To Crown or Not: Dealing with Tooth Fracture After Root Canal Treatment

Q: To Crown or Not: Dealing with Tooth Fracture After Root Canal Treatment

Hello： If you experience redness, swelling, inflammation, or fever, it is advisable to seek medical attention as soon as possible. <br>This is a response from Dr. <br>Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Tooth fracture six months after root canal treatment?

Hello, doctor.
Last December, I underwent root canal treatment for my severely decayed third molar.
At that time, the dentist did not inform me that I needed a crown, so I did not get one.
However, about six months later, my tooth has fractured.
Given the current severe pandemic situation, should I wait until the pandemic is over, or should I see a dentist as soon as possible? It appears that the crown of the original tooth has broken.

zhāngyú, 10~19 year old female. Ask Date: 2021/06/02

Dr. Lin Jiayong reply Dentistry

Hello: If you experience redness, swelling, inflammation, or fever, it is advisable to seek medical attention as soon as possible.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/02

More Info

When dealing with a fractured tooth after root canal treatment, especially in the case of your third molar, it is crucial to address the situation promptly. The fact that your tooth has fractured indicates that it may not have been adequately protected after the root canal procedure. Typically, a crown is recommended after root canal treatment to provide structural support and prevent future fractures, as the tooth becomes more brittle once the nerve and pulp are removed.

Understanding the Situation
1. Root Canal Treatment: This procedure involves removing the infected or damaged pulp from inside the tooth, cleaning and disinfecting the root canals, and then sealing them. While this can save the tooth, it also leaves it vulnerable because the tooth structure is compromised. Without a crown, the tooth is at a higher risk of fracture due to the forces exerted during chewing.

2. Fracture Risks: The risk of fracture increases significantly if a crown is not placed after a root canal. The tooth may have been weakened further by the absence of a protective covering, leading to the fracture you are experiencing.
3. Symptoms and Diagnosis: If you are experiencing pain, sensitivity, or discomfort, it is essential to seek dental care as soon as possible. An X-ray may be necessary to assess the extent of the fracture and determine if there is any underlying infection or damage to the surrounding bone.

Immediate Actions
1. Seek Dental Care: Given that your tooth has fractured, it is advisable to see a dentist as soon as possible, regardless of the ongoing pandemic. Delaying treatment could lead to further complications, such as infection or the need for extraction. Many dental offices have implemented safety protocols to minimize the risk of COVID-19 transmission, making it safer to visit.

2. Temporary Solutions: If you cannot see a dentist immediately, avoid chewing on that side of your mouth and consider using a dental wax or temporary dental cement (available at pharmacies) to cover any sharp edges of the fractured tooth to prevent injury to your tongue or cheeks.

Treatment Options
1. Crown Placement: If the fracture is not severe and the tooth can be salvaged, your dentist may recommend placing a crown. This will restore the tooth's function and protect it from further damage.
2. Extraction: If the fracture is extensive and the tooth cannot be saved, extraction may be necessary. In this case, you would need to discuss options for tooth replacement, such as dental implants or bridges.

3. Follow-Up Care: After any treatment, follow your dentist's recommendations for care and maintenance. This may include regular check-ups to monitor the health of the tooth and surrounding structures.

Conclusion
In summary, it is essential to address the fractured tooth promptly. While the pandemic may pose challenges, your dental health should not be compromised. Seek dental care as soon as possible to evaluate the extent of the fracture and determine the best course of action. Remember, a crown is typically a necessary step after root canal treatment to protect the tooth from future fractures. Prioritize your dental health, and do not hesitate to reach out to your dentist for guidance.

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