Cracked Cusp Syndrome (CCS)

Cracked Cusp Syndrome, also known as Cracked Tooth Syndrome, refers to teeth with cracks or fractures that are too small to show up on an x-ray, making them difficult to identify. This condition is most commonly seen in molars and is associated with symptoms like pain on biting, severe temperature sensitivity, and intermittent pain.

Cracked Cusp Syndrome can be caused by several factors, including biting something hard, a pre-existing filling, or a habit of clenching or grinding your teeth. Sometimes, it can be difficult to pinpoint the exact cause of the crack.

Diagnosing CCS can be challenging due to the subtle nature of the cracks. Diagnosis often requires multiple appointments. The process includes discussing your symptoms, using a periapical x-ray to check for infection or bone loss, and performing bite tests with a blue stick or articulating paper. The dentist may also try a bite adjustment to see if it alleviates the pain before determining the best course of action.

Treatment for CCS varies depending on the severity and visibility of the crack. Options include using an orthodontic band to hold the cusps together, crowning the tooth to stabilize the crack, or in severe cases, extracting the tooth. In some instances, replacing the extracted tooth with an implant might be recommended. It's important to note that root canals are typically not advised as a treatment for CCS, as they often lead to the need for extraction.