
20 Feb What Happens if You Ignore A Small Tooth Crack?
A small crack in a tooth can appear harmless. It can be a small line that you see in the mirror or a catch on your tooth when you run it with your tongue. Even a small crack behaves like a zipper in fabric. It may remain the same for some time, but then spread out when you bite on something hard, grind your teeth or chew the “wrong side”.
The good news is that many cracked teeth can be treated successfully-especially when they’re spotted early. Even if the damage doesn’t appear to be serious, you should still visit a dentist as soon as possible if your tooth has been chipped, broken, cracked or fractured. This article will explain what can happen when you ignore a crack in your tooth, early warning signs, and common treatment options that dentists use to protect teeth and prevent complications.
Why a small crack isn’t always “small”
The pulp (the living tissue where nerves and blood vessels are located) is found inside the tooth. The pulp is located inside the tooth (the living tissue that contains nerves and blood vessels). The crack may start on the outer enamel, and then slowly progress deeper. It can cause two problems as it moves.
1) Bacteria may get in.
Bacteria and saliva can enter through even a small opening, increasing the chances of infection or decay.
2) The tooth will become weaker.
Each bite exerts pressure. The crack can deepen if the tooth starts to flex. This can cause the crack to grow and trigger pain.
Cleveland Clinic states that some small cracks do not require treatment if the cracks aren’t painful, infected, or deep. However, you should consult a dentist to confirm if a crack is present.
Early signs of a cracked tooth you shouldn’t ignore
Cracks are not always visible as a clearly broken corner. Many times, the symptoms are subtle. They come and go. This is why people put off getting help.
The Oral Health Foundation emphasizes key signs, such as pain while biting or gnawing, sensitivity to heat or cold, or pain that is intermittent. It also stresses the importance of early treatment in order to prevent the crack from getting worse.
Here are some early warning signs:
Pain when chewing (especially on release)
The classic sign is a sharp twinge that occurs when you bite or release a bite. This could only happen with certain foods or when you chew on one side.
Sensitivity that feels “different”
If hot or cold drinks cause a tooth to tingle, it could be a cracked or irritated pulp.
On-and-off discomfort
The pain from a cracked tooth can be unpredictable. The American Association of Endodontists describes symptoms such as erratic pain while chewing, sudden pain with heat or cold and pain that may come and go.
A rough edge, a line, or food trapping
You may feel a small sharp spot on your tongue, see food sticking to the teeth, or notice a fine line. It’s still worth checking, even if the pain isn’t there.
What happens if a small crack in your tooth is ignored?
Ignoring the crack doesn’t mean disaster, but it increases the risk that it will become a larger and more costly problem. What can happen with time?
Cracks can spread
A cracked tooth is stressed by chewing, grinding, and clenching. Sometimes a small crack can grow into a fracture.
The tooth can become painful and inflamed
The pulp can be irritated as the crack grows. This can cause sensitivity, pain, or aching.
Infection can develop
Infection can occur if bacteria infect the pulp. Cleveland Clinic says that root canals can clear out infection that has developed inside the pulp of the tooth, caused by deep decay or cracks . Symptoms like swelling, pain, and a boil are also signs that you should visit a dentist.
More complex treatment may be needed
A crown or bonding can be used to stabilize early cracks. You may also need a root canal and a crown if you wait until you have pulp involvement.
In worst cases, the tooth may not be savable
A tooth may need to be extracted if a crack is too deep, or if it splits in a way that can’t be repaired. In general, the dentist will try to save a natural tooth if possible. However, it all depends on how deep and which way the crack is.
Why cracked-tooth pain can be confusing
Cracks are often ignored because the pain feels “random”. The AAE states that symptoms are varied and it can be difficult to pinpoint the exact tooth causing discomfort. Also, cracks in teeth may not be visible on an X-ray, particularly early on. Dentists will use a variety of tests: magnification, biting, cold testing and examining the tooth.
Treatment options for a small tooth crack
The treatment depends on the location, depth, and pain of the tooth. Your dentist will usually try to stop the crack from spreading, reduce sensitivity, and keep the tooth strong.
1) Monitoring (when it is truly minor)
If there is no pain or sign of further damage, some very small cracks can be monitored. Cleveland Clinic states that not all cracked teeth require treatment, especially if they are only a small hairline crack and do not cause pain or infection. You’ll still be told to visit the dentist if your symptoms worsen and to avoid eating ice or other hard foods.
2) Polishing and smoothing
The dentist can gently smooth the edge or chip to prevent it from catching. This will reduce the chance of the crack getting worse.
3) Dental bonding (composite repair)
Bonding can be used to seal small chips or cracks and increase comfort. When the tooth is healthy, and the cracks are not deep, bonding is often recommended.
4) A cap (crown) to protect the teeth
Your dentist may suggest a crown if the crack is threatening the strength of the tooth, especially if it’s on the back tooth. Crowns are like helmets that reduce flexing, and help prevent the crack from spreading. The NHS 111 Wales advice on chipped/broken/cracked teeth lists treatments that can include a crown that completely covers the broken tooth.
5) Treatment of the pulp (if affected by the root canal)
A root canal is necessary if the crack infects or inflames the pulp. This will save the tooth. Cleveland Clinic explains root canals are used to remove infection from the pulp of a tooth. This can be caused by deep cracks or cavities. The tooth may be restored with a dental crown to provide long-term protection depending on how much tooth structure is left.
6) Removal (if the crack has become too severe).
If the fracture splits or extends to a point that cannot be repaired, removing the tooth may be the best option. Your dentist will discuss your options.
What you can do right now (before you see a dentist)
The best way to find out if there is a crack in your tooth is to book an appointment with a dentist. The NHS says to see a dental professional if your tooth is cracked.
While you’re waiting:
(i) Avoid eating crunchy, hard foods and chew on the other side.
(ii) Self-care measures like cold packs or pain relievers can be used to help for the short-term. (Your pharmacist will advise you on what is suitable for you).
(iii) Avoid DIY fixes. Cleveland Clinic says that you should not try to fix a broken tooth yourself. Instead, they recommend consulting a dental professional.
What to do if you notice a small crack?
It is important to reduce pressure in order to avoid “surprise bites”.
A night guard can help you prevent grinding or clenching your teeth. Try to stop chewing hard candy, ice or pens. This is a common habit that can cause cracks. Talk to your dentist to see if a large filling needs additional protection.
FAQs
Q: Can a minor tooth crack heal by itself?
No-tooth doesn’t heal like skin. The crack may not grow larger, but it will not “repair” by itself. To be safe, it’s best to get it assessed and then stabilised as needed.
Q: How can I tell if a tooth crack is a serious problem?
Warning signs include discomfort, a burning sensation when you chew, or a sensitivity to heat and cold. Oral Health Foundation suggests that these are signs to be on the lookout for, and recommends that your dental team see you as soon as possible.
Q: What happens when I do not treat a cracked tooth?
The crack may spread and the tooth can become infected. If you have an infected pulp, you might need a dental root canal. Otherwise, the tooth will be more difficult to save.
Q: Will I always require a crown to fix a cracked or broken tooth?
Not always. Minor cracks are often treated by bonding or monitoring. Crowns can be used when the tooth is weak or a crack threatens to spread.
Q: Can a crack in a tooth lead to root canal treatment?
Yes. If the crack is infected or irritates the pulp, a root-canal may be necessary.
Q: What should I be doing today if I believe my tooth has cracked?
Book a dental appointment. The NHS advises you to visit a dental professional if your tooth is chipped or cracked. In the meantime, you should avoid chewing food on that side.

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