But, much like coffee and milk, where adding one to the other makes perfect sense, it is not always necessary. If your dentist has scheduled you for a root canal procedure and insists on doing a crown instead of a regular filling, you need to find out why. Teeth at the front of the mouth and those that are reasonably strong, in particular, may not need them at all.
Some people seem to think that if a tooth needs a crown that it also has to have root canal therapy. To the contrary however, these are entirely separate procedures and most certainly one can be performed without the need for the other. Having said that, there are some statistical relationships between the two.
But if the decay or fracture is close to the nerve (pulp), a root canal is usually needed. Most root canals are done in teeth that do not have a toothache. Back grinding teeth, molars and premolars, typically need a dental crown after a root canal.
Front teeth that we use for tearing, canines and incisors, may not need a dental crown. In rare cases waiting could cause a root canal to be needed. The tooth could split, which could require crown lengthening or extraction. These are things that your dentist should be prepared to talk over with you.
Is a Root Canal needed ? Most crowns do not need root canals.
If a tooth is not infected or acutely inflame it will not need a root canal. But if you have such a large cavity I would think they should perform the root canal because you might be needing one in the near. Yep, you can get a root canal with getting a crown. The reason crowns are sometimes recommended is because we know from studies that back teeth (molars and premolars) are more likely to fracture after root canal therapy.
SHOULD YOU NEED A ROOT CANAL FOR THIS TOOTH IN THE FUTURE, THE DENTIST CAN ALWAYS DO IT THROUGH THE CROWN IN PLACE. Yes you can, but of teeth that are crowned end up needing root canal. Re: Crown but no root canal ? I have had several crowns with no root canals and so far so good - knock on wood - (some were done several years ago).
I think that unless your tooth is abcessed you should be fine, at least for the time being. You only need one if the root pulp has been compromised. If the crown is porcelain then it is common for the porcelain to crack and break during the procedure and a new crown may be required. If the structural integrity of the crown is unaffected by the root canal then you should be able to have the access cavity to the root canal filled. Can you get a root canal without a crown ? In these cases, you may need the strength crowns provide.
Premolars and molars that are at low risk of fracture may also be suitable for filling-only restorations after root canals. The general rule of thumb is that a dental crown will need to be placed over a tooth that has just received a root canal if the tooth is a premolar or one of the back grinding teeth. Some people claim their teeth are sensitive after a crown , and some people say they never noticed a thing.
To be very honest, the build up after a root canal will usually hold fora year.
So, do it the way you suggested. Or at least that is an option. Alternatively, you could (talk to your Dentist), and get the Root canal and a Stainless steel crown (SSC). It cost much, much less than a long term (life long) crown , and last longer than a SSC, but longer than a CBU. The cost involved in getting a crown can almost be as much as the root canal itself, so that also may be a consideration for the patient.
In the long run, though, it is important to remember that root canal treatment is performed in order to save the tooth and avoid extraction. So, yes, there is a relationship between crown placement and the need for root canal therapy. Taking off a crown prior to root canal treatment is often easier said than done. Removing a crown from its tooth in a fashion where it remains fully intact and undamaged can be exceedingly difficult, if not impossible.
If you delay a root canal for too long, you will be at risk for serious dental problems and medical conditions. When a tooth goes untreated for longer than it shoul the bacteria found in the infected tooth pulp will spread into the gums and jaw. Be delicate with your tooth until you get crown and stay off of it.
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