Why You Need a Dental Crown After a Root Canal: A Complete Guide

Why You Need a Dental Crown After a Root Canal: A Complete Guide By Dr. Abhi Singh | May 11, 2023

Why You Need a Dental Crown After a Root Canal: A Complete Guide

When the topic of oral health is discussed, a common issue often emerges – the necessity of a root canal procedure. Understandably, this can stir up anxiety and questions, with one query being particularly significant: how important is a dental crown after a root canal?

Acknowledging the weight of this concern and its potential to induce worry, a comprehensive guide has been compiled to shed light on dental crown benefits following a root canal. By doing so, it aims to enable readers to make well-informed decisions regarding their oral health.

This guide will delve into the specifics of the root canal procedure, highlighting its intricacies and the subsequent necessity of a dental crown. It will also explore the various benefits of dental crowns, their contribution to maintaining the longevity and functionality of a tooth, and their importance in post-root canal care.

Through the use of thoroughly researched, reliable information from trusted sources, this guide will provide an accurate representation of current practices within the dental profession. It will help readers understand why a dental crown after a root canal is more than an optional addition but a crucial step towards maintaining a set of healthy teeth.

Whether you are scheduled for a root canal procedure or are simply preparing for the possibility, this guide aims to serve as an essential resource, offering clarity and preparedness. After all, having accurate knowledge is the best defence against any oral health concerns and the greatest asset for achieving and maintaining a radiant smile.

Summary of The Content:

  • A root canal procedure is significant in dental treatments, often needed when there is extensive decay or infection in the tooth’s pulp cavity. It aims to alleviate pain and restore oral health.
  • Dental crowns often follow a root canal procedure, providing additional support and strength to the tooth, preserving the tooth’s structure, preventing further damage, and enhancing the tooth’s appearance.
  • Dental crowns provide protection to the treated tooth, restoration of tooth function, and aesthetic improvement. They may be necessary in cases of large cavities, extensive tooth damage or decay, or weakened tooth structure.
  • The placement of a dental crown involves several steps, including tooth preparation, taking impressions, placement of a temporary crown, crown fitting, and cementation.
  • Post-root canal care is essential to maintain the longevity of the restored tooth and overall oral health. This includes brushing and flossing regularly, using mouthwash, limiting sugary and acidic foods, regular dental check-ups, and being cautious when eating hard or sticky foods.
  • Dental crowns are durable and long-lasting, often lasting for 10 to 15 years or even longer with proper care and maintenance.
Prospect Road Dental Surgery Armadale

Understanding Root Canal Procedure

Before delving into the specificities of a dental crown after a root canal, it’s essential to grasp the root canal procedure’s essence. In dental terms, this treatment is quite significant, often being the recommended option when there is extensive decay or infection in the tooth’s pulp cavity. It’s imperative that such a process be understood not as a cause for alarm but as an advanced technology-driven treatment designed to alleviate pain and restore oral health.

A root canal procedure involves removing the infected or dead pulp from the tooth’s pulp cavity, cleaning the space meticulously, and then filling and sealing it. The pulp is the soft part inside the tooth that contains nerves, blood vessels, and connective tissue. When it becomes infected due to tooth decay or injury, root canal therapy is often required to save the tooth and prevent further complications.

The procedure is typically carried out under local anaesthesia, making it a relatively comfortable experience for patients. Once the treatment area is numb, an access hole is made into the tooth to reach the pulp. The infected pulp is then removed, and the inside of the tooth is cleaned and disinfected. After that, it is filled and sealed with a material known as gutta-percha.

While nobody relishes the idea of needing a root canal procedure, it’s important to understand that it’s a beneficial form of restoration for damaged or infected teeth. Some reasons that might necessitate a root canal include deep decay reaching the tooth pulp, damage or injury to a tooth causing pulp damage, and severe tooth sensitivity to hot and cold temperatures.

A tooth with a significant fracture or crack might also require a root canal procedure to prevent infection and manage discomfort. Also, gum disease, characterised by swelling, bleeding, or discomfort in the gums, may suggest the need for root canal therapy if it has caused a tooth’s root to become infected.

