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What did you get after your root canal: crown, filling, or something else?

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Posts: 26
(@mindfulness468)
Eminent Member
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Curious—has anyone had their dentist change their mind later and recommend a crown after all? Wondering how often that happens...

Yeah, it actually does come up more than people realize. Sometimes a tooth looks solid enough right after the root canal, so a big filling seems like a good call. But over time, especially with molars (they take a beating), the tooth can get brittle or start to crack in ways you just can’t predict at first. I’ve seen folks go years with just a filling and then suddenly they’re back because a piece chipped off or there’s a hairline fracture.

It’s not always a “wrong” decision to skip the crown at first, especially if most of the tooth is still there and you’re careful. But teeth do change—biting forces, grinding, even just normal chewing can wear things down. I usually tell people to watch for any new sensitivity or weird pressure when biting. Sometimes those little warning signs show up before anything major happens.

Funny thing, I had a patient who was adamant about not wanting a crown right away—cost was a big factor. We did a reinforced filling and kept checking every six months. About three years in, she noticed a tiny crack on the side. We caught it early and did the crown then, and she was glad she waited because she felt like she got her money’s worth out of the filling first.

But yeah, it’s pretty common for dentists to revisit the idea of a crown later, especially if the tooth starts showing signs of stress. It’s not really changing their mind so much as just adapting to what the tooth needs over time.

Honestly, I think your approach makes sense as long as you keep up with checkups and don’t go too hard on that tooth. Just be ready for the possibility that you might need that crown down the road—and if you do, it’s not a failure or anything. Teeth are weirdly unpredictable sometimes.


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Posts: 18
(@jon_dreamer)
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I get super anxious about this stuff, honestly. After my root canal, my dentist said a big filling should be fine... but I kept worrying every time I bit down too hard or ate something crunchy. It’s like, are my teeth made of glass now? After a year, I started noticing some weird twinges and basically begged for the crown just to stop stressing about it. Not sure if that’s overkill, but peace of mind counts for something, right?


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acarpenter39
Posts: 22
(@acarpenter39)
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It’s like, are my teeth made of glass now?

Haha, I totally get that feeling—like you’re one rogue popcorn kernel away from disaster. But honestly, I stuck with just a filling after my root canal and it’s been fine for years. Sometimes the “let’s crown everything” approach feels like overkill (and a hit to the wallet). I figure if it ain’t broke… why fix it?


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Posts: 33
(@holly_runner)
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Sometimes the “let’s crown everything” approach feels like overkill (and a hit to the wallet). I figure if it ain’t broke… why fix it?

I used to think the same, but after cracking a molar that only had a filling post-root canal, I changed my tune. It didn’t happen right away—took about two years, actually. But when it did, it was a nightmare (and way more expensive than just getting the crown in the first place).

I get wanting to save money and avoid extra dental work, but for me, the peace of mind was worth it. Especially with back teeth that take all the chewing force. I’d rather not gamble with another emergency dentist visit.

It probably depends on the tooth and how much is left after the root canal, but I feel like the “if it ain’t broke” logic sometimes backfires with teeth. They don’t give much warning before they break, you know?


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naturalist41
Posts: 29
(@naturalist41)
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That’s a really good point about back teeth—mine cracked too after a root canal with just a filling. It took a while, but when it happened, the pain and cost were way worse than if I’d just done the crown. I totally get wanting to avoid extra dental work (and bills), but sometimes prevention really does save you in the long run. Teeth don’t always warn you before they go, sadly…


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