AboutGary Backlund, DMD, MSD Expertise I am an Endodontist ( root canal specialist ) and can answer questions about root canals and their treatment. I cannot diagnose or treat online, but can answer general questions. I have been a specialist for 25 years and am Past President of the Washington State Association of Endodontists.
Experience 25 years practicing as a specialist
Organizations American Association of Endodonists, Past President Washington State Association of Endodontists.
Question I had a root canal four weeks ago by a root canal expert (perio). I was told by my refering dentist the tooth would last six to twelve months, and she placed a permanent filling. My tooth broke and had to undergo a crown lengthening procedure, which has been quite painful. The question I have is why the dentist did not crown the tooth before it broke, immediately after the root canal. From what I have read this is standard procedure. I have now undergone a painful gum procedure, and can not eat on one side of my mouth. In addition the gum procedure was quite expensive, and would not have been required if the tooth did not break, and crowned before the break. I feel I have been misguided, and besides the expense am in quite a bit of discomfort. What is the normal procedure?
Answer Hi Steve,
Sorry to hear you're going through all this...has to be frustrating....and expensive!
Usually a tooth is crowned after a root canal, especially if it is a back tooth, however, rarely is that done immediately after the root canal treatment. The reason is that a certain percent of root canal teeth fail, so it is prudent to make sure the tooth is doing well before taking the next step. There is a chance that the crack or fracture in your tooth that allowed it to break may also have been the reason the root canal was needed to begin with...without a complete history, there is no way for me to make that call. In some respects, it may be a good thing that things have gone as they have. If the tooth was cracked and a crown was placed, there is a chance you could have had ongoing bitting discomfort. I know that doesn't make you feel any better, but your question to me may have been a lot different if that had been done.
I hope this helps. if you need more information or have further questions, write me back.
Good luck.
Gary Backlund DMD, MSD
I certainly can understand your frustration, but from what you tell me, it sounds like things were done in a reasonable and ethical manner.
