Do I need a root canal and crown or just a crown?
Cracked Tooth Hurts when Chewing but Not Sensitive to Hot or Cold?
Doctor Answers (5)
Best to evaluate professionally
It is best to see a dental professional to evaluate the vitality of the tooth. Although it may seem counterintuitive, not feeling hot or cold MAY mean the nerve is damaged in which case a root canal would be necessary. When you see the dentist we can evaluate the specific tooth with a direct application of cold, if the nerve is not damaged the tooth should react to the cold, this would indicate that a root canal may not be necessary and a crown would suffice. If the vitality tests support the crown not needing a root canal a temporary crown can be placed for a few weeks to make sure the chewing sensitivity goes away before completing the new crown. Good Luck! Bernice Szafarek DMD
In most cases when the dentist starts treatment for a filling or crown if the crack goes into the nerve the answer will be yes good luck
Kevin Coughlin DMD, MBA, MAGD CEO Baystate Dental PC
Your symptoms are typical of this condition. What must first be determined is how extensive and deep the crack is. If it is only superficial, and the nerve is still alive, then a crown would help. If the crack is extensive and involves the root, then an extraction and replacement is in order.
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Cracked Tooth Sensitive to Chewing Only
If the nerve is still vital in the tooth and only sensitive to chewing due to the crack, a crown should be sufficient. If you are not having sensitivity to temperatures due to the fact the nerve is nonvital, then yes a root canal should be done prior to the crown.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.