Can a Cracked Tooth be Saved with a Root Canal and Crown New Rochelle, NY
A cracked tooth is not something to take lightly. They are painful and often get worse when left untreated. Early diagnosis and treatment are vital to save the tooth and relieve any associated discomfort. Even if the crack has extended into the tooth's pulp, you can save it with a root canal and crown. The treatment and its ability to save the tooth will depend on the severity of the crack.
Root canals and crowns to repair a cracked tooth are available at Zen Dentistry Westchester in New Rochelle and the surrounding area. Our knowledgeable staff will guide you through the treatment options and discuss what makes the most sense for your dental concerns. Call us at (914) 826-8363 to schedule an appointment.
Symptoms of a Cracked Tooth
A cracked tooth can come in many forms — ranging from cracks on just the outer surface of the tooth enamel to fractures that extend into the root. These cracks are often too small to be noticed with the naked eye, and even X-rays may not be sufficient. Our dentist may use other methods such as dental dye or a magnifying lens to diagnose a cracked tooth.
The symptoms can vary depending on the type of crack and its severity. However, several warning signs reveal a cracked tooth, including:
- A small bump on the gum line, indicating an infection
- Inconsistent pain
- Increased sensitivity to hot and cold foods and liquids
- Tooth pain when biting or chewing
- Unusual discomfort around the teeth and gums
These symptoms can also indicate another oral health issue. Our dentist will do a thorough exam to rule out any other conditions. Once diagnosed, we will discuss treatment options, including crown and root canal procedures, as necessary.
“A cracked tooth can come in many forms — ranging from cracks on just the outer surface of the tooth enamel to fractures that extend into the root.”
Cracked Tooth Syndrome (CTS)
Cracked tooth syndrome, abbreviated to CTS for short, is a condition in which a patient has a crack in their tooth that is too small to be seen on an X-ray. Alternatively, the patient's tooth may have a crack that is difficult to locate due to it being under the gum. CTS most commonly affects molars, and its most common symptoms include tooth sensitivity and pain or discomfort when biting down. CTS pain is unlike cavity pain in that it is not persistent; instead, it comes and goes intermittently.
There is no singular cause of CTS. However, specific populations may be more prone to CTS than others. Patients with malocclusions that cause them to put excess pressure on one tooth, patients who grind or clench their teeth, patients with large fillings, or patients who have undergone root canal treatment are all more likely to have CTS than their counterparts. Furthermore, as CTS is also one of the most challenging dental problems to diagnose, patients may experience unexplained symptoms for months.
“…as CTS is also one of the most challenging dental problems to diagnose, patients may experience unexplained symptoms for months.”
When a Cracked Tooth Can Be Saved
When treating a cracked tooth, the dentist has many factors to consider. The location of the crack and the type of crack will determine the right treatment option. It is possible to treat a biting surface fracture with a crown, fitting it over the remains of the tooth and making it stronger.
A crack that goes below the gum line may need more extensive treatment like a root canal. A root canal is when the dentist removes the infected or inflamed part of the pulp, cleans the rest of the space, then fills and seals it with a special material. A crown is then fitted on the tooth to provide extra protection.
Thanks to advancements in dental techniques, a root canal is a procedure relatively free of discomfort. As long as the patient follows proper oral health care, most teeth with a root canal can last for decades. Our staff will walk the patient through all the treatment options to help them feel comfortable with the procedure.
Sometimes a cracked tooth can be saved using methods other than a root canal or crown. For example, it may be possible to fill or bond the tooth if the crack removed a small piece of tooth enamel. A veneer would offer another option if only the front part of the tooth got cracked. Patients should be sure to talk about all of their treatment options with our dentist during their assessment appointment.
“Thanks to advancements in dental techniques, a root canal is a procedure relatively free from discomfort.”
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When a Tooth Is Beyond Repair
When a tooth gets cracked, our staff will do all they can to save it. Sometimes, a crown or root canal is not enough to preserve a tooth, and extraction becomes necessary to prevent infection and further decay. Fractures can also happen below the gum line, which can be harder to fix without removing the tooth.
If possible, the patient should try to save the tooth instead of having it removed. However, if tooth removal is necessary, dental implants can effectively replace the missing tooth. Patients will want to discuss any alternative options with our dentist when assessed for a root canal treatment.
“When a tooth gets cracked, our staff will do all they can to save it.”
Questions Answered on This Page
Q. Am I at risk for cracked tooth syndrome (CTS)?
Q. What are the symptoms of a cracked tooth?
Q. How can you save a tooth with a root canal?
Q. What are the options when a tooth cannot be repaired?
Q. What are the post-care instructions?
People Also Ask
Q. Is increased sensitivity to temperature a sign that endodontic surgery is necessary?
Q. What can I expect during endodontic surgery?
Q. What is the difference between endodontists and dentists?
Q. What are the restoration dentistry procedure options?
Q. Are pain and tenderness when touching the teeth or chewing a sign of a problem?
Post-Care Instructions
After the cracked tooth gets fixed, patients will need to continue regular dental checkups and practice good oral hygiene with regular brushing and flossing. This is true whether the tooth got fixed via a root canal or crown. Root canals have a very high success rate, and many teeth fixed using this procedure can last a lifetime. Unlike broken bones, a crack in a tooth will never completely heal, so if patients start to experience any discomfort, it is time to make an appointment to see our dentist.
“After the cracked tooth gets fixed, either through a root canal treatment or with a crown, patients will need to continue regular dental checkups and practice good oral hygiene with regular brushing and flossing.”
Frequently Asked Questions
Q. How do I know if I have a cracked tooth?
A. A cracked tooth mimics the symptoms of many other dental issues. However, you may experience discomfort when you bite down or be sensitive to hot and cold foods. Do not ignore these symptoms. The sooner a cracked tooth is diagnosed and treated, the better.
Q. What can I do to keep my teeth from cracking?
A. It is difficult to avoid cracked teeth; still, you can do some things to reduce your chances. Do not chew on hard objects like ice or pens, look into a mouthguard if you clench or grind your teeth, and wear a mouthguard while playing contact sports.
Q. Could I have cracked tooth syndrome (CTS)?
A. Cracked tooth syndrome is when the crack on the tooth is not detected on an X-ray or resides under the gums. Since the crack is hard to see, many people may suffer for months before seeking help. Our dentist will utilize many different methods to help diagnose CTS.
Q. Why does a cracked tooth hurt?
A. Inside the tooth is a soft connective tissue called the pulp. This pulp contains cells, blood vessels, and nerves. Pulp may become irritated when the outer hard tissues of the tooth are cracked and chewing causes movement of the broken pieces.
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Dental Terminology
Helpful Related Links
- American Dental Association (ADA). Glossary of Dental Clinical Terms. 2025
- American Academy of Cosmetic Dentistry® (AACD). Home Page. 2025
- WebMD. WebMD’s Oral Care Guide. 2025
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