Will a Root Canal Ruin My Porcelain Veneer?

Posted by AllSmiles

I thought the swelling and pain near my nose was a sinus infection. However, the ENT referred me to a dentist. I have a periapical abscess, so my dentist referred me to a specialist. The abscess is on a porcelain veneer tooth. I’m concerned that the procedure to remove the abscess will ruin my tooth. What are the risks? Will I need a new porcelain veneer? Thank you. Alaina

Alaina

It’s unusual to need root canal treatment on a tooth with a porcelain veneer. It often indicates an underlying issue, such as excessive tooth preparation during the veneer placement or bacterial infiltration.

Why Might a Veneered Tooth Need a Root Canal?

A veneered tooth may need a root canal if aggressive tooth preparation or bacterial infiltration causes deterioration.

• Aggressive Tooth Preparation: Excessive removal of tooth structure during veneer preparation can lead to increased sensitivity, inflammation, and, in severe cases, infection.
• Bacterial Infiltration: If bacteria penetrate the seal between the veneer and the tooth, it can cause infection and necessitate root canal treatment.

Impact of Root Canal Treatment on a Veneer

Root canal treatment can darken the tooth, which may be noticeable through the veneer, especially if it’s thin or translucent. To minimize discoloration, dentists often:

• Remove the existing root canal filling material from the portion of the tooth above the gumline.
• Place a white fiberglass post within the root canal.
• Fill the remaining space with a light-colored dental composite.
• This approach can help maintain the aesthetic appearance of the veneer for several years.

Potential for Damage to the Veneer

If a dentist bonded the veneer securely, root canal treatment should not damage it. A skilled endodontist will assess the tooth’s condition and determine the best action. In most cases, tooth extraction and dental implant placement are unnecessary.

If you have concerns about the health of your tooth and veneer, consider seeking a second opinion from a qualified cosmetic dentist.

Chandler, Arizona, dentists Dr. William Walden and Dr. Tyrel Beavers sponsor this post. They cater to patients who consider themselves dental cowards.