the Necessity of Crowns After Root Canal Treatment - Dentistry

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Regarding orthodontic braces?


What is a reasonable price range for a single dental crown after root canal treatment? After my root canal treatment, the doctor suggested that I undergo surgery to reduce the gum tissue, as this would make the crown more stable.
However, I have also heard that this could lead to future gum problems.
The thought of surgery is quite frightening, so I would like to know if this surgery is truly necessary.
Is it really inappropriate to place a crown without the surgery?

MS, 20~29 year old female. Ask Date: 2007/07/06

Dr. Huang Zhicheng reply Dentistry


Dear MS: The price of dental braces varies depending on the material.
Generally, gold alloys start at over NT$10,000, while porcelain crowns are even more expensive, with precise all-ceramic crowns exceeding NT$20,000.
It is essential to have a more detailed discussion with your dentist regarding this.
As for gum recession, clinically referred to as crown lengthening, this procedure is necessary when cavities extend too deep below the gum line or when the clinical crown is too short.
It does not typically lead to gum issues.
If surgery is not performed, there may be concerns about achieving a proper seal with the braces or that the supporting teeth may be too short, leading to potential loosening of the crowns.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Department of Health.

Reply Date: 2007/07/06

More Info


After undergoing a root canal treatment, the necessity of placing a crown on the treated tooth is a topic of considerable importance in dental care. Generally, a crown is recommended for teeth that have undergone root canal therapy, especially posterior teeth like molars, which bear the brunt of chewing forces. The rationale behind this recommendation is multifaceted.

Firstly, root canal treatment involves the removal of the tooth's pulp, which can significantly weaken the tooth structure. The tooth becomes more susceptible to fractures and cracks due to the loss of its internal support. A crown acts as a protective cover, providing strength and stability to the tooth, thereby reducing the risk of future fractures. This is particularly crucial for individuals who engage in activities that may exert excessive force on their teeth, such as heavy lifting or grinding (bruxism).
In your case, since you mentioned having a habit of grinding your teeth and engaging in weight training, the risk of damaging the tooth post-root canal is heightened. Therefore, opting for a crown is a prudent decision to safeguard your investment in dental health. While your dentist may have suggested that being cautious with your eating habits could suffice, this approach does not account for the unpredictable nature of dental fractures, which can occur even with the best of intentions.

Regarding the cost of a crown, it can vary widely based on several factors, including the material used (porcelain, metal, or a combination), the complexity of the case, and the geographical location of the dental practice. In the United States, the price for a single crown typically ranges from $800 to $3,000. It's essential to discuss the financial aspects with your dentist and explore options such as dental insurance coverage or payment plans that may alleviate the burden.

As for the surgical procedure your dentist mentioned regarding the gum tissue, this is often referred to as periodontal surgery. The purpose of this surgery is to address issues such as gum recession or periodontal disease, which can compromise the health of the tooth and its surrounding structures. While the prospect of surgery can be daunting, it is sometimes necessary to ensure the long-term stability of the tooth and the success of the crown placement.
If the gum tissue is not adequately managed, it can lead to further complications, including increased sensitivity, aesthetic concerns, and potential failure of the crown due to insufficient support from the gum tissue. However, not all cases require surgical intervention, and it is crucial to have an open dialogue with your dentist about the necessity and risks associated with the procedure.
In summary, while it may seem like an additional expense and an intimidating process, placing a crown after root canal treatment is generally advisable to protect the tooth from future damage. If surgery is recommended, it is often to enhance the overall health of your dental structure, which can ultimately lead to better outcomes for your crown and overall oral health. Always feel empowered to seek a second opinion if you have concerns about the recommended treatment plan. Your dental health is paramount, and understanding your options will help you make informed decisions.

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