I need a root canal on my top right incisor. The tooth has a veneer over it. Is the procedure risk? Will it ruin my veneer and require replacement? Thanks. Darcie from NJ
Darcie,
Root canal treatment on a porcelain veneer tooth is rare, so we are concerned about what caused the tooth abscess. An abscess is an infection at the root tip that can spread to the bone without treatment, so treating it is a priority.
Why Might a Porcelain Veneer Tooth Require Root Canal?
If a dentist aggressively prepares a porcelain veneer tooth, it may require root canal treatment. Aggressive preparation can result in more significant stress, irritation, and inflammation on a tooth, leading to infection, which may require root canal treatment. If bacteria leak behind the veneer, it can also cause an infection that, if left untreated, may need root canal treatment. Regardless of the cause, delaying treatment will only worsen the situation.
Will a Root Canal Damage a Porcelain Veneer Tooth?
Root canal treatment can darken any tooth, primarily due to the discoloration caused by the root canal filling material. While a porcelain veneer has some translucence, the darkness may show through it. However, your dentist can minimize the discoloration by:
- Cleaning out the root canal filling material from the tooth crown (the portion above the gumline)
- Placing a white, flexible fiberglass post into the root
- Filling the space with a light shade of dental composite
Typically, cleaning out the root canal filler material from the crown and filling lasts five to ten years.
Will a Root Canal Damage a Porcelain Veneer?
Root canal treatment should not loosen or damage your porcelain veneer if the dentist who originally placed your veneers bonded them correctly. Unless the endodontist assesses that the condition of your tooth is dire, you will not need a dental implant.
If you still have concerns about your tooth and veneer, consider scheduling a second-opinion appointment with a skilled cosmetic dentist.
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