A sudden sensitivity to hot and cold temperatures while enjoying your morning coffee or an icy treat might be more than just a fleeting sensation. For many, this could be the first sign of a cracked tooth.

The question immediately races through one’s mind: “Do cracked teeth need to be pulled?” The mere thought of tooth extraction can send shivers down the spine of those opposed to dental procedures.

But before you jump to conclusions, it’s essential to understand the intricacies of tooth structure and the varying severity of cracked teeth. Some cracks might be superficial, affecting only the tooth enamel, while others could reach the gum line or result in a significant dental injury.

Cracked teeth, unlike a simple dental filling or even a broken tooth, present a unique challenge in oral health.

The severity of the crack, its location, whether it has led to a split tooth or a more concerning vertical root fracture, and the overall health of the gum and surrounding teeth all play a crucial role in determining the best course of action.

Is root canal treatment the solution, or will the affected tooth need to be pulled to ensure the well-being of other teeth and prevent further complications? Dive in as we explore the multifaceted world of tooth fractures, root canal therapy, and when extraction becomes the only viable option.

Factors That Influence the Decision to Extract a Cracked Tooth

The intricate interplay between the severity of a dental injury, such as a cracked tooth, and the eventual decision for its treatment can be likened to the fine craftsmanship that goes into preserving a delicate artifact.

A tooth’s intricate structure and enamel are no less than an organic marvel. When it comes to the age-old question. Tooth extraction is not always the immediate solution for cracked teeth. Several factors need to be considered. So, the dentist will be able to decide whether a tooth fracture can be repaired or extracted:

Extent and Location of the Crack


Not all cracks are created equal. Some, like craze lines on the tooth enamel, are purely superficial. They might not even be visible to the naked eye and pose no threat to the tooth’s overall health.

However, the tooth cracks that reach the gum line or those that result from severe dental injury and cause sharp pain, such as vertical root fractures, are more concerning.

The tooth fracture that ventures deep into the tooth might expose it to external elements, leading to sensitivity to hot and cold temperatures. The exact location and depth of the crack can influence the treatment approach.

Patient’s Overall Oral Health

The overall health of one’s mouth plays a pivotal role in determining the fate of a fractured tooth. For instance, if the affected tooth is surrounded by gums suffering from gum disease or is adjacent to teeth with large fillings from previous dental care, it might be more challenging to save the tooth.

Teeth grinding, which some patients might unknowingly indulge in, can also exacerbate the condition of an already cracked tooth.

Patient’s Age and Health Conditions

Due to their vitality and more resilient tooth enamel, younger teeth might recover better with treatments like root canal therapy compared to older teeth.

Additionally, certain health conditions can compromise blood circulation to the tooth, affecting its healing potential.

Feasibility and Longevity of Other Treatment Options

Do cracked teeth need immediate extraction, or are there viable treatment options to explore first?

Root canal treatment might be an ideal solution for a tooth with a crack that hasn’t yet reached the gum line, offering a reprieve from extraction.

Similarly, a fractured cusp might require a dental filling or crown, preserving the natural tooth shape. However, extraction might be deemed necessary if the tooth experiences further complications or if the crack compromises the integrity of other teeth.

Prevention: Tips to Avoid Cracking a Tooth

Avoiding Hard Foods Like Ice or Hard Candy

Our teeth are designed for chewing, but biting on exceptionally hard foods can threaten their integrity. Ice and hard candies are prime culprits.

While the coldness of ice might be a temporary respite on a hot day, biting down on it can exert undue pressure on the tooth structure. Similarly, while tantalisingly sweet, hard candies can be a dental hazard if bitten into with

Not Using Teeth as Tools

It might be tempting to use our teeth as makeshift tools to open a packet or rip a tag, especially when a pair of scissors isn’t immediately accessible.

However, such practices can exert undue stress on the teeth, leading to chips, cracks, or even a broken tooth. We must resist this urge for our dental well-being and use actual tools for such tasks.

Wearing a Mouthguard During Sports

Contact sports or non-contact activities that carry the risk of facial injury are scenarios where our teeth are especially vulnerable.

A well-fitted mouthguard acts as a protective shield, cushioning the teeth against any sudden impact and reducing the risk of dental injury. Whether you’re into basketball, hockey, or even skateboarding, wearing a mouthguard should be as integral as any other protective gear.

Treating Bruxism (Teeth Grinding)

Bruxism, the medical term for teeth grinding, is an often-overlooked factor contributing to cracked teeth.

While it might happen unknowingly during sleep or intense concentration, the repeated force and friction can weaken teeth over time, making them more susceptible to cracks. If you suspect you’re grinding your teeth, whether due to stress or other reasons, it’s crucial to seek intervention.

Dental solutions like night guards can help counter the effects of bruxism and protect the teeth from undue wear and tear.


In the journey of oral health, early intervention is paramount. If you suspect a cracked tooth, seeking professional advice is not just advisable; it’s essential. However, if the crack leads to tooth extraction, your missing tooth or extracted tooth can definitely be restored through a dental implant, bridge, or dental crown. But always remember, prevention is always better than cure.

Prioritising preventative measures can save you both discomfort and time. So, to get your answer about “Does a cracked tooth need to be pulled?” and to know more about dental care and guidance, visit Total Care Dental Studio today. Your smile deserves the best! 

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.


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