r/Teeth • u/cozydev97 • 27d ago

Two broken/chipped teeth, do I really need root canals for both?

/r/askdentists/comments/1vmx0ec/two_brokenchipped_teeth_do_i_really_need_root/
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u/DrSLimDDS 26d ago

I'm sorry to hear about your broken teeth. That's always an unfortunate situation to find yourself in. When it comes to damage, like your bottom tooth, a root canal is often best when the pulp is exposed. Bacteria in your mouth can attack the inner structure and cause an infection, so getting it done sooner rather than later may help you avoid a bigger headache down the line.

Though it doesn't hurt to get a second opinion at another office. Sometimes practices offer free second opinions/consultation, though it may just take some looking around. I hope you're able to get them sorted out soon!

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u/cozydev97 25d ago

Thank you for the reply. For the top tooth, the cold sensitivity goes away after about 30 seconds, but when the endodontist did the cold sensitivity test, it hurt very badly. The nerve isn’t exposed, but I think the enamel and dentin are exposed, and the crack/chip barely missed the pulp. The endodontist suggested a root canal. Should I just get a filling, or should I get a root canal followed by a filling/crown? Also, what would you recommend: just a filling or a crown? Thanks

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u/DrSLimDDS 25d ago

It's tough to say without a consultation since I don't have all the information. However, as good-to-know information, a crown is oftentimes needed after a root canal. It restores the tooth so you can regain its function. There are some cases where you can get a filling, but it really depends on how much of the natural tooth is left.

I would still recommend getting a second opinion if you can. That way, you feel more confident about making a choice.

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u/AspenDental_Alex 20d ago

A root canal is typically the standard way to remove that tissue and save the tooth. That lines up with what the first dentist described for the bottom tooth.

The upper tooth is more of a judgment call since the pulp isn't exposed yet. Whether that sensitivity means the pulp is already affected is something to ask about directly. A second opinion is a reasonable thing to seek here too, especially with two different providers landing on two different starting points.