{"id":5087,"date":"2011-10-05T14:30:50","date_gmt":"2011-10-05T18:30:50","guid":{"rendered":"http:\/\/www.unionvilletimes.com\/?p=5087"},"modified":"2011-10-05T14:30:50","modified_gmt":"2011-10-05T18:30:50","slug":"was-that-my-tooth","status":"publish","type":"post","link":"https:\/\/www.unionvilletimes.com\/?p=5087","title":{"rendered":"Was that my tooth?"},"content":{"rendered":"

A cracked or broken tooth is not something to ignore<\/span><\/em><\/strong><\/span><\/p>\n

By Dr. Stephanie McGann<\/strong>, DMD, FAGD, <\/strong>Columnist, UnionvilleTimes.com<\/em><\/span><\/span><\/p>\n

\"\"<\/a>Rarely a day goes by that I don\u2019t hear about a broken tooth.\u00a0 Broken or cracked teeth are the most common reason that tooth needs crown or even root canal treatment. A broken tooth is one of the most common dental emergencies. Why does this happen?<\/p>\n

There are several reasons that teeth break.<\/p>\n

Old silver amalgam fillings contribute to broken and cracked teeth. Once upon a time amalgam fillings (a mixture of silver alloy and mercury) were the only reliable dental filling material.\u00a0 Today we know that amalgam restorations are rarely the treatment of choice.\u00a0 Even the best dentist in world cannot overcome the laws of nature. Silver fillings expand with heat more than the tooth. This expansion causes cracks and weakens the tooth. Some older amalgams swell with time and actually start to squeeze out of the tooth. This outward pressure causes teeth to crack.\u00a0\u00a0 Newer composite materials have expansion properties that more match the tooth.<\/p>\n

Some teeth just seem to break. This kind of fracture is usually attributed to micro cracks in the tooth that may have been present for years. Bite just right and you hear the crack or start chewing a piece of tooth.\u00a0 These teeth usually break when you are eating the softest thing imaginable.\u00a0 It\u2019s hard to explain how that pudding caused a tooth to break, in reality, it wasn\u2019t the pudding, the tooth was going to break and chose the pudding to do it in!<\/p>\n

Grinding and clenching \u2013 this phenomena is called bruxism.\u00a0 The cyclic clenching and grinding is often responsible for worn teeth, missing enamel and cracks. Many bruxers break teeth that have never had a filling. Dental fractures caused by chronic grinding could be referred to as \u201cstress fractures.\u201d Ok, not really but you get the point.<\/p>\n

Tooth decay can be responsible for a broken tooth.\u00a0 If a tooth has decay, particularly the kind we find with x-rays in between the teeth, the tooth can be weakened and when a person bites down, the enamel cracks away like and eggshell.\u00a0 This kind of fracture could be prevented with a simple filling before the decay becomes so extensive that tooth is a hollow shell.<\/p>\n

Abused teeth are more prone to breakage. If you chew ice on a regular basis, you may be setting yourself up for a cracked tooth (or teeth) in the future.<\/p>\n

So what do I do now?<\/p>\n

Once a tooth is broken, the first step is to identify that area of tooth that is compromised.\u00a0 The extent and location of the fracture has an impact on the outcome. A simple break is above the gum line, and is superficial in nature. These breaks usually can be repaired with a crown.<\/p>\n

A break that goes deeper into the tooth may require root canal (endodontic) treatment as well as a crown to function normally again.<\/p>\n

Every once in a while, a tooth will fracture through and through. This kind of break often separates the roots of the tooth or breaks well below the gum line.\u00a0 Most of these teeth will end up being removed. These locations are ideal for implant placement in the future.<\/p>\n

How can I keep my teeth from breaking?<\/p>\n

When your dentist mentions that you have large old silver fillings, consider replacing them. If he or she is concerned about them, don\u2019t wait.\u00a0 Have the old silver removed, and a new restoration or crown placed before the break happens.\u00a0 This is prudent maintenance.\u00a0 If you have a tooth that is broken but doesn\u2019t hurt, don\u2019t wait. When it starts to hurt, we probably have more work to do than when it first broke. If you grind your teeth, have a guard made. If you think you have decay, get it filled before the tooth crumbles.\u00a0 Dentistry is a perfect example of the old \u201cstitch in time\u201d adage.\u00a0 If you keep up with dental care and preventive maintenance, your teeth will be less likely to fracture.\u00a0 Ignore them, and one day you will be crunching on something wondering, Is that my tooth?<\/p>\n

\n

Cracked Tooth Syndrome: <\/em><\/p>\n

A tooth that hurts inconsistently when biting or chewing may be suffering from cracked tooth syndrome. The pain can be mild to intense. It may go away for days and then come back. Certain foods may make it hurt worse than others.\u00a0 The trouble with cracked tooth syndrome is that it may be hard to determine which tooth is the culprit. Once the cracked tooth is identified, a crown may be placed to support the tooth and prevent the pain.<\/em><\/p>\n<\/blockquote>\n

If you or someone you know has a broken or cracked tooth, inconsistent pain or is clenching or grinding their teeth, please contact your dentist.\u00a0 Today.<\/p>\n

Dr. Stephanie McGann is a resident of the Unionville area and along with her partner, Dr. Marie Scott, operates The Brandywine Smile Center<\/a>, a family-friendly dental practice in Concordville. She is a Fellow of the Academy of General Dentistry.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

A cracked or broken tooth is not something to ignore By Dr. Stephanie McGann, DMD, FAGD, Columnist, UnionvilleTimes.com Rarely a day goes by that I don\u2019t hear about a broken tooth.\u00a0 Broken or cracked teeth are the most common reason that tooth needs crown or even root canal treatment. A broken tooth is one of […]<\/p>\n","protected":false},"author":1,"featured_media":5092,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,403],"tags":[612,611,610],"class_list":["post-5087","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-health","tag-cracked-tooth","tag-dentistry","tag-health-2"],"_links":{"self":[{"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/posts\/5087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5087"}],"version-history":[{"count":0,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/posts\/5087\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=\/wp\/v2\/media\/5092"}],"wp:attachment":[{"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.unionvilletimes.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}