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Do You Need a Crown After a Root Canal?

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A pair of dental figurines, one showing a full set of teeth and the other displaying the internal structure of a tooth, are used to demonstrate the process of a root canal.

If your dentist has recommended a root canal, you may wonder if a crown is needed afterwards. A crown is often needed to protect and restore your tooth after a root canal. However, everyone’s teeth are different, and circumstances may change. Your individual case will depend on your oral health, so it’s important to discuss these questions with your oral health professional

Understanding Root Canal Treatment

Root canals are needed when the soft tissue inside your tooth (known as pulp) is damaged or infected. A root canal is performed to remove the damaged tissue. In many cases, root canals are necessary to repair deep decay, cracks, or trauma. The procedure’s intention is to save the tooth rather than remove it. 

During the root canal procedure, the dentist removes the infected pulp, cleans and disinfects the inside of the tooth, and seals it. Although the issue is within the tooth, its structural integrity may be compromised, leaving it more vulnerable to damage.

If you’re experiencing these symptoms, it might mean that you require a root canal treatment:

  • Persistent toothache or discomfort 
  • Sensitivity to hot or cold temperatures, even after the stimulus is removed
  • Swollen gums around the infected tooth 
  • Discolouration or darkening of the tooth 
  • Persistent bad breath or taste in the mouth 
  • Tender of swollen lymph nodes in the neck or jaw area 

Why a Crown May Be Necessary After a Root Canal 

There can be many reasons why a crown could be necessary after a root canal—protecting your tooth, restoring function, and even preventing further damage or infection. 

Protecting the Tooth 

Root canals often weaken the structure of your teeth as removing the pulp leaves a hollow inside, which can make the tooth brittle over time. Therefore, the crown acts as a protective cap to help prevent cracks or damage during chewing. 

Restoring Function 

Teeth that have gone through a root canal often lose much of their natural structure, making biting and chewing more difficult. A root canal helps to absorb some of the impact when eating and helps your tooth to function better. 

Improving Longevity 

It is generally agreed that teeth treated with both a root canal and crown are more likely to be maintained for a much longer period of time. Whereas, failing to provide adequate protection to the tooth may lead to further implications down the line

Preventing Infection

While a root canal clears out the infection of the tooth, a crown can help seal the tooth, protecting more bacteria from entering the treated area. 

The Process of Getting a Crown

Here is a step-by-step guide on what your crown fitting appointment might look like: 

  1. Preparation: In the initial preparation, your dentist will likely trim down your tooth to prepare it for a snug fit with your tooth. 
  2. Impressions: Impressions are done to be sent to a dental laboratory for the creation of a crown that will fit your tooth. The impressions help to create a crown that matches your tooth in colour and fit. 
  3. Temporary placement: While your permanent crown is being created at the laboratory, your dentist will provide a temporary crown to be worn. 
  4. Permanent placement: Finally, your doctor will cement your final crown for a comfortable fit.
A person sits in a dentist's chair, looking calm and prepared, as they get ready for a root canal procedure in a well-lit dental office.

Types of Dental Crowns

When it comes to making a dental crown, there are several different materials from which you can choose. Most importantly, the material should be strong enough to withstand the impact of chewing and visually aesthetic to your liking. Your dentist will help you to make the decision. Here are a few common materials used: 

  • Porcelain or ceramic: This material is popular for its natural appearance and is generally used for the front teeth. 
  • Metal: Typically made with gold or alloy, this is the most durable option but less common due to its noticeable appearance. 
  • Porcelain-fused-to-metal: Combining metals and porcelain offers a more durable option than just ceramic and is more natural than only metal. 

Ultimately, your choice will depend on the location of your tooth, budget, and your personal aesthetic choices. 

How to Care for a Crowned Tooth

Once your crown has been put in place, you’ll want to care for it the same way you care for your natural teeth. Here are a few tips to keep in mind: 

  • Brush and floss daily to maintain good oral hygiene. 
  • Try to avoid eating hard foods or habits like biting nails that could cause damage to the crown.
  • Schedule regular dental appointments and checkups with your dentist.
  • If you notice any changes in your crown, such as loosening or shifting, contact your dentist for an appointment. 

A Healthier Smile Awaits with Elevate Dental

In most cases, having a crown placed after a root canal is a good way to keep your smile healthy and strong for years to come. While exceptions exist, your dentist can help to guide you down the right path toward good oral health. If you want more information or a personalized treatment plan, schedule an appointment with Elevate Dental today and speak with our team of experienced professionals.

Written by Dr. Krystal Hakkaart

Dr. Krystal Hakkaart is a General Dentist practicing in the North Okanagan Valley. She graduated from the University of Sydney in 2021 with unique training in Clinical Teaching and Leadership. Krystal moved back to Vernon (where she was born and raised) to share her passion and skill with her hometown. Krystal makes every effort to stay on top of current trends and developments in dentistry. Her commitment to continuing education empowers her to better serve her patients’ distinctive wants and needs. She is passionate about utilizing innovative technology and digital integration to offer the highest level of service, and deliver exceptional quality care wrapped in a gentle touch that results in an overall comfortable experience.

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