In the realm of dental health, the presence of a hole in a tooth prompts the critical question: Does a cracked tooth need to be pulled? This section explores the intricate details surrounding this query, shedding light on the various aspects of cracked teeth, from their diagnosis to the potential need for extraction.

What Are Cracked Teeth?

In the context of dental health, cracked teeth present a nuanced condition where fissures or fractures affect the tooth structure. These cracks can be either visible to the naked eye or microscopic, requiring a closer examination for an accurate diagnosis.

Types Of Cracked Teeth

Cracked teeth manifest in various forms, each with its own characteristics and implications for treatment. Understanding these types is essential for both dentists and patients to navigate the complexities of diagnosis and determine the most suitable course of action.

Craze Lines

Superficial cracks, known as craze lines, typically appear on the enamel surface. While these lines are usually harmless and more of a cosmetic concern, they can contribute to the development of deeper cracks if not addressed.

Fractured Cusps

Cracks around existing dental fillings, especially impacting molars, are fractured cusps. These cracks can compromise the tooth’s structural integrity and may necessitate prompt attention to prevent further damage.

Vertical Cracks

Vertical cracks extend from the chewing surface towards the root, which is among the most concerning types. Depending on the severity, they may demand more extensive treatment, often involving interventions like root canal treatment.

Recognising the type of crack is crucial, as it informs the diagnosis and guides the appropriate treatment approach.

Reasons For Cracked Teeth

Understanding the reasons behind the development of cracked teeth is pivotal to prevention and effective treatment. Several factors contribute to the emergence of these fractures, each shedding light on the unique challenges they pose to dental health.

Common causes include:

  1. does a cracked tooth need to be pulled symptoms st leonardsTraumatic Accidents: Sudden impacts or facial injuries can result in cracked teeth. Accidents during sports, falls, or other physical trauma may cause visible or hidden fissures within the tooth structure.
  2. Teeth Grinding (Bruxism): Habitual teeth grinding or clenching, especially during sleep, exerts significant pressure on the teeth. Over time, this can lead to cracks, emphasising the importance of managing bruxism to preserve dental health.
  3. Large Fillings: Teeth with extensive fillings are more prone to cracking. The presence of a substantial filling weakens the tooth’s structure, making it susceptible to fractures, especially if the filling is disproportionate to the tooth’s natural structure.
  4. Biting On Hard Substances: Chewing on hard objects, like ice, hard candy, or unpopped popcorn kernels, can result in unexpected cracks. The force exerted while biting on such substances can surpass the tooth’s resilience.

Recognising the specific cause of a cracked tooth is instrumental in tailoring an effective treatment plan.

Symptoms Of Cracked Teeth

Identifying the symptoms associated with a cracked tooth is pivotal for timely intervention and effective dental care. These symptoms, often subtle at first, can escalate if left untreated, leading to more severe consequences.

Common indicators of a cracked tooth include:

  1. Sharp Pain While Chewing: Cracked teeth often cause sharp, localised pain, particularly when biting or chewing. The intensity can vary based on the severity and location of the crack.
  2. Sensitivity To Hot And Cold Temperatures: A heightened sensitivity to hot or cold temperatures is a common sign. The cracked tooth allows these stimuli to reach the nerves inside the gum line, causing discomfort.
  3. Discomfort When Releasing Biting Pressure: Releasing biting pressure can cause pain or discomfort in a cracked tooth. This is a distinctive symptom that warrants attention.
  4. Visible Cracks Or Damage: In some cases, visible cracks or damage may be noticeable. However, not all cracks are visible to the naked eye, highlighting the importance of professional dental examinations.

Regular dental check-ups play a crucial role in the early detection of these symptoms, allowing for prompt diagnosis and appropriate treatment.

Should You Actually Pull Your Broken Tooth?

