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FAQ:  Root Canal Therapy RCT



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Root Canals Ask The Dentist Ara Nazarian Question:
Crown and Root Canal?:
My last molar on the bottom left finally broke and needs a crown.

The tooth has been mostly filling for about 3 years now. I just returned from having a temp filling put in until the crown appt.

When the tooth broke I had no pain, now it feels like it's throbbing a little.

My question is if you're going to get a crown on a tooth as damaged as mine are you better off just getting a root canal with it? I just have this fear of paying the money and spending the time when the nerve might act up later.

I'd obviously like to avoid a root canal, but is it worth it in the long run? ...Visitor from MA

Answer:
Many times we see teeth that have large amalgam mercury restorations break, usually, when the previous restoration was very large. In my practice, if the old metal restoration or crack is bigger than 2/3 of the tooth, then a crown treatment is recommended.

In other cases where we clean the funk underneath the old restoration, we approach getting close to the nerve. In these instances I will recommend a root canal so that we don't have to put a hole in the new crown later. Again, without seeing your tooth and an xray it is difficult to tell.

A Nazarian, DDS

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