Yes, in most cases a tooth can be restored with a crown after a root canal, and there is usually enough tooth structure left to support it. A root canal removes only the infected nerve tissue inside the tooth, not the outer tooth itself. After the treatment, the dentist evaluates how much healthy tooth structure remains above the gum line. If there is sufficient structure, the tooth is prepared and covered with a crown to protect it and restore function. When the remaining tooth structure is limited, a core buildup is commonly used to rebuild the tooth, and in some cases a post may be placed inside the root canal to provide additional support for the crown. Only when a tooth is severely damaged, fractured below the gum line, or has poor periodontal support would placing a crown not be possible and extraction be considered.