What To Do When A Tooth Is Cracked In Half But No Sign Of Pain?

March 30, 2024
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If your tooth cracked in half but you have no pain, it may lure you to falsely think that there is no need to worry about it. However, your teeth cracking is not like toe stubbing; even without discomfort, it presents a significant risk to your oral health.

The Protocol To Follow When Tooth Is Cracked With No Pain

Determining the severity of a tooth cracked in half with no apparent pain is difficult. Therefore, the best approach is to call for help immediately and follow the protocol mentioned below:

  1. Seek Immediate Dental Care
    Even if the half cracked tooth does not hurt, get in touch with your dentist for evaluation and treatment. They might choose treatment options like dental bonding, fillings, crowns, root canals, or extraction, depending on the severity of the break.
  2. Damage Assessment
    Once you have help on your way, do not panic. Evaluate the extent of the break by physically examining your tooth. Check for any signs of bleeding, swelling, or sharp edges that could cause injury to the tongue or cheek.
  3. Save Any Tooth Fragments
    If your tooth is cracked into a proper half and the pain has not kicked in yet, save the pieces and bring them to your dental appointment.
  4. Maintain Oral Hygiene
    Do not stop practicing good oral hygiene, including gently rinsing your mouth with warm water or a saline solution after eating to clear debris from around the broken tooth. Additionally, steer clear of swishing too vigorously to prevent further damage.
  5. Manage Swelling
    If you can see the size of your gum near the broken tooth doubling up, apply ice at 15-minute intervals to the affected area. Never introduce it directly; always cover the ice with a towel to protect your skin and minimize swelling and discomfort.
  6. Control Bleeding
    In case you can see blood oozing out, use clean gauze to apply pressure and stop the flow. Replace the gauze as needed until the bleeding stops.
  7. Be Careful of What You Eat
    Be cautious with your diet to prevent worsening the broken tooth. Do not consume hard, chewy, or sticky foods that may put pressure on the affected area.

Treatment Options

There are multiple options that your dentist may choose depending on the severity of your case.

  • Root Canal with a Dental Crown
    If restoring the half broken tooth is possible, your dentist may opt for a tooth crown. This involves a root canal procedure that eliminates infected or decayed tissue. The next step is a core insertion into the tooth before filling. Finally, they use a dental crown to provide stability.
  • Crown Lengthening
    Not every case is ideal, and there are cases where there is not enough structure to support a crown. In such a situation, a crown lengthening procedure may be recommended. The process involves shaving away the bone to expose more teeth above the gum line for the crown. However, it is important to note that the bone will not regrow after this procedure.
  • Orthodontic Extrusion
    This procedure makes the tooth more visible above your gums by attaching a bracket to the affected one and extruding it above the gum line.
  • Tooth Extraction
    Dentists try everything in their power to save teeth and extraction is only the choice when your half cracked tooth is severely damaged.

Closing Note

First things first, if your half cracked tooth does induce pain, it does not mean you let it be. Contact a dental care expert immediately for help. In the meantime, follow the tips to ease the situation. If you have more questions in mind, schedule an appointment at Smile Designs Dentistry with Dr. Sanjay Kumar Vanjarapu, DDS, extensively trained by the University of California Los Angeles (UCLA), on ways we can be of help. Contact us at any of the following locations:

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