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304 North Cardinal St.
Dorchester Center, MA 02124
You have tooth pain but your dentist say nothings wrong. The x-rays is clear and your teeth look ok. But you feel a sharp, pokey pain when you bite a apple or drink your morning coffee. This hard-to-understand pain has a name: Cracked Tooth Syndrome. It is like a dentist mystery and you are the star. This article is for anyone who feel that ghost pain. I will tell you what it is, why it so hard to find, and most important, what you can do. You will learn how to talk to your dentist and get the help you need to feel better.
I remember it good. I was sit at my desk, eating some almonds. A healthy snack, right? I bite down on one and a big shock went through my jaw. It was a very sharp pain that go away fast. I chewed careful on the other side of my mouth and finish my snack. I thought maybe I just bite down weird. But then it happen again a few days later with hard bread.
The strange thing was the tooth not hurt always. It was like a ghost. It only hurt when I bite down just right. I went to my dentist and he do a full checkup. He tap on my teeth and took x-rays. He told me, “Bob, everything look perfect. I don’t see no cavities or problems.” I left feeling mixed up and maybe a little crazy. Am I making up the pain? This is how it start for many people with Cracked Tooth Syndrome. It is a real problem and you are not making it up.
This hidden pain make you very upset. You stop eating some foods. You chew very slow, like you walk in a field of bombs. You might even not trust your own feelings because the experts can’t find anything wrong. It’s a problem that make you feel like you cant do nothing. The pain is there but the proof is gone. This circle of pain, confusion and a good report from the dentist can go on for months or even years. It is a very tiring and mad experience.
So what is this tooth ghost I talk about? Cracked Tooth Syndrome (or CTS) is what it sound like. It is a very small crack in a tooth. The crack is too small for a normal x-ray to see. Sometimes the crack is only on the hard outside part, the enamel. Other times it can go more deep into the tooth’s inside parts. It happen most in molars because they do all the hard work when we chew.
Think of it like a small crack in a car window. From far away you can’t see it. The window still works but you know the crack is there. When you hit a bump, the crack might move or get bigger. A cracked tooth is like that. When you put force on it by biting, the crack open up. This hurts the soft pulp and nerves deep in your tooth. Ow! When you stop biting, the crack close and it hurt again.
This open and close is why the pain is so different. It’s not a pain that is always there like a cavity. It’s a sharp pain that happen with one action. This is the main difference and it’s why many peoples and even dentists is confused at first. The tooth isn’t “broken” like you normally think. It’s just weak in a way that our normal dentist tools can’t see easy.
You might ask why something that hurts so much can be so hard to find. The main reason is these cracks are very good at hiding. A normal dentist x-ray show how hard or soft parts of the tooth is. A cavity is a soft spot, so it is a dark area. A crack is just a thin line, so the density is not different. The x-ray light often goes right past it and show nothing, unless the angle is just right.
Also, the cracks can be in hard to see places. They can be under the gum or between the pointy parts of your molars. Just looking at the tooth might not show nothing either. Your tooth can look all healthy and good from the outside. The crack is a secret the tooth is keeping. It’s like trying to find one leaky pipe in a big wall but you cant tear the wall down.
This is why your dentist can’t always find the problem on the first visit. It is not because your dentist is bad. It is just a hard problem. The pain you feel is the biggest clue. Your story of when it hurt and how it hurt is the most important clue for your dentist. So don’t feel dumb when you explain the feeling. You are the number one witness in this dentist case.
If this story sounds like you, you might be putting the pieces together. How can you know if you have a cracked tooth? Only a dentist can say for sure, but there are some signs you can look for. Knowing these symptoms can help you have a good talk with your dentist.
First thing is pain that comes and goes when you chew. The pain might not happen every time you bite, but only with some foods or when you bite a certain way. Another big clue is pain when you *stop* biting. That “rebound” pain is a big sign of the crack closing. You might also feel quick sharp pain when your tooth get hot or cold things on it. The crack can let the hot or cold get closer to the nerve.
You might also feel the pain is hard to find exactly where. You might think it’s a top tooth when it’s really a bottom one. The pain can feel like it’s just in one area of your mouth. If you have any of these things, especially the sharp pain on biting that isn’t always there, it is a good idea to think it might be a crack. Write down which tooth you think it is and what you was doing when it hurt. This info is like gold for your dentist.
Our teeth are very strong, but they can be broken. A few things can make a tooth crack over time. One of the biggest reasons in our world today is stress. Many people squeeze or grind their teeth, especially at night. This habit is called bruxism and it put a lot of force on your teeth. It’s like making your teeth do a hard workout for eight hours every night. After a while, something can break.
Another common reason is having big fillings. A filling, especially a big old silver one, can make the tooth weak. The tooth part around the filling can move different from the filling. Over many years of chewing, this can make stress lines that become real cracks. It’s like a door stop being pushed into the tooth with every bite.
