Vertical Crack or What?

I had a deep filling & every since I have had a pain/zing sensation on "bite down" not release. I have had about 10 appointments to correct to include: many "bite" adjustments, replaced filling, RC eval, prepped for a crown, root canal & today the final crown. Bite down pain persists. @ RC the endodontist could not see any cracks&suggested this pain was just inflammation of tissue around tooth. X-ray shows no bone resorption....yet. . So much time,$,& lost PTO from work :(. Going on 9mo now

Doctor Answers (3)

Vertical Crack in an Endodontically Treated Tooth


Sometimes there is excessive force and pressure on the tooth and structure during root canal treatment. This may cause a vertical rooth fracture causing pain and inflammation. Normal x rays will not be able to diagnosis this and it is very hard to see. The best way for a dentist to diagnosis if there is a crack is with the use of a Cone Beam Cat Scan.  If there is a vertical fracture, the tooth needs to be extracted and an implant put in place. I am so sorry this has happened to you, but find a dentist who can accurately diagnose whether there is a vertical root fracture and the extent so they can do a proper extraction and implant placement.

Valencia Cosmetic Dentist

Cracked Tooth


I am  sorry to hear about the continual pain that you are having with  this tooth.  It really sounds as though the tooth does have a crack and an extraction is in your future.  If the tooth is extracted I would consider a dental implant to replace the tooth.  Good luck.  

Scott Young, DDS
Houston Cosmetic Dentist
5.0 out of 5 stars 15 reviews

Vertical crack


Unfortunately what you are describing happens.  It sounds like you might have a fractured root and the tooth may be hopeless.  Good luck

Leonard Tau, DMD
Philadelphia Cosmetic Dentist
5.0 out of 5 stars 4 reviews

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