The decision to extract a cracked tooth is nuanced and influenced by various factors, ranging from the type and severity of the crack to its impact on oral health. Not all cracked teeth require extraction, and alternative treatments may be explored based on the specific circumstances.

Factors influencing the decision are:

Type And Location Of The Crack

The type and location of the crack play a crucial role. A superficial crack or tooth fracture limited to the enamel may not necessitate extraction, while deeper cracks reaching the pulp, like a split tooth, may require more intensive intervention.

Impact On Oral Health

The overall impact of the cracked tooth on oral health is a determining factor. If the crack poses a risk of infection, compromises neighbouring teeth, or jeopardises the structural integrity of the affected tooth, extraction may be considered.

Available Treatment Options

Various treatments exist for cracked teeth, ranging from dental bonding and fillings to more invasive procedures like root canal therapy or dental implants. The availability of these options influences the decision-making process.

Severity Of The Crack

The severity of the crack is a crucial consideration. While minor cracks may be addressed with conservative measures, extensive or deep cracks may necessitate extraction to prevent further complications.

How To Treat Your Cracked Teeth


Treating cracked teeth is a multifaceted process, with the approach depending on the type and severity of the crack. Dental professionals employ various strategies, ranging from non-invasive measures to more intricate procedures, ensuring the preservation of oral health.

Treatment options for cracked teeth are:

Dental Bonding

For minor cracks, dental bonding involves the application of a tooth-coloured resin to fill and seal the crack. This relatively simple and non-invasive procedure provides both cosmetic and functional benefits.

Dental Fillings

Cracked teeth with larger fissures may be treated with dental fillings. This involves removing the damaged portion of the tooth and filling it with a durable material, restoring its structure.

Root Canal Therapy

Root canal therapy may be necessary when the crack extends into the pulp. This involves removing the infected or damaged pulp, cleaning the root canal, and sealing it to prevent further infection.

Dental Crown

A dental crown may be recommended for more extensive cracks that compromise the tooth’s structural integrity. This involves placing a custom-fitted cap over the affected tooth, providing strength and protection.

Dental Implant

In cases where extraction becomes unavoidable, dental implants may be considered. This involves replacing the extracted tooth with an artificial one anchored securely to the jawbone.

Treatment choice depends on the cracked tooth’s specific characteristics and the patient’s overall oral health.

What To Expect When Going For Professional Tooth Extraction

While a significant step, professional tooth extraction is a well-established dental procedure designed to address various issues, including severely cracked teeth. Understanding the process and what to expect can help alleviate anxiety and facilitate informed decision-making.

Key aspects of professional tooth extraction are:

Initial Consultation

The extraction process typically begins with an initial consultation. During this appointment, the dentist goes through a cracked tooth diagnosis, discusses the treatment options, and outlines the extraction procedure if necessary.

X-rays And Examination

X-rays may be taken to get a detailed view of the tooth and its surrounding structures. This aids in determining the best approach for extraction and ensuring no complications are overlooked.

Local Anaesthesia

Before the extraction, the dentist administers local anaesthesia to numb the area around the tooth. This ensures a comfortable experience during the procedure.

Tooth Extraction

The extraction itself involves carefully loosening the tooth from its socket and gently removing it. The dentist may use advanced tools to ensure minimal trauma to the surrounding tissues, especially if there is a vertical root fracture.

Post-Extraction Care

Following the extraction, the dentist provides instructions for post-operative care. This typically includes guidelines for managing any discomfort, avoiding certain foods, and maintaining oral hygiene.

Considerations For Tooth Replacement

After extraction, discussions about options to replace the missing tooth may arise, especially if the extracted tooth is visible. Dental implants, bridges, or dentures could be considered to restore functionality and aesthetics.

does a cracked tooth need pulling st leonardsWhat Happens If You Ignore Your Cracked Teeth?

Neglecting a cracked tooth can have far-reaching consequences, impacting oral health and overall well-being. Understanding the potential risks and complications associated with ignoring cracked teeth emphasises the importance of timely dental intervention.

