Dental Crowns: Benefits, Costs, and Necessity After Root Canal - Dentistry

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After a root canal treatment..?


Hello Dr.
Wu, I had a tooth that just underwent root canal treatment last week.
The doctor asked me if I want to get a crown.
I don't have much knowledge about this, so I would like to ask Dr.
Wu about the benefits and drawbacks of getting a crown.
Is it necessary to get a crown? What are the different types of crowns available? Which type would be most appropriate? What is the approximate cost? Does health insurance cover it? Thank you! Danny

danny, 30~39 year old female. Ask Date: 2002/05/06

Dr. Wu Jinjun reply Dentistry


Hello Danny: After undergoing root canal treatment, teeth are more prone to fracture, so it is usually necessary to place a crown to protect the tooth and prevent it from cracking.
Therefore, the placement of a crown is absolutely essential.
Crowns vary based on the type of metal used for their inner lining; those made from noble metals are generally more precise and durable, with a cost of around NT$10,000, which must be paid out of pocket as it is not covered by health insurance.

Reply Date: 2002/05/06

More Info


Hello Danny,
Thank you for your inquiry regarding dental crowns following a root canal treatment. It's a common concern, and understanding the benefits, costs, and necessity of dental crowns can help you make an informed decision.


Benefits of Dental Crowns
1. Protection: After a root canal, the tooth structure is significantly weakened due to the removal of the nerve and pulp. A dental crown provides structural support, protecting the tooth from fractures and further damage. This is particularly important for molars, which endure significant chewing forces.

2. Restoration of Function: Crowns restore the tooth's ability to function normally, allowing you to chew and bite without discomfort or fear of breaking the tooth.

3. Aesthetic Improvement: Crowns can be made from various materials, including porcelain, which can match the color of your natural teeth, enhancing your smile.

4. Longevity: With proper care, crowns can last many years, often 10-15 years or longer, making them a durable solution for restoring a tooth after a root canal.


Necessity of Dental Crowns
While not every tooth that undergoes a root canal requires a crown, it is highly recommended, especially for posterior teeth (molars and premolars). These teeth are subjected to greater forces during chewing and are more prone to fractures. If you have habits like teeth grinding (bruxism) or if the tooth has extensive decay or structural loss, a crown becomes even more critical.


Types of Dental Crowns
1. Porcelain-Fused-to-Metal (PFM): These crowns offer a good balance of strength and aesthetics. They have a metal base for durability and a porcelain exterior for a natural appearance.

2. All-Porcelain or All-Ceramic: These crowns provide the best aesthetic results and are often used for front teeth. They are less durable than PFM crowns but are more natural-looking.

3. Metal Crowns: Made from gold or other metal alloys, these crowns are extremely durable and resistant to wear. However, they are not aesthetically pleasing, making them more suitable for out-of-sight molars.

4. Zirconia Crowns: These are a newer option that combines strength and aesthetics. They are highly durable and can be made to match the color of your natural teeth.


Costs and Insurance Coverage
The cost of dental crowns can vary widely based on the material used and your location. On average, you might expect to pay anywhere from $800 to $2,500 per crown. Dental insurance may cover a portion of the cost, especially if the crown is deemed medically necessary following a root canal. It's best to check with your insurance provider for specific coverage details.


Conclusion
In summary, while it may seem like an additional expense, placing a dental crown after a root canal is often a wise investment in your oral health. It protects the tooth, restores function, and can enhance your smile. If you have concerns about the cost, discuss them with your dentist; they may offer payment plans or alternative options that fit your budget.

If you have further questions or need clarification on any points, feel free to ask. Your dental health is important, and making informed decisions will help ensure the longevity of your teeth.

Best regards,
Doctor Q&A Teams

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