Front tooth broken by accident (was hit by a racquet), is crown/root canal necessary?
Doctor Answers 3
Crowns with or without root canals?
As for the tooth on your "right" with the potentially fractured root, I would recommend a root canal on this tooth as well. I would hate for you to get a crown and then have to get a root canal through the crown or have the crown removed to get a root canal. If you were my patient, I would recommend that I root canal both teeth prior to placing the crowns. Good luck and I hope this helps. Follow me if you have more questions.
Sarah Thompson, DMD
Evaluate for root canal
Will my broken tooth need a crown and root canal?
My advice is that he first place a temporary filling to cover the exposed dentin (part of the tooth that has nerves) and then wait for some healing. Then, before proceeding with the crown, have your tooth tested "for vitality" (i.e. make sure your tooth nerve isn't dying or has already died). This can't be done with x-rays alone and an endodontist (root canal specialist) is usually the best dentist to do this type of testing.
If a root canal is being done, your dentist will probably also recommend a "post and core" to strengthen your tooth and give it more support for the crown that will be placed over it. However, I highly recommend that your dentist NOT place a silver colored metal post, as the best type of post is a tooth-colored fiber post. The advantages of this kind of post is that it doesn't discolor the tooth and tooth, it bonds well to the inside of the tooth (less chance of it coming out later along with the crown), and it is very strong. The fiber in these posts is similar to Kevlar fiber, that is often used in bullet proof vests!
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