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Lerner & Lemongello Dentistry
5602 PGA Boulevard #201
Palm Beach Gardens, FL 33418
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Cracked Teeth: Signs, Symptoms and Treatment

Cracked-Teeth-924x400-300x129There have been many advances in dental care.  People are keeping their teeth longer. In daily use your teeth are exposed to certain habits like clenching, grinding or chewing on hard objects and over time this can contribute to the formation of cracks in your teeth. The symptoms of cracked teeth can vary greatly. With a cracked tooth commonly a person experience pain when chewing or sensitivity to hot and cold. For many people with cracked teeth the pain can be erratic which can cause difficulty in finding which tooth is the problem.


There are a number of different kinds of cracked teeth. Which treatment option will be used largely depends on what type of crack you have, where it’s located and the severity of the crack.

Craze Lines – These are very small cracks that only affect the enamel. This type of crack is very common in adults but causes no pain and is very shallow.  Usually no treatment is needed unless it is a cosmetic issue.  Possible treatment would be bonding or a veneer.

Fractured Cusp – The cusp is the pointed section of the chewing surface of the tooth. If it is weakened a fracture may occur. The cusp may break off from stress or need to be removed by your dentist. After removal the pain usually subsides and a damaged cusp is unlikely to cause any harm to the pulp unless the fracture involves more of the tooth. Treatment may include a bonded restoration, an onlay or a crown depending on the severity of the fracture.

Cracked tooth – This type of crack reaches from the outer surface of your tooth to the root. This type of crack often causes damage to the pulp due to its location and root canal treatment is often needed. Following this your dentist will then use a crown to restore your tooth and protect it. In some cases the crack can reach below your gum line.  If this happens the tooth may need additional treatment to save it or it may need to be removed requiring an implant or bridge.

Split Tooth – Split teeth occur if a cracked tooth is left untreated. Dentists usually aren’t able to save a split tooth and the severity of the crack will indicate whether or not any part of the tooth can be saved. If some of the tooth can be salvaged your dentist will usually recommend a crown or similar restoration.  If this is not possible, the tooth may need to be removed requiring and implant or bridge.

Vertical root fracture – This type of cracks begin in the root of the tooth and reach out to the outer layers. Vertical root fractures often go unnoticed as they display minimal symptoms and usually aren’t discovered until the surrounding bone or tissues become infected. Depending on the severity of the crack, treatment may involve extracting the tooth or saving a part of the tooth through removing the cracked root. If some of the tooth can be salvaged your dentist will usually recommend a crown or similar restoration.  If this is not possible, the tooth may need to be removed requiring and implant or bridge.


There are a number of steps you can take to decrease the risk of cracking your teeth. It’s important to avoid chewing on hard objects like ice or pens. Similarly if you clench or grind your teeth you should consult your dentist as this can often lead to cracks. To protect your teeth against wear from clenching or grinding a night guard can be made.  To protect your teeth from trauma while playing sports or other activity a sports guard may be recommended.

Rest assured the dental team at Drs. Lerner and Lemongello’s office is available to ensure your comfort and safety and are available to answer any of your concerns.  So whether it is for a dental check up, a simple tooth restoration, a smile makeover, dental implants, or complete mouth restorations our team is ready to help you achieve the smile you deserve and the dental heath you want.

Get the beautiful smile you have always dreamed of, make an appointment today! Contact Drs. Lerner and Lemongello for an appointment and information on all dental procedures at 561-627-9000.  Visit our website at and view our “Smile Gallery” for examples of some of South Florida’s most beautiful smiles.


 Drs. Lerner and Lemongello also proudly serve Stuart, Jupiter, Palm Beach, Boca Raton, Boynton Beach, Delray Beach

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Symptoms of a cracked tooth

Symptoms of a cracked tooth.  You may experience pain in the tooth when you bite or chew. However, it probably will not happen all the time. The tooth may be painful only when you eat certain foods or when you bite in a specific way. You will not feel a constant ache, as you would if you had a cavity or abscess, but the tooth may be more sensitive to cold temperatures. If the crack worsens, the tooth may become loose.  Many people with cracked tooth syndrome have symptoms for months, but it’s often difficult to diagnose because the symptoms are not consistent.  If you are experiencing these symptoms let either the doctor or hygienists know. Ultimately the need to restore the tooth with a crown or other restorative option may be necessary.

Cracked tooth syndrome: What Is It?

Cracked tooth syndrome: What Is It?
Unlike teeth with obvious fractures, teeth with cracked tooth syndrome usually have fractures that are too small to be seen on X-rays.  Sometimes the fracture is below the gum line, or under an existing crown making it even more difficult to identify.  Cracked tooth syndrome more often occurs in molars, usually lower molars, which absorb most of the forces of chewing.  People who grind or clench their teeth may be more susceptible to cracked tooth syndrome because of the constant forces put on their teeth.  Sometimes a person’s normal bite causes certain molar cusps (the highest points of the tooth) to exert so much pressure on the opposing tooth that it cracks.  Teeth with large fillings or teeth that have undergone root canal treatment are weaker than other teeth and may be more likely to crack.  People with one cracked tooth are more likely to have others, either at the same time or in the future.  In our office we use special instruments to help identify cracked teeth and recomend treatment before tooth fracture occurs.

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