“Doc, my tooth hurts when I bite this way”

I hear this every day…. Cracked Tooth Syndrome, better known as Instant crown.

Basically what happens is that your tooth acquires a hairline fracture, usually underneath a deep or very shallow restoration ( usually an amalgam, better known as a silver filling). Upon a strong chew the tooth actually flexes and slightly bends to allow a tiny bit of moisture or air into the micocrack resulting in the stimulation of the finest nerve fibers emanating from within the tooth’s pulp chamber. Essentially you feel a SHARP pain, not dull, upon biting a certain way; usually an off-set  chew on the tooth. The brain says to your major Four chewing muscles STOP NOW!!! by eliciting an “a-sharpey”( Sharpey Fiber )  fiber  nerve transmission pathway, you release on the bite, hence salvaging you primordial advantage of being able to chew another day to sustain your preservation as a human species….

You can’t see the fracture on a routine dental x-ray., altough one needs to be taken to rukle out other possible issues. The diagnosis is made on clinical exam. Also, usually some cold sensitivity, not to hot tempertures.

Treatment is a crown which confines the fracture line from propagating further. My experience is that 50% of patients experiencing this very specific pain inevitably require the dreaded root canal. OMG……………..no…………..not that………………….

Stay away from almonds and definitely don’t chew ice unless you want to see me:)

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For your Reference:

 Cracked Tooth Syndrome

Robert Emilio,  with over his 24 years of experience continues to enjoy practicing on his friends and family Five days week ( and sometimes six days ). He enthusiastically seeks  additional training to advance his craft. He currently holds a Master in Implantology with the I.C.O.I. ( an internationally recognized professional establishment in Implant dentistry) and emphasizes Digital Dentistry. Services include pediatric dentistry, teeth whitening, dentures, porcelain veneers, tooth extractions, treating bruxism, and advanced full mouth dental implant reconstruction. He has on site state-of-art capabilities for same day crown delivery; prosthetic fabrication via CEREC. He also provides gentle care via routine general dentistry  including root canal therapy, and always in a cosmetic artistic approach. He employs both Guided and Non-Guided Implant  surgery techniques. In addition on site, he utilizes a CBCT to aid in diagnostic radiography.

Dr. Emilio Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  dremilio@robertemiliodds.com

Office (203)866-7164      www.robertemiliodds.com.

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Author: robertemiliodds

My Passion is People and the Teeth Connected To Them! General dentist

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