Should Kids Get Crowns After Root Canals? Benefits and Costs Explained - Dentistry

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Hello, Doctor: After a root canal treatment on a tooth, would you recommend placing a "pediatric crown"? What are the benefits of getting a pediatric crown? If it is not done, is the tooth very fragile and likely to break easily? This is regarding a molar that underwent root canal treatment.
Does health insurance cover this? What is the approximate cost? It feels irresponsible for a mother to let her child suffer at such a young age; I hope to take better care of my child's teeth in the future to ensure the health of their permanent teeth.

sindy, 30~39 year old female. Ask Date: 2009/06/03

Dr. Zeng Guanghui reply Dentistry


Hello, Miss: Thank you for your inquiry.

Reply Date: 2009/06/03

More Info


When it comes to pediatric dentistry, particularly after a root canal treatment (also known as pulpotomy in the case of primary teeth), the question of whether to place a crown on the affected tooth is indeed significant. Let's delve into the benefits, costs, and considerations surrounding this procedure.


Benefits of Crowns After Root Canals
1. Protection of the Tooth: After a root canal, the tooth can become structurally compromised. Crowns provide a protective covering that helps prevent fractures. Primary teeth, especially molars, are subjected to significant forces during chewing, and without adequate protection, they are at a higher risk of breaking.

2. Longevity: Crowns can extend the lifespan of a tooth that has undergone a root canal. They help maintain the tooth's function until it naturally falls out to make way for permanent teeth. This is particularly important in children, as primary teeth play a crucial role in spacing for permanent teeth.

3. Aesthetic Considerations: Crowns can improve the appearance of a tooth that may have become discolored or damaged due to decay or trauma. This can be particularly important for children, as their self-esteem can be affected by their smile.

4. Functionality: A crowned tooth can restore normal chewing function, allowing the child to eat a balanced diet without discomfort or difficulty.


Risks of Not Placing a Crown
If a crown is not placed after a root canal, the tooth may become weak and more susceptible to fractures. This is particularly true for molars, which bear the brunt of chewing forces. A fractured tooth can lead to further complications, including the need for extraction, which can have long-term implications for the child's dental health.


Costs and Insurance Coverage
The cost of placing a crown on a primary tooth can vary widely depending on the type of crown used (stainless steel, resin, etc.), the dentist's fees, and geographic location. On average, the cost can range from $300 to $1,000 per tooth. It's important to check with your dental insurance provider, as many plans do cover crowns for primary teeth, especially when they are deemed medically necessary following a root canal.


Emotional Considerations
It's understandable to feel concerned about your child's dental health and the procedures they may need to undergo. However, it's essential to remember that dental treatments, including crowns, are designed to protect your child's health and well-being. While the thought of dental procedures can be daunting, modern dentistry employs techniques to minimize discomfort and anxiety for young patients.


Conclusion
In summary, placing a crown after a root canal on a primary tooth is generally recommended to protect the tooth, maintain its function, and prevent future complications. The benefits of doing so often outweigh the costs and potential discomfort associated with the procedure. If you have concerns about your child's dental health, it's advisable to discuss them with your pediatric dentist, who can provide personalized recommendations based on your child's specific situation. Taking proactive steps now can lead to healthier teeth in the future, ensuring that your child's permanent teeth come in strong and healthy.

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