Getting a Crown for a Root Canal

So, to put it simply - insurance can't pay for the crown. There's two payment plans that can, but I'll need to nab money from my family. The dentist's staff was advising I get a crown, or else it's really bad without one. The enamel on one of my root canals is very thin and they said it'll hit the nerve soon. They've made it very clear I should get it sooner than later.

My question, in a worst case scene, would getting a root canal without a crown be that devastating? It was mostly shocking to me on the lack of crown being that big, but yeah.

Posted Jul 9, 2019, 11:57 PM UTC

34
DizzyFocus•

Your tooth will become much more brittle after the root canal. I use the analogy that a dead tree branch snaps a lot easier than a living tree branch. Getting a crown will help stabilize and strengthen the tooth (especially a back tooth). Having said that, they can leave it as a build up or post and core and leave it like that for a little while. You just run the risk of the tooth fracturing (which can be irreparable). I typically tell my patients that if they absolutely need to wait, they can wait until the calendar new year when insurance renews, but not to push it off; and if the tooth breaks, thats on them, not me. They know the risks so they deal with the possible repercussions of their decisions.

4
WinterBloomOP•

Alright, thank you very much - means a lot! I was hoping to maybe find a different take, but what you speak seems to be the truth, as does other friends that did one as well. I just wish it didn't cost so much, as going to my family for the money is big for me, more so as it costing $1,900+ for both of them.

1
dougkai•

Basically, the odds of that tooth still being in your mouth long-term decrease substantially if you delay getting the crown by more than a few months and the odds plummet if you don’t get a crown at all. A crown provides much better resistance to fracture and a substantially improved seal against re-infection by new bacteria.

https://i.imgur.com/G4GHfZQ.jpg

3
toothMAMBA•

Posterior teeth that have been root canal treated are 6x more likely to fracture if they do not recieve a crown. I would recommend getting the crown.

1