Tooth extraction can feel like a relief when you’re dealing with pain, infection, or decay. But what happens after that tooth is gone? Many patients assume the job is done once the tooth is out, but in many cases, especially if it’s a molar or a visible tooth, a dental crown plays a critical role in long-term oral health.
If you skip the crown, you could be opening the door to bigger problems — including bite issues, shifting teeth, bone loss, and more.
In this blog, we’ll break down what really happens if you don’t get a crown after a tooth extraction, when a crown is necessary, and what your options are.
Is a Crown Always Needed After a Tooth Extraction?
No, not always. A crown is not placed directly after an extraction — it’s usually part of a larger plan that includes a dental implant or a root canal-treated tooth. Here’s how to understand when it matters:
- If your tooth is removed entirely (root and all), the space is usually left to heal before a dental implant is placed.
- Once the implant integrates with your jawbone, a crown is attached to complete the restoration.
- If your tooth is still in place but has had a root canal, a crown is used to protect and strengthen the weakened tooth.
So, while you might not get a crown immediately after an extraction, one is often part of the follow-up treatment, especially for back teeth or teeth that bear heavy chewing pressure.
What Happens If You Skip the Crown?
If you don’t follow through with getting a crown after a necessary extraction and/or implant, a lot can go wrong. Let’s break it down.
1. Shifting Teeth and Misalignment
Your teeth aren’t fixed in place forever — they move, slowly but surely. When a gap is left in your mouth after an extraction, your surrounding teeth will begin to shift toward the open space.
That shifting can throw off your bite, cause crooked teeth, and even make chewing uncomfortable. Worse, once teeth move out of alignment, they’re much harder (and more expensive) to fix later.
2. Bite Problems and Jaw Pain
Your bite — the way your upper and lower teeth fit together — depends on balance. If one tooth is missing, the balance is thrown off. This can lead to:
- Uneven wear on remaining teeth
- Jaw tension and TMJ issues
- Difficulty chewing or speaking normally
A crown placed on an implant restores that balance and prevents overuse of neighbouring teeth.
3. Bone Loss in the Jaw
This is one of the most serious consequences of not replacing an extracted tooth.
When a tooth root is gone and nothing replaces it, the jawbone in that area starts to shrink. This is called bone resorption, and it can lead to:
- Sunken facial appearance
- Weakening of the jaw
- Difficulty placing implants later on
Placing a dental implant (topped with a crown) helps stimulate the bone and keep it healthy, just like a natural tooth would.
4. Higher Risk of Gum Disease
An empty socket or space between teeth can become a trap for food particles and bacteria. Without a crown and proper spacing, these areas are harder to clean, which raises your risk of:
- Gum inflammation
- Infection
- Periodontal disease
Over time, untreated gum disease can lead to more tooth loss — a domino effect that’s entirely preventable.
5. Aging or Sunken Appearance
Your teeth support more than just your bite — they also support your facial structure. Missing teeth (especially several) can cause the cheeks to sag inward or your lips to lose shape.
Many patients are surprised to find that even one missing molar can cause subtle changes in how their face looks over time.
When Is a Crown Necessary?
A dental crown may be necessary after an extraction in the following scenarios:
You’ve Had a Root Canal
Teeth that have undergone root canal therapy are hollowed out and weaker than before. A crown protects the tooth from cracking or breaking.
You’re Getting a Dental Implant
After the implant fuses with your jawbone (a process called osseointegration), the visible part — the crown — is placed on top. This looks and functions like a real tooth.
You’re Using a Dental Bridge
If you’re missing one or more teeth, a bridge can be anchored to crowns placed on neighbouring teeth. This only works when those anchor teeth are healthy enough to support a crown.
Don’t Leave Your Smile Unfinished
If you’ve had a tooth extracted, don’t assume the job is done. Replacing that tooth with a crown (often via an implant or bridge) protects your bite, jawbone, and appearance.
Still unsure what the next step should be? That’s what we’re here for.
Book a Consultation with a Trusted Dentist in Maple Ridge
At Coast Dental Centre, our experienced team helps you understand exactly what your mouth needs — no pressure, just honest guidance. Whether you’ve recently had a tooth pulled or are considering your options, we’ll help you restore your smile in a way that fits your goals and your budget.
Ready to protect your long-term oral health?
Call Coast Dental Centre, your local dentist in Maple Ridge, and schedule a personalized consultation today.
