Cracked Tooth Syndrome • Silverdale, WA

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If you have a cracked tooth, you have one of the most common problems that can occur in your mouth.

A cracked tooth can be a very painful experience. Cracks develop over a lifetime of heavy use and especially when teeth are subjected to the stress of chewing hard foods, ice, or biting on unexpected hard objects. The most susceptible teeth are molars and bicuspids, because they are subject to heavy wear and have large fillings. People who clench their teeth excessively can crack unfilled and otherwise perfect teeth. Painful, incomplete cracks are sometimes difficult to diagnose, but once a section of tooth breaks off (complete crack), pain usually subsides and the diagnosis is obvious.

Signs and Symptoms:

  • Pain while chewing
  • Pain when cold
  • Pain when hot
  • Pain while eating sweets
  • Spontaneous, unsolicited pain
  • No apparent decay present
  • No apparent x-ray evidence present
  • Crack usually verified visually when the tooth is prepared for restoration

Treatment of Cracked Teeth:

Simple Crack:
The majority of cracked teeth (about 9 out of 10) can be treated by placement of a crown (cap) on the tooth. When the tooth is prepared for the crown and a temporary crown is cemented, the pain is usually eliminated. If you experience no significant pain while wearing the temporary, your permanent crown will likely be successful.

Complex Crack:
Occasionally (about 1 in 10), root canal therapy is required as well as a crown because of the complex nature of the crack into the nerve. If pain persists after placement of the temporary crown, you may have a crack requiring a root canal before the permanent crown is cemented. Root canal therapy usually requires one or two additional appointments.

Vertical Root Cracks:
Some complex cracks are vertical and travel down tooth roots into the bone. These cracks are not restorable and require extraction of the affected root or the entire tooth. Unfortunately, vertical root cracks are difficult to diagnose.

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COVID-19 Status Message

As of May 19th we are open for full-service, non-urgent dental treatment.

Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued.

You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and staff. For example:

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Dr. Jason Niemeyer, Dr. Jeffrey Phillips and the rest of the SDC team