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FAQ:  Root Canal Therapy RCT



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Root Canals Ask The Dentist Ara Nazarian Question:
Root Canal - Crown:
Last year one of my front teeth started to darken.

After my routine cleaning I asked the dentist what would cause the discoloration. He took another xray and determined that I had a chronic infection and needed a root canal. He bleached the tooth internally and did the root canal successfully.

I went in yesterday for another routine cleaning and he told me that it is now time to have a crown put on the tooth. Is this really necessary? The entire tooth is intact except for the small hole that he drilled to do the root canal which he filled with a white filling.

I don't want a crown if it isn't needed. I am uncomfortable altering my front tooth permanenly if it isn't necessary ...Visitor from MI

Answer:
Since your tooth was root canaled only due to the fact it went dead probably after some trauma as a child, then the access opening for the root canal was small.

I personally would not recommend grinding the tooth down for a crown if it is still intact. As long as the seal is good on the back side, I would suggest placing a veneer on the tooth.

In most cases I have personally seen teeth weaken about 35% once the back portion has been prepped.

A Nazarian, DDS

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