Tuesday 18 October 2016

Dental Crown a ..life line...for root canal treated teeth

Root canal is one of the advanced and revolutionary treatments in dentistry to save infected and badly decayed natural tooth. The term “root canal” comes from cleaning of the canals inside the tooth’s root after the removal of infected pulp and followed by disinfecting and filling tooth roots. Once the dentist has an access to the tooth’s roots, the infected dental pulp is removed and the roots are treated with antibiotics.
Why crowns are advised

To better understand the need for dental crowns, it’s necessary to understand why root canal therapy results in large tissue loss
Similar to a cavity filling procedure, tissue is removed from the tooth. This requires the removal of any diseased tissue within and around the cavity. Once a cavity has reached the roots of a tooth, it has usually compromised a relatively large portion of the tooth.


As there is no blood supply, over the time this causes tooth to become brittle and likely to fracture. Permanent fillings after root canals protect the treated teeth from bacteria and to strengthen them in the process but, without the extra protection, which crown provides, there are chances of tooth fracture. Another advantage of crowns is that they restore the natural appearance of your teeth.


Benefits of dental crown


Dental fillings are effective ways of replacing lost tooth tissue. However, they can only fill gaps in a tooth that is otherwise healthy and relatively strong. Root canal therapy tends to weaken a tooth to the point where it shouldn’t be just filled, but also protected on the exterior. More importantly, the dental pulp has been removed, which is responsible for generating new, healthy tissues within a tooth. Consequently, dental crowns are needed for superior restoration.

o    Structural support: Crowns simultaneously fill lost tissue while serving as the tooth’s outer layer. In this way, crowns restore strength to a tooth that would be too weak to function on its own.
o    Protection: By capping the natural crown of a tooth, dental crowns protect a tooth from injury, stress, and abrasion.
o    Preservation: Without a crown, the alternative for many teeth would be extraction and replacement. A crown allows patients to preserve a natural tooth, rather than replace it with a dental implant or bridge.
o     Durability: By using porcelain, dental crowns can easily last 15 years or longer without wear or damage. With the right care, porcelain crowns are effective permanent restorations.  
o    Realistic appearance: Porcelain is the most effective dental material for mimicking the shape and color of natural teeth. And because it’s stain resistant, your porcelain crown will continue to shine for years.


What are the repercussions of waiting?


o    Nothing will happen.
o    The tooth could chip- simple repair. Or it could crack and would need a crown.
o    In rare cases waiting could cause a RE- root canal to be needed.
o    The tooth could split, which could require crown lengthening or extraction.
o    These are things that your dentist should be prepared to talk over with you.

What are the options?

In some cases, while a crown is one option, there can be others. You might opt for a filling instead. Keep in mind, however, that a filling does not prevent you from needing a crown later on. Also, if a substantial portion of your tooth needs filling, a better solution is usually the crown because fillings do not give you the same kind of protection as crowns do. Also, if the filling is extremely large, it can cause the tooth to break, making it irreparable.