Unfortunately, sometimes no matter how much we want to save the tooth we can’t, one of those situations is having a vertical fracture (crack) on the root surface.
You can get a second opinion from an endodontist (specialist in the root canal therapy). Sometimes very minor cracks could be sealed by a specific cement called MTA. Now, think about it, if that tooth is saved by getting a root canal then needs a crown and even by those treatments will have guarded prognosis (basically doesn’t have a good future)
Definitely get a second opinion on that tooth. My reason is whenever you pull the tooth, there’s no way to go back, and you would always think why didn’t I get a second opinion what if I could've saved it.
some dentists that pull teeth that could be saved (I had one come in yesterday), so I would advise you to get another opinion before you agree to remove the tooth.
Not all cracked teeth need to be pulled. However, if the cracked tooth cannot been properly restored because there is not enough structure to support the restoration and keep performing all its functions, in this case, this tooth needs to be pulled.
There can be several different types of cracks in a tooth. If it is above the gum line, like just the cusp is fractured off, it can be restored with a porcelain crown. But if the fracture is below the gum line or is a vertical root fracture, then the tooth has to be extracted! You would be in a lot of pain every time you chew if the fracture is vertical in the root. Sometimes the fracture is diagonal above or below the gum line, and sometimes the fracture extends into the pulp of the tooth, which can be painful!
Thanks for your inquiry,
Teeth that crack down the root, into the bone, cannot be saved because the cracked tooth: (1) cannot support a crown or filling without the restoration continually coming off (2) will be a constant source of infection as the crack leaks bacteria. There is no treatment for seriously cracked teeth other than extraction
A cracked tooth needs to pulled if it is cracked all the way through. This usually happens when a patient waits too long to fix it and it has broken all the way through. A cracked tooth can be repaired with a crown if it is caught early enough. The best way to avoid losing a tooth is to have your teeth checked every six months and have your fillings and crowns done as early as possible when they are diagnosed.
fabricated around the tooth to splint it back together cleanly, a crown impression can be taken and the crown will hold the fractured parts together. If the pulp is involved, root canal can be performed after the temporary crown is made by making a hole through the chewing surface. Afterwards, the impression can be taken if the pieces can be bonded together
and the permanent crown, once placed, will hold the parts together. If the crack is at or above the gum line, a crown can be made to salvage the tooth.