In all these scenarios, a root canal procedure can provide a long-term option for preserving the tooth structure and improving oral health. The treatment reduces the risk of infection spreading to surrounding teeth and bone—an outcome that could potentially necessitate more extensive treatment. It also helps in reducing pain and restoring normal function, allowing individuals to enjoy eating, speaking, and smiling without discomfort.

The Role of Dental Crowns

A dental crown is a custom-made cap covering a tooth’s entire visible portion, effectively encasing and reinforcing it. Dental crowns are often recommended when a tooth is weak, damaged, or has undergone extensive dental work, such as root canal therapy.

By providing additional support and strength to the tooth, a dental crown after a root canal can help preserve the tooth’s structure and prevent further damage. They also enhance the tooth’s appearance by restoring its natural-looking colour and shape. There are several types of dental crowns to choose from, each with its own unique set of advantages and considerations:

  • Porcelain crowns:
    These types are made entirely of porcelain or ceramic material, making them an excellent option for those seeking a natural-looking appearance. Porcelain crowns are often used for front teeth due to their ability to match the colour of natural teeth closely.
  • Metal crowns:
    Made of gold, palladium, or other metal alloys, they are known for their durability and strength. They are less likely to wear down or fracture than other crown types, making them a suitable choice for back teeth requiring more support.
  • Porcelain-fused-to-metal (PFM) crowns:
    These crowns combine the strength of metal with the aesthetics of porcelain. The metal base provides support, while the porcelain exterior offers a natural-looking appearance. However, the metal portion may sometimes become visible along the gum line.
  • Zirconia crowns:
    These are made from zirconia, a ceramic material that offers both durability and a natural appearance. They are becoming increasingly popular in modern dentistry due to their biocompatibility and ability to be customised for a precise fit.
  • Same-day crowns:
    Also known as CEREC (Chairside Economical Restoration of Esthetic Ceramics) crowns, these crowns are made using computer-aided design and computer-aided manufacturing (CAD/CAM) technology. With this method, a dentist can create and place a custom-fit crown during a single appointment. The crown is typically made from a block of ceramic or resin, offering a natural appearance. While it may not be as durable as traditional crowns, it can still last for a long time with proper care.
  • Temporary crowns:
    These are used as a provisional solution while the custom crown is being fabricated. They are generally made of acrylic or stainless steel. Temporary crowns protect the tooth and maintain its position in the mouth until the permanent crown is ready for placement. They are not as durable as permanent crowns, so patients should avoid hard foods and be careful when brushing and flossing around these crowns.

Your dentist will help you determine the most appropriate dental crown type based on factors such as the location of the tooth, your personal preferences, and the overall treatment plan.

Dental Crown Benefits After a Root Canal

Following a root canal procedure, placing a dental restoration such as a crown on the treated tooth is highly recommended for various reasons. There are numerous dental crown benefits that contribute to the longevity and functionality of the tooth, ensuring that patients can maintain a healthy and natural-looking smile. Here are the following advantages:

  • Protection of the Treated Tooth
    A weak tooth that underwent root canal treatment may be more susceptible to damage. A dental crown effectively reinforces the tooth structure, providing additional protection against potential fractures or further decay. The crown acts as a barrier, shielding it from harmful bacteria and external pressures that could compromise its integrity.
  • Restoration of Tooth Function
    Root canal therapy can significantly impact the overall functionality of the affected tooth. By placing a dental crown on the treated tooth, patients can regain their ability to bite and chew comfortably without experiencing any discomfort or tooth sensitivity. The dental crown restores the tooth’s strength and stability, allowing for normal oral function and preventing adjacent teeth from shifting out of place.
  • Aesthetic Improvement
    Apart from the functional dental crown benefits, they also play a vital role in enhancing the appearance of the treated tooth. They can be customised to match the natural colour and shape of the surrounding teeth, creating a seamless and natural-looking restoration. This aesthetic improvement can significantly boost a patient’s confidence and self-esteem, allowing them to smile without feeling self-conscious about their dental appearance.

