March 28, 2025
Do You Really Need a Root Canal Before Getting a Crown?
At our holistic dental practice in Hollywood, Florida, we’re often asked:
“If I’m getting a crown, do I also need a root canal?”
The answer is—absolutely not.
I’m Dr. Dmitry Gorbatov, and I’ve been practicing holistic and cosmetic dentistry for 35 years. In our office, root canals are rarely needed—even in full-mouth restorations.
Why Root Canals Aren’t Always Necessary
Before deciding on a root canal, it’s essential to ask:
- Why does the tooth need a crown?
- Is there deep decay?
- Is the tooth fractured?
- Does the patient have any symptoms?
- Is the nerve exposed?
In many cases, we can avoid a root canal altogether by using gentle and conservative techniques. Even if there is pulp exposure, we use biocompatible liners to protect the tooth, then rebuild and place the crown without touching the nerve. This process is called pulp capping, and it has a high success rate—only 4–5% of cases may need a root canal later.
Alternatives to Root Canals Before Crowns
When a tooth is severely damaged, some dentists recommend a root canal just to build a foundation for the crown. We offer a more natural solution: crown lengthening.
By gently removing a bit of gum tissue to expose more of the healthy tooth, we can build a strong, long-lasting restoration—without the need for a root canal or post.
Get a Second Opinion Before You Commit
If another dentist tells you that a root canal is required before a crown, we strongly encourage you to schedule a consultation with us. We’ll assess your case, offer alternatives, and help you make the most informed decision for your health and peace of mind.
Give us a call today—we’re here to help you smile without compromise.
Medical Note: This article is for educational purposes only and is not a substitute for a professional dental diagnosis, examination, or personalized treatment plan. Every patient’s condition is different. The appropriate treatment can only be determined after an in-person consultation, review of dental and medical history, and necessary diagnostic imaging. If you are experiencing pain, swelling, infection, trauma, or a dental emergency, please contact a licensed dentist promptly.
Back to Press CenterTestimonials
I'm very thankful with the doctor and the entire office staff. Very professional work and excellent treatment.
Guillermo Ricard
Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping...
Burke Crump (Wellington, FL)
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
Arthur Rubinovich (Sunny Isles, FL)
I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and...
Eugenia Aulov-Volchek (Sunny Isles Beach, FL)
I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I...
Arthur R. (North Miami Beach, FL)
I had an urgent dental issue while on vacation in Miami and was able to schedule an emergency visit for my treatment with Dr. Gorbatov. The staff was friendly, the...
Marina Greenberg
I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank...
Farron Ann (Wellington, FL)
I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the...
Oleg Solovey (Sunny Isles, FL)
I love this dentist office the service here is very fast and comfortable. The staff is extremely nice and caring. I recommend this dentistry to everyone :)