Post-Root Canal Care: Do You Really Need Dentures?

Q: Post-Root Canal Care: Do You Really Need Dentures?

Hello： After root canal treatment, the tooth loses its vitality and, due to the initial cavity treatment, the entire structure is compromised, making it prone to fracture. <br>Unless the crown portion is intact and reinforced with a post, it may only last for a while. <br>It is b

Dental prosthesis after root canal treatment?

Hello, I started root canal treatment around early March, and I had it done twice.
During the third visit, it was just an examination, and I was told I would need a fourth visit for another check-up.
Finally, today in April, I was supposed to get a crown, but when I went in, the doctor only examined my teeth.
I asked if I wasn't getting a crown, and the doctor said the tooth could still be used and didn't need a crown.
I asked the doctor if that wouldn't make it prone to breaking easily, and the doctor said it wouldn't.
I had previously researched root canal treatment online, and I am concerned that teeth after root canal treatment are more likely to fracture.
If I don't get a crown, won't biting into something hard cause it to break? If it breaks, wouldn't that mean I would have to extract the tooth and get a full set of expensive dentures? Should I consider going to another clinic or hospital for a crown?

Niming, 20~29 year old female. Ask Date: 2016/04/06

Dr. Huang Zhicheng reply Dentistry

Hello: After root canal treatment, the tooth loses its vitality and, due to the initial cavity treatment, the entire structure is compromised, making it prone to fracture.
Unless the crown portion is intact and reinforced with a post, it may only last for a while.
It is best to have a crown placed for protection.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/06

More Info

After undergoing root canal treatment, many patients have concerns regarding the long-term care of their treated teeth and whether they will eventually need dentures. Your situation is quite common, and it's understandable to have questions about the durability of your teeth post-treatment and the necessity of dentures.

Root canal treatment (RCT) is designed to save a tooth that is infected or decayed. During the procedure, the dentist removes the infected pulp, cleans the root canals, and seals them to prevent further infection. While RCT can save a tooth, it often leaves the tooth more fragile than it was before, as the removal of the pulp can compromise its structural integrity. This is why many dentists recommend placing a crown on the tooth after RCT to provide additional support and protection.

In your case, it seems that your dentist has assessed that your tooth is still functional and does not require a denture at this time. This is a positive sign, as it indicates that the tooth is stable enough to be used without immediate intervention. However, it is crucial to understand that while your dentist may feel confident about the tooth's current condition, there is always a risk of fracture, especially if the tooth has undergone significant decay or if it has not been reinforced with a crown.

Regarding your concerns about the tooth breaking if you bite down on something hard, it is indeed a valid concern. Teeth that have undergone RCT are more susceptible to fractures, particularly if they are not protected by a crown. If you do experience a fracture, the treatment options may vary depending on the severity of the break. In some cases, the tooth can be repaired with a filling or a crown, but if the fracture is severe, extraction may be necessary, leading to the need for a denture or implant.

If you are worried about the risk of your tooth breaking, it may be worth discussing with your dentist the possibility of placing a crown, even if it is not deemed immediately necessary. A crown can provide peace of mind and protect the tooth from potential fractures.
As for seeking treatment at another clinic, it is always advisable to get a second opinion if you feel uncertain about your current treatment plan. Different dentists may have varying approaches to post-RCT care, and a second opinion can help you make a more informed decision about your dental health.

In summary, while your dentist believes your tooth is stable enough to avoid immediate denture placement, it is essential to remain vigilant about its care. Avoiding hard foods, maintaining good oral hygiene, and considering a crown for added protection can help ensure the longevity of your tooth. If you have ongoing concerns, don't hesitate to discuss them with your dentist or seek a second opinion to explore all your options.

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