How to install a crown after root canal treatment and does it require anesthesia? - المركز الطبي لرعاية الأسنان

How to install a crown after root canal treatment and does it require anesthesia?

Installing the crown after nerve filling, some people need ways to protect their teeth after treating them for damage, decay or some other problems, so there are some procedures that must be taken into account to avoid damage again inside the teeth, and through this article we will talk about the dental crown and the necessity of installing it after nerve filling.

Installing the crown after nerve filling

Installing the crown after nerve filling

Installing the crown after nerve filling

Installing the crown is one of the important installations that help protect the teeth after treating them for decay or damage. The crown is known as the dental crown or veneer and works to cover the damaged tooth and protect it from external influences or the occurrence of any other problems in the teeth.

It is necessary to install the crown after nerve filling so that the affected tooth is not exposed to damage or fracture again, especially in cases of severe decay that the filling did not last long.

When performing nerve filling, part of the tooth enamel is removed, which leads to weakening of the gums and teeth and makes the patient more prone to sensitivity. Therefore, the crown is installed to wrap and cover the affected tooth and protect it from any harm.

When is the tooth crown installed

“With the installation of dental crowns, you can restore the function and appearance of missing teeth at affordable prices and flexible payment options.” Contact us

The crown is resorted to in some cases, including:

  • The crown repair broken teeth as a result of decay, especially if the decay is severely damaged, it is treated and rebuilt and then the teeth are covered with the crown to protect them.
  • The crown is installed after nerve removal to support and strengthen the affected tooth.
  • When finishing the dental implant process, the crown is placed as a support that works to strengthen the tooth and preserve it.
  • When the natural color of the teeth changes, the crown is used as a kind of cosmetic.
  • The crown is installed when the tooth enamel is worn out and weakened.

Does crown installation require anesthesia

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This does not require that. Usually, dental crown installation does not require anesthesia or anesthetic because it is done in simple steps and does not cause any feeling of pain during the procedure. As for cases where there is nerve damage that has not been removed before installing the crown, in this case local anesthesia is given to relieve pain during the procedure.

Causes of toothache after nerve filling and crown installation

There are several reasons that led to pain or ache after crown installation or nerve filling, and we will get to know that through the following points:

  • When performing nerve filling, the patient did not feel pain due to the local anesthetic. After completing the nerve filling, some pain may occur due to the severe pressure on the gum surrounding the affected tooth, and this feeling increases, especially when eating food.
  • In some cases, an inappropriate temporary filler is placed that is usually higher than the tooth level, which leads to pain and discomfort when chewing food.
  • The patient is infected with some inflammation around the tooth that causes pain or irritation in the area of ​​the affected tooth, due to poor dental hygiene during nerve filling.
  • Toothache occurs after crown installation due to not completely removing the damaged nerve, which leads to increased feeling of pain when consuming foods or cold and hot drinks.
  • Installing an unsuitable crown for the size and measurement of the original tooth leads to feelings of pain, as a result of the crown size being higher or smaller than the tooth, which allows microbes and bacteria to enter the teeth.
Causes of toothache after nerve filling and crown installation

Causes of toothache after nerve filling and crown installation

Alternatives to dental crown

Most people need other alternative solutions instead of installing the crown. The solutions or alternatives to the crown can be divided into therapeutic alternatives that treat problems inside the teeth or cosmetic alternatives that are used to improve the external appearance of the teeth. For this, we will learn about the most important alternatives and therapeutic and cosmetic solutions as follows:

Therapeutic dental crown alternatives

  • Dental implants: Dental implantation is considered one of the alternatives used in case the person loses part of the tooth or more. It is done by implanting grafts into the jaw bones to replace the damaged roots, then after a period the support is placed and then the crown to strengthen and support the affected tooth.
  • Dental bridges: This alternative is used when the patient needs to cover the teeth adjacent to the affected tooth so as not to damage again. A bridge is installed that connects more than one crown instead of placing a crown on each tooth. Dental bridges are made by taking the size and dimensions of the teeth carefully and accurately.
  • Dentures: Dentures are one of the oldest and most commonly used solutions in case of complete tooth loss. Sometimes dental implantation did not suit some cases, so dentures are used as a temporary alternative.

Cosmetic dental crown alternatives

  • Dental veneers: It is one of the most prominent alternatives used to beautify the external shape of the teeth. Dental veneers are light and thin shells that are placed on top of the original tooth to improve its shape, so that it appears aesthetically without gaps or yellowing of the teeth.
  • Orthodontics: Orthodontic treatment is one of the most commonly used alternatives in medical centers and clinics. It is used to beautify the upper or lower dental arch of the teeth or fill the gaps between the teeth, and helps rebuild the teeth and other problems related to teeth beauty.

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Disadvantages of the dental crown

Despite the importance of installing the dental crown to protect the damaged tooth, there are several disadvantages, including:

  • The crown gives the teeth an unnatural shape and is very noticeable, and this is due to the metals that make up the crown and also its color is different from the natural color of the teeth.
  • Sometimes the crown is installed incorrectly, which leads to pain and discomfort when chewing food.
  • Some types of crowns do not last long, especially the porcelain type.
  • Some black lines appear on the gums after a period of time when the crown made of ceramic and metal alloy is installed.
  • When an inappropriate shape is chosen for the crown, it leads to an indecent apparent shape, especially when installed on the front teeth.

How is the crown installed?

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The crown installation process is performed according to each type of crowns used to protect the teeth. The choice of each type differs according to cost, materials used and patient needs. The crown installation is done in several steps as follows:

  1. The doctor thoroughly examines the teeth, and all existing damage to the teeth is removed, such as decay or damage, then the tooth is prepared through a mold so that the crown is manufactured in the same size.
  2. After that, a temporary crown is installed to protect the tooth until the permanent crown is finished manufacturing.
  3. After about two weeks from manufacturing the permanent crown.
  4. Then the crown is glued to the top of the tooth with a rigid adhesive material that helps strengthen the crown and prevent it from falling off easily.

د. ماجدة فاروق

"Professional Dentist at the Dental Care Medical Center Welcome to the Dental Care Medical Center, where we offer a full range of preventive, therapeutic, and cosmetic dental services. We have a team of the best dentists in Egypt, who have extensive experience in all areas of dentistry. Extens ... read more


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