Situations Where a Dental Crown is Necessary

In certain dental situations, a dental crown may be necessary to restore and protect the affected tooth. Dental crowns are a valuable treatment option when a tooth has been significantly compromised due to large cavities, extensive damage or decay, or weakened tooth structure. Below are some situations where a dental crown is needed:

  • Large Cavity or Filling
    When a tooth needs an extensive filling, the remaining tooth structure may be insufficient to support the tooth’s function. In such cases, a dental crown can restore the tooth’s strength and prevent it from breaking or fracturing. The crown encases the tooth, distributing the forces of biting and chewing more evenly, reducing the risk of further damage.
  • Extensive Tooth Damage or Decay
    When a tooth has suffered damage or decay, a dental crown can be employed to salvage the remaining tooth structure and prevent the need for extraction. By placing a dental crown over the damaged tooth, the dentist can reinforce the tooth, restore its function, and help maintain its position within the dental arch. Additionally, dental crowns can cover teeth that have undergone extensive dental procedures, such as root canal treatments, to protect them from further damage.
  • Weakened Tooth Structure
    Teeth with weakened structures, whether due to grinding, large fillings, or other factors, are more prone to fractures and damage. A dental crown can provide the necessary reinforcement to help preserve the tooth and prevent complications. By encasing the tooth in a strong, durable material, the crown effectively supports and strengthens the tooth, helping it withstand the pressures of daily oral functions.

Choosing the Right Dental Crown Material

The appropriate dental crown material is crucial for achieving the desired outcome regarding aesthetics, durability, and function. Dental crown materials vary in their properties, and understanding the options available can help you make an informed decision.

  • Porcelain:
    Known for its natural-looking colour and appearance, porcelain crowns offer a highly aesthetic option. They are often used for front teeth, where appearance is paramount.
  • Porcelain-fused-to-metal (PFM):
    PFM crowns combine porcelain’s aesthetics with metal’s strength and durability. They offer a good balance between appearance and function.
  • Gold:
    Known for their durability and biocompatibility, gold crowns are an excellent choice for back teeth, where strength is a priority. However, their metallic colour may not be aesthetically pleasing to some patients.
  • Zirconia:
    Zirconia crowns are highly durable, and their tooth-coloured appearance makes them an attractive option for patients seeking strength and aesthetics.

Factors to Consider When Selecting a Dental Crown Material:

  • Aesthetics:
    Consider the appearance of the crown and how closely it will match the colour and clarity of your natural teeth.
  • Durability:
    Evaluate the strength and longevity of the material, especially if the crown will be placed on a tooth subjected to significant chewing forces.
  • Biocompatibility:
    Assess the material’s compatibility with your body and any potential allergies or sensitivities.
  • Cost:
    Remember the cost of the crown material, as some options may be more expensive than others.
  • Dentist’s recommendation:
    Consult your dentist for their professional opinion on which material best meets your dental needs and preferences.

The Dental Crown Placement Process

Placing a dental crown involves several steps so that the tooth is properly prepared and fitted securely. Understanding the procedure can help alleviate concerns and provide insight into what to expect during dental crown placement.

  • Tooth preparation:
    Your dentist will begin by removing any decayed or damaged tooth structure and shaping the tooth to accommodate the dental crown. A temporary filling may protect the tooth until the crown is ready.
  • Impressions:
    Next, an impression of the prepared tooth and surrounding teeth will be taken. This impression will be used to create a model of your mouth, guiding the dental laboratory to create your custom crown.
  • Temporary crown:
    While your permanent crown is being crafted, your dentist may place a temporary crown to protect the tooth and maintain its function.
  • Crown fitting:
    Once your permanent crown is ready, your dentist will remove the temporary crown and clean the tooth. The permanent crown will be carefully fitted and adjusted for a proper fit and bite.
  • Cementation:
    Finally, the permanent crown will be cemented into place, and your dentist will provide instructions on how to care for your new dental crown.

