Reviewed by Dr. Kerri Font, DDS

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Fractured teeth do not always cause immediate or obvious symptoms. In some cases, they can go unnoticed until discomfort increases or complications develop. Recognizing the signs of a fractured tooth early can help prevent further damage and support timely treatment.

Table of Contents

Symptoms of a Fractured Tooth

A fractured tooth can affect how the tooth responds to pressure, temperature, and everyday function, even when the damage is not visible.

Pain or Sensitivity

Pain or sensitivity while chewing is the most common sign of a fractured tooth. Biting pressure can cause a crack to shift slightly, leading to discomfort. Sensitivity to hot, cold, or sweet foods may also occur.

Trouble Locating the Source of Pain

A fractured tooth may cause sharp or intermittent pain that is difficult to pinpoint. This type of discomfort can feel localized but unclear, making it challenging to identify which tooth is affected.

Swelling or Inflammation of the Gums

Swelling or tenderness in the gums near a tooth can be a sign of irritation or infection associated with a fracture. When left untreated, cracks can allow bacteria to affect the surrounding gum tissue.

Tooth Discoloration

A tooth that appears darker or grayish compared to surrounding teeth may indicate internal damage. Discoloration can occur when the inner portion of the tooth is affected by a fracture.

Floss Catching or Fraying

If dental floss consistently catches or frays around a specific tooth, it may be due to a small crack or uneven surface. This can be an early sign of a fracture that is not visible to the eye.

Visible Crack or Chip

In some cases, a fracture or chip can be seen when looking closely at the tooth. Regularly observing your teeth during brushing can help you notice visible changes that warrant evaluation.

Types of Tooth Fractures

There are different types of fractures that vary in severity and treatment approach.

Common types include:

  • Craze lines: Small surface cracks that typically affect only the enamel and are often harmless.
  • Cracked tooth syndrome:  A fracture that may extend into the tooth structure but can be difficult to detect.
  • Split tooth: A more advanced fracture that divides the tooth and often requires prompt treatment.
  • Vertical root fracture: A crack that begins in the root and may not be immediately visible.

How to Fix a Fractured Tooth

Treatment depends on the location and severity of the fracture. Minor cracks or chips may be stabilized with bonding or other conservative care. More extensive fractures can require restorative treatment such as crowns or root canal therapy to protect the tooth.

When a fractured tooth cannot be preserved, tooth replacement may be recommended. In these cases, dental implants are often considered because they provide a stable, long-term solution that supports normal function and oral health.

Next Steps for a Severely Fractured Tooth

If your tooth cannot be preserved, removing the damaged tooth and replacing it with a dental implant may be the best way to restore comfort and function. 

To book an appointment at our Highlands Ranch location or our Sloan’s Lake location, call (303) 683-1144.

FAQs

Does a cracked tooth need to be pulled?

Not always. It depends on the location and severity of the fracture. Some cracks can be treated with bonding, a crown, or root canal therapy. If the fracture extends below the gumline or into the root and the tooth cannot be stabilized, removal may be recommended.

How much does it cost to fix a cracked tooth?

The cost varies based on the type of fracture and the treatment required. Minor cracks may be addressed with more conservative care, while more severe fractures can require restorative or replacement treatment. An evaluation allows your dental provider to explain treatment options and associated costs based on your specific situation.

Is it okay to leave a broken tooth untreated?

Leaving a broken tooth untreated is generally not recommended. Even small fractures can worsen over time or allow bacteria to enter the tooth, increasing the risk of infection or further damage.

Categories: Periodontics