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Did you know!? More than 97% of Thai people have at least one cracked tooth per person.

Cracked teeth are one of the most common oral problems that have a variety of symptoms, some of which are difficult to detect, and can cause harm to the teeth and bones around the roots. If left untreated for a long time

 

Cracked teeth are one of the most common oral problems that have a variety of symptoms, some of which are difficult to detect, and can cause harm to the teeth and bones around the roots. If left untreated for a long time

Cracks on the teeth are usually caused by the following reasons:
  • Stress conditions Bruxism or abnormal occlusion behavior.
  • Regular intake of solid foods.
  • Accidental chewing on foreign objects or solid substances mixed in food.
  • Teeth that have been filled with large restorative materials or have lost a lot of dentin due to decay.

In addition, cracks are associated with increasing age, and certain anatomical features or tooth shapes are more conducive to cracking than usual.

Tooth crack inspection

Cracks come in a variety of sizes and may or may not be noticeable to the naked eye. Dentists will use a combination of methods to check for the presence and end of the crack to plan treatment for the patient. Basic examinations include history examination, crack inspection under high-magnification cameras. Staining or using fiber optic to detect cracks Testing with a milling stand, radiography, as well as dismantling the original restorative material in the suspected tooth to assess the crack underneath.

Cracked teeth

It often shows a variety depending on the depth and severity of the crack. The most common symptoms include:

  • Bite hurts It hurts to chew, especially when chewing hard or sticky food. When bitten, there may be a tingling sensation.
  • Tooth sensitivity when eating cold or hot food.

However, the bite hurts. Chewing pain or tooth sensitivity to temperature can also occur in many cases, and the dentist needs to examine to rule out the cause of the symptoms. Cracked teeth may not show any symptoms for a period of time.

Treatment Guidelines
  • If the crack is only on the surface of the tooth. They will not show symptoms and do not need treatment. If it has multiple teeth, it may reduce risk factors such as adjusting eating habits. Wear a splint to prevent bites and bumps when sleeping.
  • If the crack begins to expand into the dentin layer. But it has not reached the nerves in the teeth. Patients often come with a bite of a solid object and pain or tingling, or tooth sensitivity when drinking hot water. Cold water Treatment is done by rewinding large cracks, restoring crack adhesions, or making crowns in combination with reducing risk factors such as adjusting eating habits. Wear a splint to prevent bites and bumps when sleeping.
  • If the crack begins to extend into the dentin layer, reaching the nerves in the tooth. The syndrome is quite diverse. Biting a solid object and it hurts or tingles. I can't eat. I can't touch it, tooth sensitivity or toothache when drinking hot water. Cold water, constant throbbing pain without chewing food or drinking water, more toothache at night, toothache so severe that you need to take cold water to relieve the pain, pain that spreads widely to the temples, corners of the jaw, ears or other teeth, and swelling of the gums. If the dentist assesses that the tooth can still be preserved, it will be treated by root canal treatment in combination with crowns and reducing risk factors such as adjusting eating habits. Wear a splint to prevent bites and bumps when sleeping.
  • If the crack expands into the dentin layer. The nerves in the tooth and down to the root of the tooth. The success rate of attempts to preserve teeth is relatively low. Tooth extraction and replacement implants may need to be considered.

Regular visits to the dentist and reducing unconscious tooth damage will help prevent cracking and extend the life of your teeth for as long as possible.

บทความโดย ทพ.นรชัย วงศ์กรเชาวลิต  ทันตแพทย์เฉพาะทางด้านเอ็นโดดอนต์ บีดีเอ็มเอส เวลเนส คลินิก