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is a crown necessary and how long can you leave it?

H

HMB

Member
Joined
Mar 23, 2024
Messages
22
Location
Northants
So, I am now two weeks post RCT, my tooth still feels weird, but not painful as such, but I know that I clench / grind my teeth at night and that seems to cause discomfort in the mornings. I have tried a grind guard which sometimes seems to work, and sometimes seems to make the morning issues worse. I am worried that after all the trauma and expense of the RCT, I will end up without the tooth anyway because grinding will get it! The dentist has recommended a crown, but when I said I needed a bit of a rest from dental appointments, he seemed very relaxed about leaving it as a later decision as well.

Am I worrying unnecessarily about the strength or otherwise of my ll7 molar following RCT? (I just want to wrap it in cotton wool)! Is a crown always necessary for RCT treatment? and if so, do I need to do it quickly to prevent damage?

And if anyone has any recommendations for a 'bouncy / soft grind guard because the hard plastic ones seem to have the same effect as chewing on a brick, I would be grateful for all suggestions
 
Am I worrying unnecessarily about the strength or otherwise of my ll7 molar following RCT? (I just want to wrap it in cotton wool)! Is a crown always necessary for RCT treatment? and if so, do I need to do it quickly to prevent damage?
Probably. The trouble with doing RCT on a molar is that you need to remove quite a lot of tooth structure to do it properly, so as a general rule, you need to crown them to restore the missing strength.

However, this is a generalisation, it doesn't necessarily apply to everyone, if your dentist isn't too bothered in your particular case then I don't see any reason to worry about it. Even if the tooth fails, chances are it may be fixable at that stage.
 
thanks for responding Gordon, I'm a bit more reassured that the tooth might survive to make the RCT worthwhile, but I will try to sort out a crown as soon as I feel able (and can afford) to.
 
Happy to help. It's always worth getting the crown done at some stage, even just for reassurance that it won't snap in two at the worst possible moment :)
 
I'm not sure the though of the tooth snapping is wholly reassuring but thanks for the advice.

Can I ask, in your experience, what the timescale of a RCT tooth feeling normal again please? I'm still getting some mild pain and almost a 'bouncy' feeling in the tooth when I bite down. I have had problems with the tooth for well over a year (following what should have been a routine filling by my previous dentist), and then I had a high filling which was resolved less than two weeks' ago, so would some discomfort still be normal?
 
I'd say a couple of weeks would not be unusual, as long as the symptoms are slowly improving then it'll be fine.
 
Thanks Gordon, to be honest, I was beginning to think that I was in the unlucky % for whom this was never going to be resolved. However, suddenly today the symptoms have eased (if not totally disappeared), so I feel a little more hopeful / positive re the outcome. 🤞 I also think I would have been crawling the walls if I hadn't had this forum to bounce my concerns on 🙏
 
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