Does a Cracked Tooth Need to be Pulled?
A cracked tooth can be a concerning dental issue that many people face. You might wonder what to do when you notice a crack in your tooth or whether it needs to be pulled. Understanding the nature of this problem and the available treatment options is crucial for maintaining your dental health and making informed decisions about your oral care.
In this article, we’ll explore what a cracked tooth is and how dentists typically address this issue. You’ll learn about the different repair methods, including dental crowns and root canal treatments. We’ll also discuss the factors that determine whether a cracked tooth needs to be pulled or can be saved. Additionally, we’ll cover other treatments offered by The Smilist to help you maintain good dental hygiene and prevent future tooth damage.

What is a Cracked Tooth?
A cracked tooth is a common dental issue that occurs when damage causes a small break or fracture in your tooth. This condition, also known as cracked tooth syndrome (CTS), can affect any part of your tooth and may range from a minor chip to a severe split. While cracks can happen in any tooth, they’re most frequent in your upper front teeth and the molars in the back of your lower jaw.
You might not always notice a cracked tooth immediately, as some fractures are too small to appear on dental X-rays. However, you may experience pain that comes and goes when chewing or eating certain foods, particularly with your back teeth, which do most of the chewing work. This discomfort can be different from the more constant pain associated with a tooth abscess or cavity.
What Could Cause a Chipped and Cracked Tooth?
Several factors can lead to a chipped or cracked tooth:
- Injuries: Blows to your face or jaw, including falls, accidents, and sports injuries, can cause parts of your tooth enamel to break off.
- Chewing hard foods or objects: Biting down on hard foods like apples, hard candy, or ice can result in tooth damage.
- Teeth grinding (bruxism): Chronic grinding puts stress on your teeth, making them more susceptible to cracks or chips.
- Age: As you get older, your teeth naturally wear down, increasing the likelihood of cracks. People over 50 are more prone to this issue.
- Large dental fillings or root canals: These treatments can weaken your teeth, making them more vulnerable to cracks.
- Poor oral hygiene: Neglecting your dental health can lead to tooth decay, which weakens your enamel and makes your teeth more prone to damage.
- Sudden temperature changes: Abrupt shifts from hot to cold in your mouth can cause cracks.
To protect your teeth, it’s crucial to maintain good oral hygiene, avoid using your teeth as tools, and wear protective gear during sports activities. If you suspect you have a cracked tooth, it’s essential to consult your dentist promptly for proper evaluation and treatment.
How Does a Dentist Fix a Cracked Tooth?
When you’re dealing with a cracked tooth, it’s crucial to see a dentist right away. Ignoring the issue could lead to more costly and painful dental complications down the line. Fortunately, dentists have several methods to repair a cracked tooth, depending on the severity of the damage.
For minor cracks, your dentist might opt for a simple filling or bonding procedure. Bonding is a quick and painless process that doesn’t require numbing. The dentist will etch the tooth’s surface, apply an adhesive, and then use a tooth-colored resin to reshape the tooth. This material is then hardened with an ultraviolet light.
If the crack is more noticeable, especially in your smile zone, veneers might be the solution. These thin, tooth-colored porcelain or resin composite shells are applied to the front of your tooth. The process involves removing a small amount of enamel, taking an impression, and then cementing the custom-made veneer to your tooth.
For larger cracks or substantial decay, a crown or cap might be necessary. This involves grinding down part of the affected tooth and covering it with a tooth-shaped cap. Crowns can be made from various materials, including metal, porcelain fused to metal, all-ceramic, or all-resin. Each material has its advantages, so it’s best to discuss your options with your dentist.

Can a Cracked Split Tooth Be Repaired?
In cases where the crack extends into the tooth’s pulp, a root canal might be required before placing a crown. This procedure involves removing the damaged pulp, cleaning the root canal, and sealing it to prevent infection. Without this treatment, you might face tooth extraction.
For severely cracked teeth, particularly those split below the gum line, saving the tooth might not be possible. In such cases, your dentist may recommend an extraction followed by a dental implant. This involves removing the remaining tooth, placing a dental device in the root, and covering it with a crown that resembles a natural tooth.
Remember, early diagnosis and treatment are key to saving a cracked tooth. The longer you wait, the worse the crack can become, potentially leading to tooth loss. So, if you suspect you have a cracked tooth, don’t hesitate to seek professional dental care promptly.
Should I Get My Cracked Tooth Repaired or Pulled Out?
The type and severity of the crack play a crucial role in determining the appropriate treatment. If you have a superficial crack or a fracture limited to the enamel, you may not need extraction. In such cases, your dentist might suggest less invasive treatments like dental bonding or fillings. However, if the crack extends deeper into the tooth, reaching the pulp or splitting the tooth, more intensive interventions may be necessary.
The overall impact on your oral health is another determining factor. If the cracked tooth poses a risk of infection, compromises neighboring teeth, or jeopardizes the structural integrity of the affected tooth, extraction might be the best option. Your dentist will consider these factors when making a recommendation.
It’s important to note that a cracked tooth can’t heal on its own, but prompt treatment might save it. If you notice a crack in one of your teeth or experience symptoms, you should always consult a dentist. Getting your fractured tooth repaired quickly can reduce the risk of further damage and infection.

In some cases, a cracked tooth may be a dental emergency. If left untreated, it could lead to a tooth abscess that may spread to your jawbone. However, not all cracked teeth require immediate treatment. If the crack doesn’t cause infection, pain, or extend very deep into your tooth (like a hairline crack), you may not need immediate intervention.
Your dentist will explore various treatment options before recommending extraction. These may include dental bonding, fillings, root canal therapy, or crowns. If these options fail or aren’t suitable for your situation, your dentist may schedule an extraction. In such cases, they might suggest replacing the extracted tooth with a dental bridge or implant to maintain your oral health and function.
Remember, the goal is always to save your natural tooth when possible. However, if extraction becomes necessary, modern dental techniques and replacement options can still help maintain your smile and oral health.
Other Treatments for Cracked Teeth at The Smilist
At The Smilist, you have access to a range of treatments for cracked teeth. The approach taken depends on the severity and location of the crack. For minor cracks, composite bonding is often a suitable option. This affordable and minimally invasive procedure involves applying a tooth-colored resin material to the affected area and curing it with a special dental light. While it’s quick and cost-effective, it may not be as durable for molars and premolars that endure more chewing pressure.
For more visible teeth with severe cracks, dental veneers might be recommended. These thin porcelain layers are custom-made to cover the damaged tooth, providing a durable solution that can last over a decade with proper care. Although the process takes longer than bonding, veneers offer a more long-lasting fix for front teeth.
Dental crowns are often the go-to treatment for cracked molars and premolars. They come in various materials, including ceramic, metal alloy, porcelain-fused-to-metal, and gold. The choice depends on the tooth’s location and your specific needs. Crowns provide excellent protection and can also last for more than ten years with good oral hygiene.
In cases where the tooth damage is severe and other treatments aren’t sufficient, tooth replacement might be necessary. Options include fixed dental bridges, dental implants, or partial dentures. Reserve an appointment with one of our dentists at The Smilist! They will assess your situation and recommend the most appropriate treatment to restore your smile and maintain your oral health.
