Yes, broken teeth often hurt, and the pain can vary depending on the extent and location of the fracture.
A broken tooth can cause pain for several reasons:
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Exposed Dentin: The inner layer of the tooth, called dentin, contains tiny tubules that lead to the nerve. When the enamel is cracked or broken, these tubules are exposed, leading to sensitivity to temperature changes (hot or cold), sweet foods, or even air.
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Pulp Damage: If the fracture is deep enough, it can reach the pulp, which contains the nerve and blood vessels. This can cause intense pain, especially when chewing.
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Inflammation: Even a small crack can irritate the tissues surrounding the tooth, leading to inflammation and pain.
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Infection: A cracked tooth provides an entry point for bacteria. If bacteria reach the pulp, it can cause an infection (abscess), which can be extremely painful and potentially spread to the surrounding bone and gums. The tooth will not only hurt when chewing but may also become sensitive to temperature extremes. In time, a cracked tooth may begin to hurt all by itself. Extensive cracks can lead to infection of the pulp tissue, which can spread to the bone and gum surrounding the tooth.
Here's a breakdown of potential pain scenarios:
| Fracture Type | Pain Level | Contributing Factors |
|---|---|---|
| Minor Crack | Mild sensitivity to temperature changes or sweets | Exposed dentin |
| Deeper Crack | Sharp pain when chewing, sensitivity to pressure | Pulp irritation, exposed dentin |
| Cracked Tooth Reaching Pulp | Severe, constant throbbing pain, sensitivity to hot and cold | Pulp damage, inflammation, infection |
| Split Tooth | Extreme pain, may radiate to jaw and other teeth | Extensive pulp damage, possible nerve exposure, advanced infection |
What to Do If You Think You Have a Broken Tooth:
- See a dentist immediately. Early treatment can prevent further damage and alleviate pain.
- Rinse your mouth with warm salt water. This can help clean the area and reduce inflammation.
- Take over-the-counter pain relievers. Ibuprofen or acetaminophen can help manage the pain until you see a dentist.
- Avoid chewing on the affected side. This will prevent further irritation and potential damage.
