A split tooth occurs when a small, untreated fracture causes the tooth to eventually split completely over time. The location of the split will determine whether any part of the tooth can be saved. In some cases, a portion of the tooth can be preserved, though the prognosis may be guarded. Treating a split tooth typically involves consulting with your dentist to assess the best course of action for preserving the tooth or managing the damage.

A vertically cracked tooth extends from the chewing surface down toward the roots, and in some cases, the crack may extend below the gum line, making it difficult to assess the full extent of the damage without starting a conventional root canal. Once the root canal procedure begins, Dr. Baker can use endodontic microscopes to better evaluate the fracture. If a small crack is suspected, a root canal may be recommended to protect the tooth and prevent the fracture from worsening, helping to improve the long-term prognosis.

A vertical root fracture starts at the tip of the root and extends toward the crown or chewing surface. This type of fracture often causes significant pain or discomfort when biting down. If Dr. Baker believes the tooth can still be saved, treatment may involve endodontic surgery to address the fracture. However, if the fracture is too severe, the tooth may need to be extracted.