Do You Really Need a Root Canal Treatment? Symptoms, Procedure & What to Expect

Why We Recommend a Dental Crown After Root Canal Treatment

If you’ve recently had a root canal—or your dentist has recommended one—you may be wondering why it’s often followed by a crown. Is it really necessary?

At Aura Dentistry, we understand that patients want clear, research-backed information before committing to dental treatment. Here’s why a crown is typically the best next step after root canal therapy—and which crown types may be right for you.

✅ What Does a Root Canal Treatment Do?

A root canal treatment removes infected or inflamed tissue from inside your tooth. After the canals are cleaned and sealed, the tooth is saved from extraction. But the procedure can leave the tooth weakened and more susceptible to fracture, especially your back teeth.

🔬 Why Is a Crown Often Needed After a Root Canal?

1. Weakened Tooth Structure

Root canal-treated teeth lose internal support and are more prone to cracking under pressure.

2. Improved Longevity

Teeth with crowns after a root canal have significantly higher survival rates. One study found:

  • With a crown: 85–95% survival at 10 years

  • Without a crown: ~50–60%

3. Better Protection Against Reinfection

Crowns provide a strong external seal that helps prevent bacteria from entering the tooth again.

👑 Types of Dental Crowns: Which One Is Right for You?

Choosing the right crown depends on location, function, appearance, and cost. Here's a breakdown:

1. Porcelain-Fused-to-Metal (PFM) Crowns

Indications:

  • Suitable for both front and back teeth

  • Good for patients who want strength + decent aesthetics

Advantages:

  • Strong due to metal core

  • Aesthetic outer porcelain layer

Disadvantages:

  • May show a dark line near the gum over time

  • Porcelain may chip

  • Not as natural-looking as all-ceramic crowns

2. All-Ceramic or All-Porcelain Crowns

Indications:

  • Ideal for front teeth where aesthetics are key

  • Suitable for patients with metal allergies

Advantages:

  • Highly aesthetic and natural-looking

  • No metal, so no gumline discoloration

Disadvantages:

  • Less durable for back teeth under heavy bite force

  • May fracture more easily than metal-based crowns

3. Zirconia Crowns

Indications:

  • Best for molars or high bite pressure areas

  • Ideal for patients needing durability and improved aesthetics

Advantages:

  • Extremely strong and long-lasting

  • Can be made to look natural

  • Biocompatible (metal-free)

Disadvantages:

  • Less translucent than porcelain—may look less natural on front teeth

  • Harder material may wear down opposing teeth slightly

4. Metal Crowns

Indications:

  • Ideal for molars (not visible when smiling)

  • Best for patients seeking durability

Advantages:

  • Very strong and long-lasting

  • Less tooth structure needs to be removed

  • Gentle on opposing teeth

Disadvantages:

  • Poor aesthetics – noticeable color

  • Not commonly chosen due to appearance

🦷 Which Crown Should You Choose?

Your dentist will recommend the best option based on:

  • Tooth location (front vs back)

  • How much of the tooth is left

  • Your bite and grinding habits

  • Budget and aesthetic preferences

We’ll walk you through the pros and cons, and show real-life examples to help you make an informed decision.

💬 Have Questions About Crowns?

Placing a crown after a root canal isn’t just an extra step—it’s a long-term investment in your oral health. With the right crown, your tooth can function and look great for decades.

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