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How much does one dental crown cost? If a crown is suggested after root-canal treatment or extensive decay, read the quotation first
Asking “how much is a crown?” is really asking about a bundle of items: preparatory treatment before tooth preparation, a post and core, material and laboratory work, a temporary crown, and try-in and follow-up visits. Taiwan has no nationwide fixed crown price; fee standards are approved by local city or county authorities. To read a quotation, compare its items rather than one total. This card concerns one tooth whose root remains, and explains why a crown may be suggested after root-canal treatment, how remaining tooth structure and a ferrule can change the plan, how to read material-survival literature, and where to verify a quotation. It gives no monetary amount and does not assess whether any amount is reasonable.
How much does one dental crown cost? If a crown is suggested after root-canal treatment or extensive decay, read the quotation first
Direct answer: Taiwan has no fixed crown price. Fee standards are approved by each city or county authority. Differences in quotations come from the included items and materials, not one number; first establish what will be done, then compare.[F18][F2]
Geographic scope: This guide is specific to Taiwan's healthcare system (National Health Insurance and Taiwan's Medical Care Act). The passages on institutions and verification routes cite Taiwan laws and competent-authority notices; the clinical-evidence passages cite international literature. They are marked separately in the fact ledger. For the official English text of Taiwan's Medical Care Act, see https://law.moj.gov.tw/ENG/LawClass/LawAll.aspx?pcode=L0020021 .
First, the boundary: this card is only about one crown where the tooth root remains
In a consultation, “crown” and “denture” can refer to several treatments. Establish which situation you are in before discussing cost. This site divides the work this way: the three routes for fixed prostheses (crown / bridge / implant-supported), the cost structure for bridges, and evidence on temporary dentures belong to the fixed-denture cost card. This card only summarises and links to that card where needed. This card covers the single-crown route: the root remains, tooth structure is too extensively lost or the tooth has had root-canal treatment, the remaining tooth structure is prepared as a foundation, and a laboratory-made crown is fitted. It covers indication assessment, ferrule conditions, material-survival data, and complication data. If the entire tooth is missing, go directly to the fixed-denture cost card in the internal citation chain at the end.[F2]
Two situations commonly lead to this question in the clinic: root-canal treatment has ended and the clinician says a crown is needed, or the decay is too extensive to restore and the clinician says a filling would fracture. Both have one thing in common: a large amount of tooth structure has already been lost, and the next choice directly changes the number of items on the bill.[F2]
Why a crown is often suggested after root-canal treatment or extensive decay
The strength of evidence in this section varies greatly, so it is more honest to separate it.
- The association in observational research is strong: a 2002 retrospective cohort study followed root-canal-treated teeth in a university treatment database. After controlling for tooth type and radiographic caries at the time of access, its model found that teeth not crowned after obturation were lost at 6.0 times the rate of crowned teeth (95% confidence interval 3.2 to 11.3). Read this as an association, not causation: it was a single-institution retrospective, non-randomised design. Whether a crown was placed may itself reflect differences in tooth condition and patient adherence, and the authors limited their conclusion to the conditions of that study.[F4]
- Randomised-trial evidence is still insufficient: a Cochrane systematic review comparing full crowns with conventional fillings found only 1 eligible randomised trial, judged at high risk of bias. At three years there was no clear difference in non-catastrophic failures between groups, and evidence quality was very low. The review authors state plainly that evidence is insufficient to assess the difference in effects; until new evidence appears, the choice depends on clinical judgement and the individual patient's situation and preferences.[F5]
- The current question has changed: a 2024 systematic review and meta-analysis (20 studies in a pooled survival analysis) estimated survival of root-filled posterior teeth at 91% at 4 to 7 years and 87% at 8 to 20 years. The same paper listed seven tooth-level factors associated with tooth survival: remaining coronal tooth structure, ferrule, crown-to-root ratio, tooth type and location, periodontal disease, proximal contacts, and cracks. It also says evidence in this area is still sparse and more research is needed.[F6]
