Cracked Tooth in Omaha, NE

Fast diagnosis and stabilization to relieve pain and protect your tooth.

What Is a Cracked Tooth?

A cracked tooth happens when the enamel and underlying tooth structure split due to biting on hard objects, trauma, clenching or grinding, or normal wear over time. Pain often comes and goes: it may be sharp when you bite or release pressure, or with hot and cold. Without treatment, the crack can deepen, irritate the nerve (pulp), and lead to infection.

Common Signs You May Have a Cracked Tooth

  • Sharp pain when biting, especially on release.
  • Sensitivity to hot, cold, or sweets.
  • Pain that’s hard to pinpoint to one tooth.
  • Intermittent discomfort that worsens with chewing.

If you suspect a cracked tooth, contact Northwest Dental right away. We diagnose and stabilize cracks to relieve pain and protect your tooth. Call us during business hours (Mon–Thurs, 8:00 AM–5:00 PM). If it’s after hours, book an appointment online and we’ll see you as soon as possible.

Dentist checking a patients teeth

Types of Cracks and What They Mean

  • Craze lines

    Shallow, hairline surface cracks. Usually harmless and cosmetic only.

  • Cracks limited to the crown (above the gum)

    Often treated with a crown to hold the tooth together and stop pain.

  • Cracks extending below the gum

    May require a combination of crown lengthening (to expose more tooth), root canal therapy, and a crown. Severe cases may need extraction.

  • Split tooth or root cracks

    If the crack reaches into or through the root, the tooth often cannot be saved and extraction is recommended.

How We Treat a Cracked Tooth

  • Exam and imaging

    We perform bite tests, temperature tests, and take digital X-rays; in some cases, additional imaging or transillumination helps visualize the crack.

  • Stabilize and protect

    Depending on depth and location, options include:

    • Full-coverage crown to bind the tooth and stop flexing.
    • Root canal therapy if the pulp is inflamed or infected, followed by a crown.
    • Extraction when the crack is too deep to predictably restore.
  • Cracks extending below the gum

    May require a combination of crown lengthening (to expose more tooth), root canal therapy, and a crown. Severe cases may need extraction.

  • Replace if needed

    If extraction is necessary, we’ll discuss natural-looking options such as a dental implant and crown, a fixed bridge, or a partial denture.

What to Do Now

If you suspect a crack:

  • Avoid chewing on that side and skip hard or sticky foods.
  • Rinse with lukewarm water and use a cold compress for swelling.
  • Take over-the-counter pain relievers as directed.
  • Call us for an evaluation; prompt care improves the chance of saving the tooth.

Insurance and Financing

Getting care should be straightforward and affordable. Northwest Dental accepts various insurance plans and provides a complimentary benefits check so you know your coverage before treatment.

If you do not have insurance or want to manage out-of-pocket costs, explore flexible financing options and our in-house Dental Savings Plan.

What Our Patients Say

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Andre Woods
9 November 2026
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Great place to go to for dental care.
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Nick G
4 November 2026
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Dr Emily, and staff are such an amazing team of dental health professionals. My experience with Northwest dental has been extraordinary. I was in pain twice, and both times I got in to see Dr Emily the same week. Dr Emily is so kind, patient, and gives you a clear understanding of your dental health. The staff worked me in both times within the same week.
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Benjamin Heyne
26 October 2026
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I cannot say enough good on here to make people understand how amazing this Dental team is. The staff is professional, caring and utilizing the coolest technology I've seen. Its obviously not a free service but the prices were amazing for the work i needed. I highly recommend them for annual care and like me giving me my smile back for Christmas.
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Patty Kubat
9 October 2026
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I have been coming to Northwest for over 25 years, and staff is always so pleasant. I love my hygienist, Pat. Dr. Wacholrz and partners are great! Love Northwest Dental, and always recommend them when anyone is looking for a new dentist.
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Brian Keating
8 October 2026
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Friendly and professional Dentist office!
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larry salinas
7 October 2026
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The semi-annual cleaning of my teeth at Northwest Dental was fantastic! No pain and clean as ever. Staff was friendly and professional 👍 I actually look forward to returning in 6 mos
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Dennis Young
3 October 2026
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Dr. Emily provides comprehensive checkups and Libby, the hygienist, does a wonderful job of cleaning and caring.
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Blake Wickman
30 September 2026
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Had a wonderful time. Shelby was fantastic. Incredibly knowledgeable, and kind. Dr. Ben was phenomenal and I'm more than happy to return
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Shelagh Smith
17 September 2026
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I enjoyed my welcome visit at Northwest Dental Associates. Everyone was very friendly and professional. The paperwork was not overwhelming and there was no wait time. I will be recommending them to friends and family. I’m very happy I found them.
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Leroy Tate
13 August 2026
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Thorough and personable. Very professional.
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Janette Thomas
11 August 2026
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My husband and I are new to NW Dental. They were friendly and answered all our questions. They were able to get my husband in right away for his emergency. I have been twice for my teeth cleaning. They check your insurance and know what you would owe before the appointment. I appreciate that.
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Denise Ervin
10 August 2026
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Northwest Dental has been great for our family. The staff is very helpful and friendly. Pat is the best hygienist I've ever had. The dentists are great. I highly recommend

Frequently Asked Questions

Biting can flex the cracked pieces, irritating the nerve. When you release, the pieces move back, which can trigger sharp pain. Stabilizing the tooth with a crown often relieves this.

Not always. If the nerve is inflamed or infected, root canal therapy is recommended. If the crack is shallow and the pulp is healthy, a crown alone may be enough.

No. Enamel and dentin do not heal like bone. The goal is to stabilize the tooth, protect the nerve, and prevent the crack from propagating.

We look at crack depth, direction, and whether it extends below the gum or into the root. Cracks confined above the gum are often treatable with a crown (and sometimes a root canal). Vertical root fractures typically require extraction.

Cracks can deepen, pain usually worsens, and infection may develop, which reduces the chance of saving the tooth and can lead to more extensive treatment.

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