Cracked Tooth vs. Cavity: How to Tell the Difference

Cracked Tooth vs. Cavity: How to Tell the Difference

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Cracked teeth and cavities are both common dental problems that threaten the health of a tooth. They can occur at any time and often have similar symptoms. Both should be addressed as soon as possible for easier treatment and to prevent more complex problems. But how do you differentiate between cavities and cracked teeth? Here’s what you need to know. 

Defining a Cavity

A cavity is a pit or hole that develops in the enamel of a tooth. It is caused by plaque, a sticky film of food residue and bacteria that clings to your teeth. When it remains on a tooth for too long without being removed by brushing, flossing, and professional cleanings, the bacteria gradually eat away at your enamel, resulting in a cavity. 

Defining a Cracked Tooth 

A tooth can crack in a few different ways. Sometimes a small crack develops somewhere in the enamel that may not be easy to see. Other times a piece of a tooth may break off or the tooth may crack completely in half. Depending on the type, location, and severity of the crack, the tooth may or may not be treatable. 

Symptoms of a Cavity 

For a small cavity, you may have no symptoms at all. Larger or deeper cavities may cause the following symptoms: 

  • Sensitivity to heat, cold, or sweets
  • Toothache 
  • Discoloration 
  • Bad breath or bad taste 
  • Pain when chewing

Cracked Tooth Symptoms 

When you have a small crack in a tooth that you are not able to see, you may experience the following symptoms: 

  • Pain that comes and goes 
  • Sensitivity to heat, cold, or sweets  
  • Pain when chewing
  • Discoloration
  • Swelling of the gums around the cracked tooth

Diagnosing the Problem 

The only way to know for sure what you are dealing with is to have an evaluation by a dentist or endodontist. Many cavities and cracks are too small to see or are located in places that are not visible, such as between the teeth or under the gums. During a professional evaluation digital X-rays can be taken to identify the problem and determine the best course of treatment. 

Treatment for Cavities 

Cavities are typically treated with fillings. During a filling the decayed portion of the enamel is removed and tooth-colored composite resin is used to fill in the hole. It is molded to the shape of your tooth for a natural look. 

In some cases a cavity is large or deep enough to reach the dentin, the soft layer beneath the enamel. When this occurs the tooth may need a root canal and a crown in order to be sufficiently treated for long term stability. 

Treatment for Cracked Teeth 

A cracked tooth can often be treated depending on the situation. If the crack is small and exists above the gums, the tooth may be restored with a crown. However, if the crack begins or extends under the gums, there is a possibility that it can’t be treated and will need to be removed. A split tooth most likely can’t be saved. 

What To Do if You Suspect a Cavity or Cracked Tooth 

If you have any of the symptoms of a cavity or a cracked tooth, contact your dentist or endodontist right away. Endodontists specialize in treating cracked teeth and deep cavities that may put the health of the tooth at risk. In many cases root canal treatment is needed for cracked teeth and large cavities, and going to a specialist may improve the chances of saving the tooth. 

Frequently Asked Questions About Cavities and Cracked Teeth

Does a cracked tooth need a root canal?

Not always, but in many cases a cracked tooth will need root canal treatment. A crack in a tooth increases the risk of bacteria getting inside the tooth and causing an infection. Root canal treatment prevents infection before placing a crown over the tooth. 

Why go to an endodontist for a cracked tooth?

An endodontist specializes in treating dental problems that threaten the health of a tooth from the inside. A crack puts a tooth at risk of infection, and an endodontist has the expertise and advanced technology that offers the best chance of saving the tooth. 



At Eagle Endodontics we provide advanced treatment for severe cavities and cracked teeth, as well as other endodontic treatments. We proudly serve families in Lexington, Belmont, and the surrounding area with top quality care. Contact us today to learn more and schedule an appointment.