A member asked:

If my endodontist said my front tooth has healed pretty good since the day i had my root canal done what does that mean?do i still need a crown?

10 doctors weighed in across 7 answers
Dr. James Donley answered

Specializes in Dentistry

Bone healthy: You probably had infection in the bone at the end of the root and this has been healing. This would have nothing to do with still needing a crown. It may be there was a question if it would heal and be able to keep the tooth. If the condition of the tooth originally indicated it needed a crown, then you would still need the crown.

Answered 7/1/2013

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Dr. Gary Sandler answered

Specializes in Dentistry

Separate issues: Root canal therapy addresses the issue of the health of the nerve and blood supply inside the canals of the tooth and is required for a number of reasons. A crown deals with the integrity and strength of the rest of the tooth above the gum and bone. Many teeth that had rct require crowns to protect them from decay and fracture, but not all. Ask your dentist what is best for you.

Answered 10/4/2016

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You may.: Healing is a term related to the actual root canal procedure itself. Healing is judged to be successful when bone around the tip of the root or roots has regrown to acceptable levels and quality without the presence of infection. Whether or not a crown is needed depends on the strength of the remaining tooth structure, the position of your tooth in your mouth, and the nature of your bite.

Answered 2/10/2013

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Dr. Robert Mokbel answered

Specializes in Dentistry

Yes, you may: You need to see your general dentist to finish the treatment, you need a permanent restoration, at least a filling but most likely a crown , and a possible post or a buildup if you had a large cavity. And you need it asap, can't risk bacteria leaking back inside the canals.

Answered 2/11/2013

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Maybe: All posterior teeth. Having endo should get crowns or on lays for protection from fractures. Some anterior can go with fillings only, depending on the integrity of the tooth. Discuss w your dentist !

Answered 2/11/2013

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Possibly: The endo may be referring to the healing of the bone near the tip of the root of this tooth. The bone may be getting dense meaning the lesion in bone filling in. This may be seen on x-ray. Sometimes other complications can not allow area to heal like a cyst. Further tx would be needed. If area us healing and you are not feeling any symptoms like pain, endo was successful. Crown may be needed.

Answered 3/26/2013

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Dr. Scott Bobbitt answered

Specializes in Dentistry

Possibly : Best analogy: root is the foundation, crown is the roof. If the roof is damaged by the infection or trauma and the foundation is repaired/rebuilt, you still need to repair the damage to the roof. In some cases, the access to treat the root canal is small enough to simply be "filled" in. More often than not, the damage is moderate to severe requiring the "roof to be replaced" or crowned. Good luck.

Answered 12/9/2013

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