Root Canal with A Crown


Pasadena Texas Dentist: Root Canal through a Crown

In some situations after a crown is placed, the nerve may die. This may happen suddenly or happen many years after the crown is placed. In this case, a root canal procedure will be necessary. A hole is created in the crown in order to access the nerve. The diseased tissue is thoroughly cleaned and removed. Next, the core of the tooth is sealed, and then a filling is placed to restore the crown’s structural integrity. However, sometimes a new crown must be made.

If you’ve had a dental crown placed in the past and are now experiencing tooth pain, you might be wondering: Can I still get a root canal through my crown? The answer is yes — and at our Pasadena, TX dental office, Dr. Nugent performs this treatment routinely.

Why Would a Root Canal Be Needed After a Crown?

Dental crowns are placed to protect weakened teeth, but they don’t make the underlying tooth immune to infection or nerve damage. Sometimes, decay can develop under the crown or trauma can affect the tooth’s nerve. In these cases, a root canal is necessary to eliminate pain and infection — even if a crown is already in place.

How Is a Root Canal Done Through a Crown?

Thanks to modern dental techniques, Dr. Nugent can carefully access the inner portion of the tooth by creating a small opening through the existing crown. The steps are as follows:

  1. Access: A small hole is made in the crown to reach the pulp chamber.

  2. Cleaning: The infected tissue is removed, and the root canals are thoroughly disinfected.

  3. Sealing: The canals are sealed with a biocompatible material.

  4. Restoration: Depending on the integrity of the original crown, it may be sealed and left in place or replaced with a new one.

Will the Crown Need to Be Replaced?

In many cases, the original crown can be preserved, especially if it’s still in good condition and properly fitted. However, if the crown is old, damaged, or leaking, Dr. Nugent may recommend replacing it after the root canal for optimal long-term protection.

Benefits of Root Canal Through an Existing Crown:

  • Saves time and money by preserving the original crown

  • Eliminates infection and relieves pain

  • Maintains your existing dental restoration

  • Avoids unnecessary additional procedures

If you’re experiencing sensitivity, pain, or swelling in a crowned tooth, don’t wait. Early intervention can save your tooth and prevent more complex issues. Contact our Pasadena dental office today to schedule an evaluation with Dr. Nugent — a trusted leader in advanced restorative and implant dentistry.

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