Should Root Canal Treatment Be Done Before Getting Dentures?

Root canal treatment

Should a dentist perform root canal treatment before making dentures?

Nini, 30~39 year old female. Ask Date: 2017/09/11

Dr. Zhu Guanyu reply Dentistry

Hello, regarding whether root canal treatment is necessary before making a dental crown or bridge, there is no strict rule.
Generally, if the tooth is prepared to within 2mm of the dental pulp, root canal treatment may be required.
Factors such as cooling during preparation to prevent overheating, protecting the pulp after preparation, and the adhesion of the crown or bridge are all related to the necessity of root canal treatment.
Conversely, if a tooth has undergone root canal treatment and has lost significant tooth structure, it is advisable to fabricate a crown to prevent tooth fracture.
Thank you for your inquiry.
Wishing you peace and health.
Sincerely, Dr.
Kuan-Tzu Chu, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/11

More Info

When considering whether to complete root canal treatment before getting dentures, it is essential to understand the implications of both procedures and how they interact with each other. Root canal treatment (RCT) is a dental procedure aimed at treating infection or damage to the pulp of a tooth. It involves removing the infected or damaged pulp, cleaning and disinfecting the inside of the tooth, and then sealing it. On the other hand, dentures are prosthetic devices designed to replace missing teeth and can be either partial or complete, depending on the number of teeth being replaced.

In general, if a tooth requires root canal treatment and is intended to be preserved for future use (such as for supporting a denture), it is advisable to complete the RCT before proceeding with the fabrication of dentures. Here are several reasons why this is recommended:
1. Tooth Health and Stability: A tooth that has undergone root canal treatment is more stable and less likely to fail. If a tooth is left untreated and is later used to support a denture, it may lead to complications such as further decay or infection, which can compromise the integrity of the denture.

2. Preventing Future Complications: If a tooth that requires RCT is not treated before getting dentures, there is a risk that the tooth may become painful or infected after the dentures are placed. This could necessitate additional procedures, potentially leading to the loss of the tooth and the need for more extensive dental work.

3. Improved Denture Fit: Completing RCT before getting dentures can lead to a better fit and function of the dentures. If the underlying teeth are healthy and stable, the dentures can be designed to align properly with the existing dental structure, improving comfort and functionality.

4. Long-term Planning: If you plan to have dentures, it is crucial to consider the overall health of your remaining teeth. Completing necessary treatments like RCT can help ensure that your dental health is optimized before transitioning to dentures.

5. Consultation with Your Dentist: It is essential to have a thorough discussion with your dentist about your specific situation. They can assess the condition of your teeth, the need for RCT, and how it relates to your denture plans. Each case is unique, and your dentist will provide guidance tailored to your dental health needs.

In conclusion, while it is technically possible to get dentures without completing root canal treatment on a tooth that requires it, it is not advisable. Completing RCT before getting dentures is generally the best approach to ensure the health and stability of your teeth, prevent future complications, and achieve a better fit for your dentures. Always consult with your dental professional to make informed decisions regarding your dental care and treatment options.

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