Should You Get a Root Canal or Keep Filling Your Front Tooth? - Dentistry

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Root canal treatment for incisors?


The front tooth has some decay that has been removed, but it is not severe enough to require a root canal.
However, after previously biting down on something hard, it fractured and has been filled several times, but the fillings tend to fall out easily.
The longest a filling has lasted so far is 4-5 months.
Should I consider getting a root canal and a crown, or is it better to keep the current situation and continue with fillings?

Qian, 20~29 year old female. Ask Date: 2021/01/28

Dr. Lin Jiayong reply Dentistry


Hello: If you frequently use your anterior teeth for chewing, it is advisable to consider root canal treatment followed by a crown for the maxillary anterior teeth.
However, it is important to monitor the condition of the mandibular anterior teeth over time to check for any wear caused by the metal-ceramic crown placed on the maxilla.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/28

More Info


When considering whether to get a root canal or continue filling your front tooth, there are several factors to weigh. Your situation involves a tooth that has experienced decay and has been previously filled multiple times, but the fillings have not been durable. This raises concerns about the long-term health and functionality of the tooth.

Understanding Root Canals and Fillings:
A root canal is a dental procedure that involves removing the infected or damaged pulp from inside the tooth and sealing it to prevent further infection. This procedure is typically recommended when the decay has reached the pulp, causing pain or risk of infection. On the other hand, fillings are used to restore the tooth's structure after decay has been removed. While fillings can be effective for minor decay, they may not be suitable for more extensive damage or repeated issues.

Factors to Consider:
1. Extent of Damage: If your tooth has significant decay or structural damage, a root canal may be necessary. Given that you mentioned the tooth has been filled multiple times and the fillings are not lasting, this could indicate that the tooth is compromised and may require more extensive treatment.

2. Pain and Sensitivity: If you are experiencing pain, sensitivity, or any signs of infection (such as swelling or discharge), these are strong indicators that a root canal may be necessary. Persistent discomfort can suggest that the nerve inside the tooth is affected.

3. Longevity of Treatment: Fillings are generally a temporary solution, especially if the tooth has been filled several times without success. A root canal followed by a crown can provide a more durable solution, restoring the tooth's function and aesthetics for a longer period.

4. Cost and Time: While root canals and crowns can be more expensive upfront compared to fillings, they may save you money in the long run by preventing the need for more extensive dental work later. Additionally, consider the time and inconvenience of repeated dental visits for fillings.

5. Future Dental Health: Keeping a tooth that is prone to decay can lead to further complications, including the potential need for extraction. A root canal can preserve the tooth and maintain its function, which is especially important for front teeth that play a significant role in aesthetics and speech.

Consultation with Your Dentist:
It is crucial to have a thorough discussion with your dentist about your options. They can assess the condition of your tooth through X-rays and clinical examination, helping you make an informed decision. If you are hesitant about the root canal procedure, consider seeking a second opinion from another dental professional.

In conclusion, while continuing to fill the tooth may seem like a less invasive option, it may not be the best long-term solution given the history of repeated fillings and the potential for further complications. A root canal followed by a crown could provide a more stable and lasting resolution to your dental issues, preserving your tooth and preventing future problems.

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