So literature will not answer yes or no if the question is “must everyone have a crown after root-canal treatment?” Clinically, the questions are how much coronal tooth structure remains and whether a sufficient ferrule can be achieved. Existing literature lists these as prognosis-related factors, but it is mainly observational evidence and cannot establish causation or decide the plan on its own. This is why the same phrase, “a crown after root-canal treatment,” can lead to different plans and quotations for two people.[F5][F6][F10]
Ferrule: invisible on a quotation, but relevant to the treatment plan
A ferrule refers to whether a crown can encircle a continuous band of remaining tooth structure. Literature describes it in three dimensions: height, width, and circumferential extent.[F8]
- A 2026 systematic review and meta-analysis included 33 studies (6 clinical studies, 18 in-vitro experiments, and 9 finite-element analyses). It estimated higher clinical survival when a ferrule was present (RR 1.34, 95% CI 1.12 to 1.59); ferrule height of at least 2 mm was associated with greater fracture resistance (mean difference +165 N, 95% CI 110 to 215); a complete 360° ferrule and dentine thickness of at least 1 mm were more favourable reinforcement conditions; and a partial ferrule with at least 2 opposing walls remained helpful. Keep two things distinct: fracture resistance is a laboratory mechanical measure; clinical survival is an outcome in patients. Most included studies were in-vitro or finite-element analyses. The authors also say the findings should be interpreted in light of variation in study design and reporting quality.[F8][F2]
- When only clinical studies are counted, the conclusion is much more cautious. A 2024 systematic review and meta-analysis limited to root-canal-treated teeth restored with prefabricated fibre post and core found better success with a complete circumferential ferrule in its direct comparison (2 studies, 123 teeth; RR 1.28, 95% CI 1.06 to 1.54). But an indirect analysis expanded to 8 studies and 407 teeth found no statistically significant difference, so the authors called for higher-quality studies.[F9]
- Remaining tooth structure also has quantitative evidence. A 2021 systematic review and meta-analysis of root-canal-treated teeth restored with a fibre post and a single crown (a defined population, not generalisable to all crowns) reported, in a posterior-tooth subgroup, failure of 23% (95% CI 10% to 36%) with 0 remaining axial walls and 15% (95% CI 3% to 26%) with 1 remaining wall. Failures increased as the number of remaining walls decreased; the original paper also noted that this trend was independent of follow-up time.[F7]
- A society-level review points in the same direction. A 2021 clinical literature review says there is established consensus on the importance of the ferrule effect for predictable restoration of root-filled teeth, and reports that residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration, and cracks can affect restoration and tooth survival.[F10] In 2021, the European Society of Endodontology issued a position statement on restoration of root-filled teeth. It represents expert-committee consensus, and its scientific basis is the review above.[F11]
The cost implication is straightforward: when too little tooth structure remains, the plan may add a post and core or first require crown lengthening. These are separate procedures. Whether they appear within the “crown” line varies by provider, so ask about each item separately.[F2][F10]
Full crowns are not the only option: partial coverage is also considered
“Getting a crown” does not necessarily mean preparing the entire tooth as a foundation.
- A 2024 systematic review (11 studies; search through April 2022; no meta-analysis, results presented as ranges) compared full crowns and full-cuspal-coverage onlays in root-canal-treated posterior teeth. The authors concluded that replacing full crowns with onlays is favourable in the short to medium term. Reported onlay survival had lower range bounds of 95% at two years and 90.7% at three years; at the upper bound, one study reported all onlays survived. For full crowns, figures were 87.8% beyond two years, 95.1% at three years, and a range of 84% to 97.73% at five to ten years. These figures came from different studies with different follow-up lengths, not a head-to-head comparison.[F12]
- A separate 2022 systematic review and meta-analysis of indirect partial adhesive restorations in root-canal-treated teeth reported a pooled overall failure rate of 0.087, alongside a raw event count of 121/1254 and I² 80% (a pooled weighted estimate and a raw proportion are different measures and cannot replace one another). Its meta-regression estimated a follow-up coefficient of 0.013 (P<0.001), meaning the failure proportion rose with longer follow-up. The authors also noted that most failures were repairable.[F13]
The samples, follow-up periods, and outcome definitions of these two studies differ, so they cannot be used to rank options directly. Their only purpose in this card is to show that there are approaches other than a full crown, and different approaches mean different items and different totals. Which one suits you requires a dentist's assessment; this comparison is limited to the literature level and is not individual advice.[F12][F13][F2]
Choosing materials: literature provides population estimates, not your forecast
