Is it possible to have an only instead of a crown after a root canal on tooth 21?

Question

I would to preserve the structure of my tooth. My dentist recommand to do a crown but I really don’t want to loose the structure of my tooth. I see that is still intact. Any advice on that please help? Is there any dentist in San Diego that have already done this case before? Most of the dentists nowadays recommand to do a crown after a root canal.

Abdul K. Khan, DMD · Answer

The gold standard for root canals (especially on posterior teeth) is to do a full coverage crown. I would not let my patient get an onlay or filling after a root canal unless there were some extenuating circumstances. It is hard to make a final judgment without seeing an X-ray and the inside of your mouth. Although, it is not malpractice to not do a crown, you have to understand that it is what is best for you. A root canal hollows out the tooth and a crown is like a hard hat protecting you from breaking the tooth. I would highly recommend a crown but I am sure there are dentists that can do a minimal access preparation during the root canal (if there is no major cavity or existing loss of tooth structure) and then just place an onlay on top.

Is it possible to have an only instead of a crown after a root canal on tooth 21?

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