When you chip or crack a tooth, it can be tempting to delay calling a dentist, especially if it doesn't hurt. But problems (including pain) can develop, and early assessment and treatment is the best way to head them off. Also. seeing your dentist regularly can help find small cracks before they increase in size.
A chipped tooth occurs when part of the tooth breaks off. A cracked tooth occurs when a crack extends through the tooth, but the tooth remains intact.
A cracked tooth can be smoothed out by a dentist, using composite resin or veneers.
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