Dealing with Cracked Teeth: Treatment Options and Costs Explained

There are cracks in the teeth?

Hello, doctor: If there is a crack (parallel to the tooth) in the occlusal surface of the lower incisors, are there any remedial methods? Or should it just be left alone, since it causes sensitivity when eating very hot or very cold foods? I'm also worried that one day it might split into two halves.
What should be done then? Would it require dental implants? How expensive would that be?

Nanxi, 20~29 year old female. Ask Date: 2007/03/27

Dr. Zeng Guanghui reply Dentistry

There is a crack at the junction of the lower front tooth (parallel to the tooth), and experiencing sensitivity or pain when consuming cold or hot foods indicates that the dental pulp nerve is responding to thermal stimuli with an inflammatory reaction.
If the pulp inflammation becomes irreversible, resulting in spontaneous pain, it is recommended to undergo root canal treatment.
Following this, the tooth should be protected with a crown to restore normal occlusal function and prevent the crack from worsening, which could lead to a series of adverse complications.

Reply Date: 2007/03/27

More Info

Dealing with cracked teeth can be a concerning issue, especially when it affects your daily life and eating habits. Cracks in teeth, particularly in the lower incisors, can arise from various factors, including excessive biting forces, grinding (bruxism), or even temperature changes from consuming hot or cold foods. Here’s a comprehensive overview of treatment options, potential costs, and what you can expect moving forward.

Treatment Options for Cracked Teeth
1. Observation: If the crack is minor and not causing significant pain or discomfort, your dentist may recommend monitoring the tooth. Regular check-ups can help ensure that the crack does not worsen.

2. Bonding: For small cracks, dental bonding can be an effective solution. This involves applying a tooth-colored resin to the affected area, which can restore the tooth's appearance and function. Bonding is typically a quick and cost-effective procedure.

3. Crown: If the crack is more extensive, a dental crown may be necessary. A crown covers the entire tooth, providing strength and protection. This is often recommended if the tooth has significant structural damage or if there is a risk of the tooth splitting further. The process usually requires two visits: one for preparation and impressions, and another for placement.

4. Root Canal Treatment: If the crack extends into the pulp of the tooth, a root canal may be required to remove the infected tissue. After this procedure, a crown is usually placed to protect the tooth.

5. Extraction: In severe cases where the tooth is beyond repair, extraction may be the only option. Following extraction, you may consider dental implants or bridges to replace the missing tooth.

Costs Involved
The costs associated with treating cracked teeth can vary widely based on the severity of the crack, the type of treatment required, and your location. Here’s a rough estimate of potential costs:
- Dental Bonding: Typically ranges from $100 to $400 per tooth.

- Dental Crown: The cost can range from $800 to $3,000, depending on the material used (porcelain, metal, or a combination).

- Root Canal Treatment: This can cost between $700 and $1,500, plus the cost of a crown afterward.

- Extraction: The cost for tooth extraction can range from $75 to $300, while dental implants can cost anywhere from $3,000 to $4,500 or more, depending on various factors.

Risks of Ignoring a Cracked Tooth
Ignoring a cracked tooth can lead to several complications. As you mentioned, exposure to hot or cold foods can cause pain, and if the crack worsens, it can lead to more severe issues, including infection or complete tooth fracture. A tooth that splits can often lead to the need for extraction, which is a more invasive and costly procedure than addressing the crack early on.

Conclusion
If you are experiencing pain or discomfort from a cracked tooth, it is crucial to consult with a dentist as soon as possible. They can assess the extent of the damage and recommend the most appropriate treatment. Early intervention can save you from more extensive procedures and costs down the line. Remember, maintaining good oral hygiene and regular dental check-ups can help prevent further complications and ensure the longevity of your teeth.

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