Of course, there are the more clear reasons. Chewing hard things like ice, popcorn seeds, or hard candy is a common way to crack a tooth. An accident like getting hit in the mouth from sports or a fall can also do it. Even just using your teeth for a long life of chewing can lead to cracks when we are older. It’s often not just one thing, but many things together that finally make that painful crack.
When a dentist thinks there is a cracked tooth, they must be like a detective. Because x-rays dont work many times, they have other tools and ways to find it. The first step is to listen good to you. Your story is the map to find the crack.
One of the most used tools is a “Tooth Slooth.” It is a simple plastic tool with a small point. Your dentist will have you bite down on it, one point of the tooth at a time. When you bite on the cracked part of the tooth, you’ll feel that sharp pain you know. This helps the dentist find the exact spot of the problem. It’s a simple but very good way to make the tooth tell its secret.
Your dentist might also use a special bright light. By shining this light on the tooth, a small crack look like a dark line because it stop the light. Sometimes, they can also use a special color paint. They paint your tooth, have you bite and wash it out, and the paint goes in the crack so they can see it. It takes time and being careful, but a good dentist can find the proof.
When the cracked tooth is found, you can feel better. The mystery is over! Now it’s time to fix it. The way to fix a cracked tooth change based on how deep and bad the crack are. The plan is always to stop the pain and keep the crack from getting bigger.
For a very small crack on the top, sometimes a simple tooth bonding can be used to fill it and make it strong. But, the most common and best fix for Cracked Tooth Syndrome is a dental crown. A crown is like a little hat for your tooth. It’s a cap that cover the whole tooth and holds it together. This stops the crack from moving when you bite, so the pain go away. Your dentist get the tooth ready, take a mold, and send it to a good crown and bridge lab. They make your special crown there.
Today, these crowns are made from very strong stuff that look like real teeth. A special zirconia lab, for example, can make a crown that is almost impossible to break and look just like your other teeth. If the crack has gone to the pulp inside the tooth, you might need a root canal first to clean out the bad nerve. Then the crown is put on top. If it is very bad and the crack go under your gum, the tooth might need to be pulled out. But a crown is usually the best way that saves the tooth and stops the pain.
This is a question I get asked a lot, and the answer is easy and clear: no. A tooth is not like a bone, it cannot heal itself. A tooth can’t grow back. When a crack is there, it stay there. And if you dont fix it, it will for sure get worse.
Think about that car window crack again. First it’s just a little line. But with time and the bumps from driving, the crack slow gets bigger across the glass. The same thing happen in your mouth. Every time you chew, you put more force on the crack. Every time you eat something hot or cold, you put force on it. Over time the little crack can become a big one.
This is why it’s so important to see a dentist when you think there is a problem. Ignoring the pain won’t make it go away. It’s just giving the crack more time to go deeper in the tooth. What can be a simple fix with a crown today could be a root canal and crown tomorrow, or even a lost tooth next year. Acting fast is your best protection.
The best way to fix a cracked tooth is to not get one. You can’t stop every accident, but there are simple things you can do to protect your white teeth. These habits can make it much less likely you will get these painful small cracks.
First, dont use your teeth like they are tools. Don’t open bottles, chew on pens, or tear packages with your mouth. Your teeth are for eating, not for being a pocket knife. Also, be careful what you eat. Dont chomp on very hard things like ice, jawbreakers, or popcorn seeds that didnt pop. If you like hard nuts or candies, try to let them melt or break them up first.
If you know you grind your teeth, tell your dentist right away. This is one of the biggest risks, and you can do something about it. Your dentist can get a special mouthguard for you to wear at nite. It’s a small price that can save you a lot of pain and money later. A good night guard dental lab can make a mouthguard that is comfy and protects your teeth from the strong grinding when you sleep. Last, if you play sports where you can get hit, always wear a sports mouthguard.
I know it is easy to not worry about a pain that isnt always there. When it’s not hurting, you can forget it. You tell yourself “It’s not so bad” or “Maybe it will go away.” But with a cracked tooth, this is a bad idea. Ignoring the problem is like ignoring a small leak in your roof. It will just cause bigger, more expensive problems later.
A small crack can get bigger and a piece of the tooth can break off. If the crack goes down into the root, the tooth can’t be saved and will have to be pulled out. If the crack lets germs get inside the tooth, you can get a bad infection. This can cause swelling, big pain, and need for a root canal.
In the end, ignoring the first signs of a cracked tooth turns a easy problem into a hard and expensive one. A crown is much easier and cheaper than a root canal, a dental implant, or a bridge. So please, listen to your body. That sharp pain is a warning. It’s your body’s alarm telling you that something need fixing. Don’t hit the snooze button on your health.