- A systematic review and meta-analysis published in 2026 (searching literature from 2014 to 2024; 64 studies; 3,509 metal-ceramic single crowns and 8,051 all-ceramic single crowns) estimated five-year survival by material and design as follows: 98.5% for monolithic lithium-disilicate-reinforced glass ceramic, 97.3% for veneered densely sintered zirconia, 97.1% for metal ceramic, 96.8% for monolithic densely sintered zirconia, 95.7% for veneered leucite or lithium-disilicate-reinforced glass ceramic, 94.5% for densely sintered alumina, 94.3% for glass-infiltrated alumina, and 90.4% for feldspathic or silica-based ceramic. The review also found significantly fewer ceramic fractures and chips with monolithic lithium-disilicate and monolithic zirconia crowns than with veneered options.[F14]
- Read the limitations together with those figures. A 2025 overview of systematic reviews (28 systematic reviews covering approximately 35,000 crowns) found substantial methodological heterogeneity, limited long-term data beyond 5 years, and a heavy concentration of studies on a single product. Its authors called for cautious interpretation and said clinicians should communicate both short- to medium-term evidence and uncertainty about long-term performance.[F15]
A one-sentence reading: current population-level estimates show five-year survival for lithium-disilicate and zirconia all-ceramic single crowns comparable to metal-ceramic crowns[F14]. But that is a statistic for groups studied, neither a forecast for your tooth nor a quality indicator for any provider. “Survival” only means the crown was still in the mouth at follow-up; it does not mean nothing happened during that period or that no maintenance was needed. The suitable material and design vary by person and should be judged by a dentist from your oral condition and needs. This is a treatment-conversation suggestion, not a literature conclusion.[F14][F15][F2]
Cost components: a single-crown quotation should be separated into at least six parts
Taiwan has no nationwide crown price list (the legal basis is in the next section). Rather than asking what someone else paid, break your own quotation into items that can be matched one by one. The following six parts are common components; ask immediately about any that is missing.[F2]
- Examination and imaging: intraoral examination and X-rays, with intraoral scanning or impressions when needed. This determines whether the clinician knows how much of the tooth remains. The legal duty to explain is covered below; practically, have the clinician explain the tooth's condition and treatment plan before discussing later items.[F20]
- Preparatory treatment before tooth preparation: quotation differences often arise here. Whether root-canal treatment, a post and core, or crown lengthening is needed first depends on how much tooth structure remains and on gum and bone height.[F8][F10] These are separate procedures. Some providers include them in a crown quotation and others list them separately, so confirm each item before comparing.
- Material and laboratory fabrication: a crown is made by a dental laboratory. Material and fabrication method (veneered or monolithic; metal substructure or all ceramic) affect cost and the type of later complication.[F14]
- Temporary crown: a transitional device between completing preparation and fitting the definitive crown. Whether it is included or billed separately differs between providers and commonly causes misunderstanding. One limited point here: temporary dentures do come loose; observations and management principles from clinical trials are in the fixed-denture cost card and are not repeated here.[F2]
- Try-in and adjustment visits: cementation is not the endpoint; the bite and contact areas still need adjustment, and remaking may be necessary. Ask for a concrete number: how many visits does this quotation cover, and how are additional visits charged?[F2]
- Later maintenance and warranty terms: how a ceramic chip, loss of retention, or recurrent decay in the supporting tooth would be handled. This is a matter for agreement between patient and provider, and its content depends on each provider's terms. This site only suggests asking for concrete written conditions and gives no legal evaluation of those terms.[F3]
Why there is no “going rate” for a crown: this is how Taiwan's system is set up
- There is no nationwide uniform price in law: Article 21 of Taiwan's Medical Care Act provides that standards for medical fees charged by medical institutions are approved by special municipality or county (city) competent authorities.[F18] Approval rests with the city or county where you receive care, so comparing prices across jurisdictions is not comparing one standard.
- A crown is on the self-pay side: Item 11 of Article 51 of Taiwan's National Health Insurance Act lists dentures, prosthetic eyes, glasses, hearing aids, wheelchairs, crutches, and other equipment not actively therapeutic among non-covered items.[F21] Whether other procedures in the same course of treatment, such as root-canal treatment, fall on either side depends on the current National Health Insurance Administration notice; do not infer it from online claims.
