Cracked teeth demonstrate many types of symptoms, including pain when chewing, temperature sensitivities, or even the release of biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort.
Chewing can cause movement of the cracked pieces of your tooth, and the pulp within the tooth becomes irritated. At the same time, when biting pressure is released, the crack can close quickly, resulting in sharp pain. Eventually, the pulp will become damaged and tooth will consistently hurt, even when you are not chewing. It is possible that cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the problematic tooth.
Most teeth can be treated. Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored. However, advances in endodontics are making it possible to save teeth that even a few years ago would have been lost. When non-surgical endodontic treatment is not effective, endodontic surgery may be able to save the tooth (see Apicoectomy Surgical Retreatment).
We recommend that you call your restorative dentist as soon as possible to make your follow-up appointment. Dentists' schedules tend to book quickly. It is recommended that you have your permanent restoration placed 2-3 weeks after your root canal treatment to allow healing to take place, but not longer than one month after the procedure. This step is imperative for the long-term prognosis of your tooth.
The temporary filling placed in the biting surface of your tooth is designed to last ideally two to four weeks, not longer than six to eight weeks. It is crucial to see your general dentist for a permanent restoration. Waiting longer than eight weeks can cause your temporary filling to leak, thus contaminating your newly completed root canal therapy.