If you don t do something about it, the acid will continue to eat at the tooth until there is nothing left to say - leaving you no choice but to get the tooth extracted. Over time, the tooth enamel will start to break down beneath the surface of your tooth, even though the surface will appear to be fine. During the procedure, he will numb the area then drill a hole into the tooth. Using various tools and equipment, he will go down inside of the tooth and scrape away the nerves and dead pulp. This is a very effective procedure, although very time consuming as well. In most cases, a root canal can take several hours, although it is the only way to stop the dying pulp and save the tooth. If the fracture is large, you may need to have a crown placed on the tooth to prevent further fractures from occurring in that tooth. The second type of crack exceeds way below the gum line, and is known as an oblique subgingival fracture. Once the fractured piece of tooth breaks off, it normally remains attached to the gums and cause result in terrible pain until you get it removed. Anytime you start to experience a toothache, you shouldn t hesitate to make an appointment with your dentist to have it checked. Sometimes, getting an appointment when your tooth starts hurting is easier said than done. Even though you may be able to use certain products to stop the pain, the pain will always come back until you get the problem fixed. When the time comes to have your wisdom teeth extracted, you ll need to go to an oral surgeon and have a consultation first. During the consultation, you ll take a few x-rays that will let the surgeon know how bad your wisdom teeth are. He will go over the results with you, take a look in your mouth, then tell you what options you have. No matter how well your filling or crown was done, the materials that were used to fix the tooth can end up causing pain later on down the road. There really is nothing you can do, as crowns can sometimes come off or the filling can sometimes come out. If this happens, all you can really do is go back to the dentist to get the problem fixed.