- The receipt should be intelligible: under Article 22 of Taiwan's Medical Care Act, a medical institution must issue a receipt stating the fee items and amounts, and may not breach the fee standard, overcharge, or create unauthorised fee items.[F19] Its practical use is simple: the receipt is a reconciliation tool, not a formality.
- Asking for clarity is your right: Article 81 of Taiwan's Medical Care Act requires medical institutions to inform patients of the condition, treatment policy, procedures, medication, prognosis, and possible adverse reactions.[F20] This is especially relevant for an irreversible procedure such as a crown.
So when two crown quotations have very different totals, first ask not which is expensive or cheap, but whether the two lists contain different items (preparatory treatment, material, number of visits). Conversely, a price difference is not automatically justified: charges must stay within the city or county's approved standard and must not be excessive or based on unauthorised items.[F19] That is why each item needs checking.
How to verify the quotation in your hand
- Start with the city or county where you will receive care: dental fee standards are approved by the local competent authority. One example this site checked is the Taipei City Department of Health dental fee-standard table (approved 1090117), which is also posted on the government open-data platform. For other cities and counties, look for a comparable notice in the fee-standard section of the local health bureau.[F22]
- Ask for a written quotation with each item listed: a verbal total cannot be reconciled. For crowns in particular, check whether preparatory treatment is listed separately.[F19]
- Do not use the National Health Insurance Administration's medical-material price-comparison site to look up dentistry: neither of its two query tracks includes a dental item category, so crowns, dentures, and implants cannot be found there. If you see a claim that crown prices can be checked there, note that the search returns no result.[F23]
- Place three documents side by side: the procedure in the treatment plan or consent form, the items on the quotation, and the fee names on the receipt should match one another. Ask on the spot about anything that does not.[F19][F20]
Before your visit: seven questions to ask when you receive a crown quotation
- How much tooth structure remains in this tooth? Can a complete ferrule be achieved? If not, what is the plan?[F8][F10]
- Does this plan need root-canal treatment, a post and core, or crown lengthening? Are they separately charged?[F9][F10]
- Is there an alternative to a full crown (for example, a partial restoration with full cuspal coverage)? Why would it not suit me?[F12]
- What material and fabrication method will this crown use (veneered or monolithic; metal substructure or all ceramic)? Why does the clinician recommend it?[F14]
- Is a temporary crown included in this quotation? About how many visits are needed from preparation to fitting the definitive crown?[F2]
- How many adjustment visits does the quotation cover? How are remakes or visits beyond that number charged?[F2]
- Where are the scope, duration, and cooperation conditions for later maintenance and warranty written? Will the receipt state the fee items and amounts?[F3][F19]
Risk factors (what to know before treatment)
Making a single crown removes some tooth structure irreversibly and is a medical treatment with risks. Indications and contraindications require a dentist's assessment of your individual situation:
- Prepared tooth structure does not grow back: crown treatment shapes the remaining tooth structure into a foundation. That cost is not on the bill, but it belongs in the decision together with other approaches such as partial coverage.[F12][F14]
- A crown on a vital tooth has pulp-related risks: a 2022 systematic review and meta-analysis (20 studies in the systematic review and 7 in the meta-analysis, all observational) found clinical and radiographic success of vital teeth used as abutments for crowns or fixed partial dentures ranged from 92% to 98% across different follow-up periods from 5 to 20 years. In other words, in these studies some abutment teeth developed pulpal or periapical disease during follow-up. The review had high heterogeneity and called for higher-quality randomised clinical trials.[F16]
- Periodontal tissues can respond to where a crown margin is placed: a review commissioned by the 2017 World Workshop reported three points. Margins extending into the junctional epithelium and supracrestal connective-tissue attachment may be associated with gingival inflammation and possibly recession; making restorations itself can cause traumatic loss of periodontal supporting tissues; but margins in the gingival sulcus do not cause gingivitis when patients adhere to self-performed plaque control and periodic maintenance.[F17]
- Material allergy: literature records hypersensitivity reactions to dental materials. Tell the clinician before treatment if you have a history of metal or material allergy.[F17]
- Technical complications accumulate with time: ceramic fracture and chipping have been recorded for every material, with proportions varying by material and design.[F14]
- How much weight can these figures carry? Every survival figure in this card is a meta-analytic estimate for research populations. Inclusion criteria, follow-up length, and failure definitions differ between studies; using them to predict your individual tooth would overextend them. Long-term data themselves remain insufficient. Actual treatment and outcomes vary by person and require a dentist's assessment.[F14][F15]
Every clinical statement in this article is mapped line by line to its cited source (see the sources and evidence chain below). It has not been clinically reviewed by a licensed practitioner. This is health information, not individual advice; assessment by a clinician is required.
