U.S. doctors online nowAsk doctors free
FL
A 59-year-old male asked:

Does an already placed tooth crown need to replaced if the endodontist needs to drill through it to do retreatment?

5 doctor answers5 doctors weighed in
Dr. Ronald Achong
Oral &Maxillofacial Surgery 20 years experience
Depends: If the access hole through the top of the crown is relatively small and the tooth and crown is stable, then the crown does not have to be replaced. The access whole for the root canal will be sealed. However, your dentist will determine if the crown will need to be replaced.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Alex Shvartsman
Cosmetic Dentistry 27 years experience
No: Unless there is something wrong with the crowns.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Bruce Apfelbaum
Dentistry 53 years experience
No: The access hole can be sealed adequately after root canal treatment, with a filling.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Brian Warner
Endodontics 14 years experience
Yes: For a good long term prognosis, yes. You may have the access closed with a filling in the short term to be sure any symptoms from the root canal infection resolve. The crown should eventually be replaced to ensure a good seal. Otherwise, leakage can occur between the filling and crown.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Paul Grin
Pain Management 38 years experience
Usually, not: Usually a root canal can be done without having to replace the crown. The existing crown do not need to be changed if it has good marginal seal.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Aug 3, 2015

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.