One of the most sought after / lingering doubt in most patients’ mind is whether a dental crown is a must following a root canal treatment. The need for a full crown is decided based on 3 factors
- HISTORY OF PREVIOUS TOOTH FRACTURE
A history of previous tooth or restoration (filling) fractures is a strong indicator for restoring a root canal treated tooth with a crown
- HABITS OF THE PATIENT
Patients with para functional habits like teeth grinding at night, forceful brushing and very hard chewing including gum chewing definitely would benefit from having a crown
- AMOUNT OF TOOTH STRUCTURE REMAINING
This is one of the major determining factors. Depending upon the amount of tooth structure lost along with the amount of sound dentin and enamel left, walls of the tooth saved, the absolute need for a crown is established.
Studies have shown that a dental crown after a root canal increases the chance of the tooth surviving by around 6 times (Steven A Aquilino et al). Another study by Rapeephan et al also point out that only 1/3 rd of the molars survive without a crown at 5 years
However with more advancement in research, scientific data points to preserving whatever amount of tooth structure that is left over and not grind them further for the sake of fabricating a crown. This is called “The Biomimetic Approach” which includes stress-reduced direct composite restorations (called as CORE BUILD UP) and porcelain/composite inlays and onlays that restore the biomechanics of broken and damaged teeth
We the team of best dentists in Chennai take utmost care to decide what is best for you based on all the above mentioned criteria to give you a long lasting successful restoration.
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