Consequences of ignoring cracked teeth:

Further Damage

A cracked tooth left untreated is susceptible to further damage. So remember that what might start as a minor crack can escalate into a more extensive fracture, compromising the tooth’s structure beyond repair.

Risk Of Infection

The open pathways created by cracks provide an entry point for bacteria. This increases the risk of infection within the tooth, leading to inflammation, pain, and potential abscess formation.

Compromised Surrounding Teeth

Neglected cracked teeth can impact adjacent teeth. The structural instability of the cracked tooth may lead to stress on neighbouring teeth, increasing the likelihood of additional dental issues.

Tooth Loss

In severe cases, the progression of a cracked tooth may lead to irreparable damage. Tooth loss becomes a real possibility, necessitating more complex and costly dental interventions to address the gap.

Chronic Discomfort

Ignoring a cracked tooth often results in chronic discomfort. Persistent pain, sensitivity, and difficulty with everyday activities like eating can significantly diminish the quality of life.

Frequently Asked Questions

Can all cracked teeth be saved?

Not all cracked teeth need to be extracted. The ability to save a cracked tooth depends on factors such as the type and severity of the crack, its impact on oral health, and the available treatment options. Early detection and prompt intervention increase the chances of saving the tooth.

Is extraction the only solution for a cracked tooth?

No, extraction is not the only solution. Treatment options vary based on the type and severity of the crack. Dental bonding, fillings, root canal therapy, or dental crowns are common alternatives that preserve the natural tooth structure.

What are the risks associated with tooth extraction?

Tooth extraction is a routine dental procedure, but it carries some risks like any surgical or invasive process. These can include infection, bleeding, or damage to surrounding structures. However, these risks are minimised with proper pre-operative assessment and post-operative care.

How can I prevent cracked teeth?

Preventing cracked teeth involves adopting good oral hygiene practices, avoiding habits like teeth grinding, and being mindful of what you bite on. Wearing mouthguards during sports activities and regular dental check-ups also prevents cracked teeth.

Will a cracked tooth always cause pain?

Not necessarily. While pain is a common symptom of a cracked tooth, especially when chewing or exposed to hot or cold temperatures, some cracks may not cause immediate discomfort. Regular dental check-ups are crucial for identifying and addressing asymptomatic cracks.

Can cracked teeth be hereditary?

A genetic predisposition to certain dental issues may exist, including the likelihood of cracked teeth. However, environmental factors, oral hygiene practices, and lifestyle habits also play significant roles in developing dental conditions.

Next Steps: Treating Your Fractured Tooth

Understanding cracked teeth, their causes, symptoms, and available treatments is essential for optimal oral health.

does a cracked tooth need to be pulled check st leonardsWhether considering extraction or exploring alternative interventions, seeking professional dental care promptly is key to preserving the health and integrity of your teeth.

Call St Leonards Green Dental, St Leonards, NSW, at (02) 9158 6211 to have your cracked tooth treated immediately by a professional dentist.

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.


Bonin, Caroline. “5 Types of Cracked Teeth (Pain Relief and Treatment).” NewMouth, 8 Nov. 2023,

Cadman, Bethany. How Do You Know if You Have a Cracked Tooth? 2 June 2018,

“Chipped or Cracked Tooth Causes and Repair.” Crest,

Dunkin, Mary Anne. “Repairing a Chipped or Broken Tooth.” WebMD, 28 Oct. 2009,

Lang‐Hua, Bich Hue, et al. “Factors Influencing Treatment Decision‐making for Maintaining or Extracting Compromised Teeth.” Clinical Oral Implants Research, vol. 25, no. 1, Mar. 2013, pp. 59–66. “Procedure for Dental Extraction.”, 26 Feb. 2019,

Professional, Cleveland Clinic Medical. “Fractured Tooth (Cracked Tooth).” Cleveland Clinic,

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