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Is a crown needed immediately after a root canal?

User Level:
Patient
Posted by: Dizney  (2 years ago)

Hello Doctor,

I have many fillings in my mouth. All of them were fine except for the one on my first premolar on the upper right side. It was pretty deep and it has really been painful for the last two weeks. The dentist said I needed a root canal and a crown for this tooth. I cannot afford both just now. I can barely afford the root canal. Do I need to get a crown immediately after a root canal? Is it okay to wait for a month or two to have this tooth treated? Also, does a root canal hurt? I have never been into this treatment before. Please help! The pain is getting more persistent each day. I would love to hear your advice. Thank you so much in advance.
User Level:
Student
Posted by: ghnane  (2 years ago)
Hi there, root canal treatment will not hurt after proper anesthesia, it can take longer than than normal tooth preparation and filling. Ask your dentist for a temporary crown until you are able to afford a permanent crown. Temporary crowns are good for a couple of months. The crown will make sure the tooth underneath stays intact and caries free as long as you floss and maintain good oral hygiene.
User Level:
Dentist
Root canal treatment has to be done immediately.... You can wait for the permanent crown for few days and get temperary crown done
Posted 2 years ago
User Level:
Student
Posted by: Novocaine  (2 years ago)

The dentist said I needed a root canal and a crown for this tooth. I cannot afford both just now. I can barely afford the root canal. Do I need to get a crown immediately after a root canal?


The requirement of a crown is solely dependent on how much your tooth has decayed and the amount of healthy enamel left. In most cases when there is a large extent of decay, your tooth would not be in a position to hold a filling and resist bite forces on its own. This is why it is reduced to a point where it can accept a permanent crown that will withstand activities like chewing, biting etc.

However, if your tooth has adequate structure left, it can most definitely be filled, but only temporarily. Temporary fillings are a mixed bag. They usually last anywhere between a month to six and you can always have it replaced later. It isn't a permanent solution and if you do not take proper care, you run the risk of contaminating the root canal procedure that was done on your tooth.

Let your dentist know, I'm sure he will understand your financial difficulties.

Is it okay to wait for a month or two to have this tooth treated?

If you already experience pain, the decay has progressed pretty deep to be left alone. In a month or two, this infection could extend even deeper to the roots and form an abscess, which is quite painful. Why don't you check if they have any affordable payment plans?? Otherwise, getting on painkillers frequently is not a good idea nor is it cost-effective in the long run.

Also, does a root canal hurt? I have never been into this treatment before. Please help! The pain is getting more persistent each day. I would love to hear your advice. Thank you so much in advance.


A root canal procedure does not have to hurt. In your case, since the pulp is already inflamed, your dentist will put you on an antibiotic session (3-5 days) to bring down the infection and might use local anesthetic to numb down the area he will be working on. The procedure will be a breeze, so don't worry! :P


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