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Is a crown always required after a root canal?

Asked Dec 3, 2010, 05:44 AM — 20 Answers
So, I have had 2 root canals since my last post here (about the laughing gas) and I am wondering, do I absolutely NEED crowns put on those teeth? Tooth number 12 as well as 4. Tooth number 12 doesn't seem to need any strenthening but that's just my humble opinion. So...do I need a crown or can I go without it?

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tickle's Avatar
tickle Posts: 19,297, Reputation: 12336
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#2

Dec 3, 2010, 06:46 AM
Hi Mini, there are three reasons a dentist will recommend a crown, and it actually depends on the location for cosmetic reasons (one of the reasons); to strengthen the tooth or to restore the tooth to its original shape. I have bypassed a crown after root canal and just had the tooth filled and evened off because it was in the back of my mouth. That was my preference and of course there is the expense too.

It is up to you. You don't have to have a crown if you don't want one.

Tick
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Mini_Her's Avatar
Mini_Her Posts: 145, Reputation: 31
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#3

Dec 3, 2010, 06:52 AM
THANKS! That's great to hear! So, is it true that if I don't get a crown the tooth will break or fall out later on?

I like your response because I do NOT want to get those crowns!
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tickle's Avatar
tickle Posts: 19,297, Reputation: 12336
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#4

Dec 3, 2010, 07:02 AM
Quote:
Originally Posted by Mini_Her View Post
THANKS! That's great to hear! So, is it true that if I don't get a crown the tooth will break or fall out later on?

I like your response because I do NOT want to get those crowns!
You may get other opinions, but to tell you the truth,Mini, I had that particular tooth root canalled l5 years ago, no crown, and its been fine. I take care of my teeth though with regular check ups every 6 months. So basically I practice preventative maintenance, maybe that's why I have never had a problem. I have a two other permanent bridges, it isn't like I don't have them in my mouth.

Tick
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Mini_Her's Avatar
Mini_Her Posts: 145, Reputation: 31
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#5

Dec 3, 2010, 07:05 AM
Permanent bridges...what are those?
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tickle's Avatar
tickle Posts: 19,297, Reputation: 12336
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#6

Dec 3, 2010, 12:25 PM
Quote:
Originally Posted by Mini_Her View Post
Permanent bridges...what are those?
When I was younger, I had wisdom teeth out, one on each side on the bottom, then I had permanent bridges (bridging the two gaps) of 3 crowns each. That's why they are called permanent bridges, they bridge over a gap from a lost tooth.

Mini, just because you had a root canal doesn't mean your tooth will fall out eventually, it won't. If there is enough of your tooth left and you don't mind a filling, then there is no reason why you have to have a crown. Not, unless your dentist has a very good reason to put one one. But they will always try to sell crowns and bridges.

Tick
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flossie's Avatar
flossie Posts: 1,913, Reputation: 955
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#7

Dec 7, 2010, 09:46 AM
Crowns are generally recommended on teeth that have large fillings on them. If a tooth has also had a root canal the tooth is at risk of breaking since there is no nerve or moisture in the tooth and it becomes brittle. It can break when eating something as soft as scrambled eggs. When a tooth that has had a root canal breaks it normally breaks in a way that the only treatment is removal of the tooth.

If your teeth that have had root canals are not used for heavy duty chewing or biting you may be able to get away without a crown.

As tick says though, it is truly up to you. You have to do what you feel comfortable with.

If you were my family member I would definitely agree with a crown on a back molar after root canal.
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trntogl's Avatar
trntogl Posts: 2, Reputation: 10
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#8

Mar 14, 2012, 07:14 AM
I have a crown after a root canal and it is continuously bleeding under the crown when I brush my teeth. I am going to have them take it off and leave it off. My dentist cannot see an infection under the crown but I cannot understand why it continues to bleed when I brush. I am not comfortable with this whole thing and want it off. My tooth never gave me problems before the root canal. Don't think I needed one at all.
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tickle's Avatar
tickle Posts: 19,297, Reputation: 12336
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#9

Mar 14, 2012, 08:19 AM
Quote:
Originally Posted by trntogl View Post
I have a crown after a root canal and it is continuously bleeding under the crown when I brush my teeth. I am going to have them take it off and leave it off. My dentist cannot see an infection under the crown but I cannot understand why it continues to bleed when I brush. I am not comfortable with this whole thing and want it off. My tooth never gave me problems before the root canal. Don't think I needed one at all.
The only problem I see with this is what is under fhe crown is 'stub' of a tooth and all teeth work better when they can 'seat'. You may be causing more problems then you want by having the crown off. I guess it all depends on how rough you are brushing around that area.
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trntogl's Avatar
trntogl Posts: 2, Reputation: 10
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#10

Mar 14, 2012, 08:33 AM
Thanks for your response, I'm actually not brushing hard at all, in fact the opposite. I can be driving in my car, not even touching my crown and taste blood, it just starts. I floss regularly, which starts it up again, can't explain it.
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