FAQ
- Must I get a crown after root-canal treatment?
- Literature does not give a yes-or-no answer. Randomised-trial evidence is insufficient to determine the difference in effects between a full crown and conventional filling[F5]; a retrospective cohort observed a higher tooth-loss rate without a crown[F4]; and the 2024 review focused on tooth-level factors such as remaining coronal tooth structure and ferrule.[F6] A reasonable next step is to ask the clinician how much tooth structure remains, why this approach is suggested, and what alternatives and risks apply if you do not have it.[F20]
- 根管治療を終えたら、必ずクラウンを作る必要がありますか? — 文献ははい/いいえを与えません。無作為試験レベルの根拠は全冠と通常充填の効果差を判断するには不足しており[F5]、後ろ向きコホートは歯冠を装着しない歯で歯の喪失率が高いことを観察しました[F4]。2024 年のレビューは残存歯冠部歯質やフェルールなど歯レベルの因子に焦点を置いています。[F6] 合理的なのは、歯科医師にこの歯の残存歯質、なぜこの方法を勧めるのか、行わない場合の代替案とリスクを説明してもらうことです。[F20]
- Must I get a crown after root-canal treatment? — Literature does not give a yes-or-no answer. Randomised-trial evidence is insufficient to determine the difference in effects between a full crown and conventional filling[F5]; a retrospective cohort observed a higher tooth-loss rate without a crown[F4]; and the 2024 review focused on tooth-level factors such as remaining coronal tooth structure and ferrule.[F6] A reasonable next step is to ask the clinician how much tooth structure remains, why this approach is suggested, and what alternatives and risks apply if you do not have it.[F20]
- Does National Health Insurance cover a crown?
- Item 11 of Article 51 of Taiwan's National Health Insurance Act excludes dentures and other equipment not actively therapeutic from coverage[F21], and crowns are on that side. Whether other procedures in the same treatment course, such as root-canal treatment, are covered depends on the current National Health Insurance Administration notice. For self-pay charges, refer to the approved standard in the city or county where you receive care.[F18]
- 歯冠は全民健康保険の給付対象ですか? — 台湾《全民健康保険法》第 51 条第 11 款は、義歯など「積極的治療性を持たない装具」を給付範囲から外しています(本サイト仮訳・中文正文為準)。[F21] 歯冠はこの側にあります。同じ治療中のほかの処置、たとえば根管治療が給付されるかは、健保署の現行公告によります。自費部分の料金基準は、受診する県市の認定基準を確認してください。[F18]
- Does National Health Insurance cover a crown? — Item 11 of Article 51 of Taiwan's National Health Insurance Act excludes dentures and other equipment not actively therapeutic from coverage[F21], and crowns are on that side. Whether other procedures in the same treatment course, such as root-canal treatment, are covered depends on the current National Health Insurance Administration notice. For self-pay charges, refer to the approved standard in the city or county where you receive care.[F18]
- Is an all-ceramic crown more durable than a metal-ceramic crown?
- For population estimates of five-year survival, the 2026 meta-analysis found lithium-disilicate and zirconia all-ceramic single crowns comparable to metal-ceramic crowns, with less ceramic fracture and chipping in monolithic designs.[F14] But the 2025 overview cautions that long-term data beyond 5 years are limited and studies are concentrated in a small number of products, so the findings need careful interpretation.[F15] Material choice is therefore a clinical judgement for a dentist to assess from your oral condition and needs, not a ranking to choose from.[F2]
- オールセラミック冠は金属セラミック冠より耐久性がありますか? — 5 年存留率の集団推定では、2026 年メタ解析は二ケイ酸リチウムとジルコニア系オールセラミック単冠が金属セラミックと同等で、単体設計のセラミック破折とチッピングは少ないとしました。[F14] ただし 2025 年の概説は、5 年を超える長期データが限られ、研究が少数の製品に集中しているため、結果を慎重に解釈するよう注意しています。[F15] つまり材料選択は、順位表で選ぶものではなく、あなたの口腔条件と希望に基づいて歯科医師が評価する臨床判断です。[F2]
- Is an all-ceramic crown more durable than a metal-ceramic crown? — For population estimates of five-year survival, the 2026 meta-analysis found lithium-disilicate and zirconia all-ceramic single crowns comparable to metal-ceramic crowns, with less ceramic fracture and chipping in monolithic designs.[F14] But the 2025 overview cautions that long-term data beyond 5 years are limited and studies are concentrated in a small number of products, so the findings need careful interpretation.[F15] Material choice is therefore a clinical judgement for a dentist to assess from your oral condition and needs, not a ranking to choose from.[F2]
- How many years will a crown last?
