Can You Get a Dental Crown with Root Shadow Before Surgery?

If there is a shadow on the root of the tooth, can a crown be placed first?

If there is a shadow on the tooth root, should a root canal surgery be performed before getting a dental prosthesis? Today, I visited a dentist who said that a prosthesis could be placed first, and if there are issues with the tooth root later, then a root canal surgery could be done afterward.
But wouldn't that mean I would have to redo the crown if there are problems with the tooth root later?

Xiao Xiao, 30~39 year old female. Ask Date: 2017/03/07

Dr. Huang Tingfang reply Dentistry

Dear Miss Xiao Xiao,
Hello! Is it advisable to proceed with a dental crown if there is a shadow on the tooth root? Generally, it is not recommended, as it indicates that the bone around the tooth root has been compromised.
It is best to wait until the shadow disappears or diminishes before getting a prosthesis, to avoid unnecessary expenses.
Please communicate more with your dentist!
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/03/07

More Info

When it comes to dental health, particularly regarding the presence of a root shadow on an X-ray, it is crucial to understand the implications of such findings before proceeding with treatment options like dental crowns or implants. A root shadow typically indicates some form of pathology, often associated with infection or bone loss around the root of the tooth. This condition can arise from various issues, including untreated cavities, periodontal disease, or previous trauma to the tooth.

In general, if a root shadow is present, it is advisable to address the underlying issue before placing a dental crown or any prosthetic device. The presence of a shadow suggests that there may be an infection or inflammation affecting the tooth's root and surrounding bone. Ignoring this condition and proceeding with a dental crown could lead to further complications, including the need for more invasive procedures later on, such as root canal therapy or even tooth extraction.

The concern you raised about a dentist suggesting that you could place a crown first and then deal with the root issue later is valid. While some practitioners may take a more conservative approach, it is essential to weigh the risks. If the root is compromised, placing a crown may not provide the necessary support and could lead to failure of the crown, necessitating its removal and replacement. This not only incurs additional costs but also prolongs the treatment process and may lead to further complications, such as the need for bone grafting if the infection worsens.

In cases where there is a clear indication of infection, such as a visible abscess or significant bone loss, the recommended course of action is typically to perform a root canal or extraction of the affected tooth before any restorative work is done. This ensures that the infection is resolved and that the foundation for any future dental work is sound. After the root issue is treated, and if the tooth is salvageable, a crown can be placed to restore its function and aesthetics.

Moreover, if a tooth is extracted due to severe infection or damage, it is often followed by options for replacement, such as dental implants or bridges. These options can provide a more stable and long-lasting solution compared to placing a crown on a compromised tooth.

In summary, while some dentists may suggest placing a crown before addressing a root shadow, it is generally not advisable. The best practice is to first treat any underlying issues to ensure the health and longevity of your dental work. Always consult with a qualified dental professional who can assess your specific situation and provide a treatment plan tailored to your needs. Open communication with your dentist about your concerns and treatment options is vital for achieving the best outcome for your dental health.

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