Can You Still Get a Crown After a Root Canal Tooth Breaks?

If the inner part of the crown of a tooth has broken after root canal treatment, is it still possible to place a dental crown?

If the inner part of the crown has broken after root canal treatment, is it possible to place a dental crown, or is dental implant necessary? I have read that if the tooth root is fractured, a dental implant is required.
How can I simply determine if there is a root fracture?

Da Tou, 20~29 year old female. Ask Date: 2016/12/02

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Big Head,
Hello! As mentioned, if the inner part of the crown of the tooth has fractured after root canal treatment, and if the root has fractured deeply, extraction may be necessary.
A simple way to assess for root fracture is to check for swelling and pain in the gums, which likely indicates a fracture.
An X-ray will also be helpful for diagnosis.
Please communicate with your dentist frequently!
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Department of Dentistry

Reply Date: 2016/12/02

More Info

After a root canal treatment, if the crown of the tooth breaks, the possibility of getting a crown again largely depends on the extent of the damage and the condition of the tooth's root. In many cases, it is still possible to place a new crown on the tooth, but there are several factors to consider.

First, it is essential to assess the extent of the fracture. If the fracture is limited to the crown portion and the root remains intact, a new crown can typically be fabricated and placed. However, if the fracture extends into the root or if the root is compromised, such as being cracked or fractured, the prognosis for saving the tooth diminishes significantly. In such cases, extraction and possibly dental implants may be necessary.

To determine whether the root is fractured, several signs can be observed. If you experience swelling, pain, or sensitivity in the area, these could indicate a problem with the root. Additionally, dental X-rays are crucial in diagnosing root fractures. They can help visualize any cracks or issues that may not be apparent during a physical examination. Therefore, if you suspect a fracture, it is advisable to consult your dentist for a thorough evaluation.

Regarding the concern about needing an implant if the root is fractured, it is true that a fractured root often necessitates extraction. However, not all fractures lead to extraction; some may be managed with other treatments, depending on the fracture's nature and location. If the tooth can be saved, your dentist might recommend a crown to restore its function and aesthetics.

In summary, if the crown of a tooth that has undergone root canal treatment breaks, it is essential to evaluate the damage carefully. If the root is intact, a new crown can be placed. However, if there is any indication of root fracture, further diagnostic imaging is necessary to determine the best course of action. Always communicate openly with your dentist about your concerns and treatment options to ensure the best outcome for your dental health.

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