- This site does not give an individual time limit. Literature provides survival figures for research populations at specified follow-up points, such as five-year estimates for single crowns by material.[F14] That is group-level statistics, not an individual forecast, and longer follow-up data are themselves limited.[F15] Reported associated factors include remaining coronal tooth structure, ferrule, crown-to-root ratio, tooth type and location, periodontal condition, proximal contacts, and cracks.[F6][F10] Individual circumstances vary and require a dentist's assessment.
- クラウンは何年使えますか? — 本サイトは年数を示しません。文献が示すのは、材料別単冠の 5 年推定のように、研究集団の特定の追跡時点での存留率です。[F14] これは集団統計であり、個人予測ではありません。より長い追跡のデータ自体が限られています。[F15] 文献が挙げる関連因子には、残存歯冠部歯質、フェルール、歯冠歯根比、歯種・部位、歯周状態、隣接接触、亀裂があります。[F6][F10] 個別の状況には差があり、歯科医師の評価が必要です。
- How many years will a crown last? — This site does not give an individual time limit. Literature provides survival figures for research populations at specified follow-up points, such as five-year estimates for single crowns by material.[F14] That is group-level statistics, not an individual forecast, and longer follow-up data are themselves limited.[F15] Reported associated factors include remaining coronal tooth structure, ferrule, crown-to-root ratio, tooth type and location, periodontal condition, proximal contacts, and cracks.[F6][F10] Individual circumstances vary and require a dentist's assessment.
- Two crown quotations differ greatly. How should I assess them?
- First establish whether their **item lists** are the same: whether root-canal treatment or a post and core is included, whether materials and fabrication are the same, and how temporary crowns and follow-up visits are counted.[F2] Two further points matter: charges must remain within the standard approved by that city or county and must not be excessive or based on unauthorised items[F19]; and you are entitled to obtain a receipt stating the items and amounts for reconciliation.[F19] This site does not assess whether any amount is reasonable and provides no price information.
- 二つの医療機関で歯冠の見積が大きく違います。どう判断しますか? — まず二つの**項目一覧**が同じかを確認します。根管治療や支台築造を含むか、材料と製作法が同じか、暫間冠と再診回数をどう数えるかです。[F2] さらに二点あります。料金はその県市が認定した基準内で、超過や無断の項目設定があってはなりません[F19]。また、あなたは項目と金額を記した領収書を受け取り、照合できます。[F19] 本サイトはどの金額の妥当性も評価せず、価格情報も示しません。
- Two crown quotations differ greatly. How should I assess them? — First establish whether their **item lists** are the same: whether root-canal treatment or a post and core is included, whether materials and fabrication are the same, and how temporary crowns and follow-up visits are counted.[F2] Two further points matter: charges must remain within the standard approved by that city or county and must not be excessive or based on unauthorised items[F19]; and you are entitled to obtain a receipt stating the items and amounts for reconciliation.[F19] This site does not assess whether any amount is reasonable and provides no price information.
Medical notice This article is provided for health education and medical information purposes. It is not a solicitation for medical services and does not constitute diagnosis or treatment advice. Actual treatment methods and outcomes vary between individuals and require evaluation by a dentist; every treatment has its own indications, limitations and possible risks. If you have related symptoms or treatment needs, please book a consultation for evaluation by a dentist.
Source anchors
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Cite this article
km 編輯部・《How much does one dental crown cost? If a crown is suggested after root-canal treatment or extensive decay, read the quotation first》・IDAEO 知識庫・2026-08-13・https://km.idaeo.ai/dental/crown-cost