Reviewed by Dr. Gary Morris, DDS

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A root canal removes infection from inside a tooth, but it does not restore the tooth’s structural strength. After treatment, the remaining tooth is more vulnerable to cracking and damage. In many cases, a dental crown is recommended to reinforce the tooth and protect it long term.

What Does a Root Canal Actually Do?

A root canal procedure removes infected or damaged pulp from inside the pulp chamber and seals the space to prevent bacteria from returning. This treatment saves the tooth from extraction and eliminates infection.

Even though the tooth remains in place, it no longer has a living nerve or blood supply. That change affects how strong and flexible the tooth structure remains over time.

Specialized Root Canal CareRoot canals are completed by Dr. Rosenbaum, a specialist focused exclusively on root canal treatment. This allows for accurate infection removal while preserving as much healthy tooth structure as possible.

Why Teeth Are Weaker After a Root Canal

Once the inner pulp is removed, the tooth becomes more brittle. It no longer receives moisture and nutrients from within, which increases the risk of cracking under everyday pressure.

Several factors contribute to this weakness:

  • Loss of internal tooth structure during cleaning
  • Reduced flexibility without a living pulp
  • Large existing fillings or decay
  • Normal chewing forces over time

Without additional protection, a root canal–treated tooth can fracture more easily, sometimes beyond repair.

When a Dental Crown Recommended 

Dentists do not recommend crowns automatically in every situation. The decision depends on the location of the tooth, how much natural structure remains, and how much force the tooth handles during daily use.

A crown is usually recommended when:

  • The tooth is a molar or premolar used for heavy chewing
  • A large portion of the tooth structure is missing
  • The tooth already had a large filling or fracture
  • The tooth cannot be repaired with a dental filling 

Front teeth sometimes do not require crowns if enough healthy structure remains and the tooth does not experience heavy biting forces. Your dentist evaluates these factors before making a recommendation.

What Happens If You Skip a Crown After a Root Canal?

Some patients ask whether they can delay or skip a crown after root canal treatment. While a short delay may be appropriate in certain situations, leaving the tooth unprotected for too long increases the risk of damage.

Without a crown, a root canal–treated tooth is more likely to:

  • Crack or fracture under normal chewing pressure
  • Sustain damage that cannot be repaired
  • Require extraction if the tooth splits below the gumline
  • Lead to more complex and costly treatment in the future

In some cases, a dental filling is placed after a root canal as an interim solution. The filling seals the tooth and restores basic function, but it does not provide the structural reinforcement needed for long-term protection. A crown fully covers the tooth and distributes pressure evenly, which helps reduce the risk of fractures and supports the longevity of the treated tooth.

Benefits of Getting a Crown After a Root Canal

A dental crown does more than cover the tooth. It restores strength, function, and appearance while reducing long-term risk.

Key benefits include:

  • Structural reinforcement against cracks or fractures
  • Long-term protection from bacteria and decay
  • Natural appearance that blends with surrounding teeth
  • Improved chewing comfort and bite stability
  • Extended lifespan of the treated tooth

If your dentist recommends a crown after a root canal, it is to protect the treated tooth from fracture and support its long-term function.

Restorative Dentistry in Buffalo Grove, IL

If you have completed a root canal and have questions about whether a dental crown is recommended, our team can help you review your options and understand the next step in protecting your tooth.

To schedule an appointment at our dental office in Buffalo Grove, IL, call (847) 215-1511 or visit us at 195 N. Arlington Heights Rd., Suite 160, Buffalo Grove, IL.

FAQ

Is a crown always required after a root canal?

The need for a crown depends on how much healthy tooth structure remains after endodontic treatment, the location of the tooth, and how much pressure it handles during chewing. Molars are more likely to need crowns than front teeth.

How long can I wait before getting a crown?

Dentists usually recommend crown placement soon after root canal therapy is completed. Waiting too long can leave the tooth vulnerable to cracking, which may compromise long-term oral health and lead to additional dental treatment.

What happens if my crown comes loose?

Contact your dentist promptly. A loose crown exposes the tooth and should be addressed quickly to avoid damage.

Can I get a crown without a root canal?

Yes, a dental crown can be placed without a root canal. Crowns are often used to restore teeth that are cracked, heavily filled, worn down, or weakened, even when the tooth nerve is healthy. A root canal is only needed if the pulp inside the tooth is infected or damaged.

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