Does a Root Canal Always Need a Crown?

When you’re preparing for root canal therapy, you want to understand the entire process from start to finish and what the treatment entails. When it comes to addressing tooth damage or decay, it’s important to consider the optimal treatment in order to save your tooth and restore its functionality. At Contemporary & Esthetic Dentistry in New York City, NY, Dr. Marianna Farber will attempt to keep as much of your natural tooth as possible while treating the condition that is causing you pain or discomfort.

In many cases, dental crowns are generally recommended when the tooth has a large filling that exceeds the natural tooth structure, if you require a root canal, or for other cosmetic reasons. At your appointment, Dr. Farber can examine your tooth and determine whether or not you will need a crown after your root canal.

What is a root canal?

Dr. Farber uses an endodontic treatment called a root canal to treat the inside of a tooth. Under the enamel and the dentin of a tooth lies the pulp. The pulp contains nerves, blood vessels, and connective tissue. This tissue extends from the front of the tooth to the roots. Once a tooth matures and is developed, it can survive without the pulp.

How to know if you need a root canal

A root canal is needed when the pulp becomes either inflamed or infected. This can be caused by deep tooth decay, repeated dental procedures on the same tooth, or cracks and chips. If this inflammation or infection is left untreated, it can cause pain and even lead to an abscess.

There are some common signs that a root canal treatment might be imminent. They include:

  • Severe pain while biting or chewing

  • Pimple on the gum

  • Cracked or chipped tooth

  • Tooth sensitivity to heat or cold

  • Swollen, red, or tender gums

  • Deep tooth decay

If you suspect you may need a root canal, Dr. Farber at Contemporary & Esthetic Dentistry in New York City, NY can help. She examines her patients’ teeth and gums thoroughly to determine the cause of the problem and what type of procedure is needed to restore their oral health.

Why do you need a crown after a root canal?

A crown is a cap that is placed over a tooth that has suffered some type of damage, such as decay or trauma. It is also commonly used on teeth that have been root canal-treated. When a crown is permanently cemented over a weakened or damaged tooth, it is restored back to its natural function, protecting the tooth from the gumline up.

The need for a dental crown after a root canal will depend on the location of the damaged tooth in the mouth. Teeth that are toward the back of the mouth are needed more for chewing, so they usually require crowns to ensure they can perform their function properly. Incisors or canines typically aren’t used for chewing, so they don’t always need a crown after a root canal.

Is there tooth sensitivity after a crown?

After a patient gets a crown in New York City, NY, they may experience tooth sensitivity. The pain can occur suddenly while brushing, flossing, or biting. Usually, the sensitivity will resolve itself in a week or so after the crown placement. If you’re experiencing pain from your newly placed crown, it may be from a variety of reasons including:

  • Bruxism or clenching of the teeth

  • Excessive cement

  • Loose crown

  • Nerve damage

  • Slight gum recession exposing the root’s edge

If you continue to have lingering tooth sensitivity after a root canal or if a crown is placed, it is recommended to contact Contemporary & Esthetic Dentistry in New York City, NY to schedule a dental exam with Dr. Farber.

Learn more about root canal treatment in New York City, NY

If you are experiencing pain in a tooth, you may need a root canal. At Contemporary & Esthetic Dentistry in New York City, NY, Dr. Marianna Farber can determine the source of your discomfort and come up with a treatment plan to restore your mouth to a healthy state. She also performs comprehensive dental exams and routine dental cleanings. This preventive dentistry allows her to detect dental problems before they become more severe and require more extensive treatments like a root canal. To learn more about endodontic treatments such as root canals and crowns, call our New York City, NY office to schedule an appointment.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.