The timeframe for placing a dental crown after a root canal procedure may vary depending on the complexity of your case and your dentist’s recommendations. Generally, placing the crown at least four weeks after the root canal treatment is advisable so that the tooth is protected and to prevent any potential complications.

However, your dentist will determine the most appropriate timeline for your situation and guide you on when to schedule your crown placement appointment.

Post-Root Canal Care

After undergoing a root canal treatment and placing a dental crown, it is essential to maintain post-root canal care to ensure the longevity of your restored tooth and maintain your overall oral health. These simple guidelines allow you to keep your smile healthy and functional for years.

  • Brush your teeth at least twice a day using fluoride toothpaste and a soft-bristled toothbrush.
  • Floss daily to properly remove food debris from between your teeth and beneath the gum line.
  • Rinse with a mouthwash that contains fluoride or an antimicrobial agent to help prevent tooth decay and gum disease.
  • Limit sugary and acidic foods and beverages to minimise the risk of tooth decay and erosion.
  • Visit your dentist regularly for check-ups and oral cleanings to maintain your dental health and monitor the condition of your dental crown.
  • Be cautious when eating hard or sticky foods, as they can damage your dental crown.

By adhering to these dental hygiene tips and making regular dentist visits, you can keep your dental crown and surrounding teeth in great condition, contributing to a healthy, natural-looking smile.

Long-Term Outlook for Teeth with Dental Crowns

Dental crowns are designed to be durable and long-lasting, with an average lifespan of around 10 to 15 years. However, the exact lifespan of your dental crown depends on factors such as the material used, the location of the crown, and how well you maintain your oral hygiene. Dental crowns can sometimes last even longer with proper care and maintenance. Maintaining the health of a treated tooth with a dental crown is essential for its long-term success. Proper oral hygiene is the cornerstone of preserving the integrity of the crown and the underlying tooth structure.

Final Thoughts

Dental crowns play a vital role in restorative dentistry, offering numerous advantages for teeth that require reinforcement after a root canal treatment or other dental procedures. Recognising when a dental crown is needed, understanding the various material options, and being aware of the placement process is essential for the longevity and functionality of your treated tooth.

For those concerned about their dental health, the skilled professionals at Prospect Road Dental Surgery are prepared to help. With a team of dentists, they will carefully evaluate each individual’s needs and create a customised treatment plan that aligns with their specific circumstances. Individuals can journey towards a healthier and more radiant smile by booking an appointment with Prospect Road Dental Surgery.

Frequently Asked Questions

The lifespan of your crowns depends on the type you choose and how you maintain them. For instance, gold crowns can last up to 20 years, while resin can only last up to 5 years. On average, dental crowns can last between 5 and 20 years or longer with proper care.

Yes. You will be given local anaesthesia to numb the area throughout the procedure so you won’t feel any pain or discomfort. The numbing agent will also wear off a few hours after the treatment is completed. If you have dental fear or a more complex case, you can talk to your dentist about getting sedatives or general anaesthesia.

Certain restrictions on what you can eat or drink after getting a dental crown should be observed. For the first 24 hours after your procedure, stick to soft foods and liquids such as soup, yogurt, and smoothies. Avoid eating anything hard or chewy, like nuts, popcorn, chips, and other crunchy snacks, until the area has healed completely. You should also avoid extremely hot or cold foods and beverages for the first few weeks, as these can cause sensitivity while your gum is healing. Additionally, it’s always a good idea to avoid drinks with high sugar, such as carbonated beverages and fruit juices, as these can increase the risk of tooth decay. Remember, you can still get tooth decay under your crown.

It’s important to have your dental crown checked at least twice a year by a dentist. This lets them check the crown to see if it’s fitting properly and not being damaged due to wear or tear. Your dentist may also recommend more frequent check-ups if you are at risk of developing gum disease, as this can increase the risk of the crown failing.

Prospect Road Dental Surgery
Dr. Abhi Singh
Dr. Abhi is a member of the Australian Dental Association and loves living and working in our community. He has eight years of experience in all aspects of dentistry, with a special interest in dental implants, wisdom teeth extraction, and cosmetic dentistry.