Root canal and filling or root canal and crown....?
My dentist re-implanted my avulsed front tooth 2 1/2 weeks ago and I went back yesterday and he said my tooth was healing and getting stronger and he wanted to do a root canal, clean the nerves out and put a crown on. I didn't want my tooth ground down so I told him I would wait. Is it possible to do the root canal and just fill the root with filling..?
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It should be possible to just do the root canal treatment and cover that with a small composite filling on the tongue side of the tooth. My opinion is that this is the ideal way to treat the tooth assuming that there is not a big filling or a big break in the tooth right now. (Doing a full crown over a front tooth that has a root canal greatly weakens the tooth and the patient runs a higher chance of the whole tooth breaking off at gum level.)
As it is a front tooth, root canal and tooth coloured filling like composite is enough. A full crown is strongly recommended if the tooth is a back or posterior tooth in order to survive the strong masticatory forces. A root canal filled tooth has more chances of fracture when under masticatory stress compares to natural teeth. That is why a crown is recommended. But in this case it is a front tooth, masticatory load will be less.
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