woman considering a dental crown after root canal

Does a Tooth Always Need a Crown After a Root Canal?

March 17, 2025 9:00 am

Root canals have a reputation, but they’re not as scary as people think. In fact, they save your natural tooth! The real question is—after the procedure, do you always need a crown? The answer depends on several factors, including the type and location of the tooth.

Why Do Some Teeth Need Crowns After a Root Canal?

A root canal removes infected pulp from inside a tooth, eliminating pain and preventing further damage. However, the process also leaves the tooth weaker and more brittle. That’s where a crown can help. A dental crown covers and protects the tooth, preventing it from breaking under pressure.

Molars and Premolars: Crowns Are Usually a Must

Molars and premolars handle most of your chewing. After a root canal, these teeth often need crowns to prevent cracks or fractures. Without a crown, the risk of breaking the tooth increases, which could lead to extraction. A crown restores strength and lets you chew normally.

Front Teeth: Maybe, Maybe Not

Front teeth don’t handle as much biting force as molars, so they don’t always need crowns. If the remaining tooth structure is strong, a simple filling may be enough. However, if the tooth is weak, decayed, or has a large filling, a crown might still be the best option.

Factors That Affect the Need for a Crown


  • Tooth Location: Molars need more reinforcement than front teeth.

  • Tooth Strength: If too much tooth structure is lost, a crown is safer.

  • Personal Habits: If you grind your teeth or bite hard foods, a crown may be necessary.

Restoring Your Smile at Vero Dental in Denver, CO

At Vero Dental, Dr. Giuseffi and Dr. Johnson evaluate each case individually. Whether your tooth needs a crown or just a filling, they’ll guide you toward the best option. If you’ve had a root canal or need one soon, schedule a visit and keep your smile strong!

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Image from Authority Dental under CC 2.0



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Dr. Giuseffi and Dr. Johnson