Friday, July 31, 2009

Teeth Adjustment Problem After Crowning?

I had one of my back molars crowned a week ago. It felt higher than the other teeth, so the dentist filed the surface. It helped slightly.





For the past 7 days, I can sense my other teeth have "moved". The moving has sort of affected my bite and my upper and lower jaw do not seem to meet each other the way they did before crowning. Also, whenever I bite on the side with the crown, I feel like I am biting on a tiny rock. I am really worried and don't dare to bite hard for fear of cracking the tooth under the crown.





What could be the problem with my crown and what can I do to resolve this? Will more filing help? Will it reduce the durability of the crown (btw, it is a gold crown)? Is it advisable for me to wait longer for all the teeth to adjust to the crown before approaching the dentist again?





I'd really appreciate some advice on this. Thanks!

Teeth Adjustment Problem After Crowning?
Under normal circumstances after a crown is inserted your bite should feel normal within 24 hours. It sounds like you still need another bite adjustment. You won't fracture the tooth under the crown because of the bite, but prolonged bite problems can cause that tooth to become increasing sensitive and feel just like a toothache (sensitive to hot and cold). If your dentist feels the bite on that crown is adjusted as far as it can go, he can alleviate the bite on the opposing tooth. (It doesn't take much, minor little microns are all he has to take off)


Can you floss in between the teeth around that crown?? If you can't or if it is very difficult your dentist can also adjust the inter-proximal areas as well. 7 days is way too long, that crown should already feel like just another tooth in your mouth. Good luck! :o)
Reply:You need more adjusting. Dentistry is not always perfect the first or second or third time. Go back until it doesn't bother you anymore. Gold is the most forgiving of the dental materials, but it still needs adjusting sometimes. You will make the tooth super sensitive if you keep biting on it in order to try to "make it feel right". Let the dentist do it.
Reply:The crown could still be to high or I hope your dentist didn't smooth off the top so there are no fissures so the other tooth does not match it. It is fairly normal for your teeth to move when something new is placed in the mouth, they move all the time anyway. You need to have your bite adjusted. Not all dentist know how to do this or will even know what your talking about. Hopefully yours does, if not call until you find one that does. It's an easy fix
Reply:You need to have it adjusted again. Your bite should feel just like it did before you got the crown. If you don't get it adjusted again then the tooth will start to hurt because you are putting all of your pressure on that tooth first.
Reply:It sounds like your other teeth are extruding themselves slightly, your teeth naturally want to meet each other and come in contact during chewing. If your crown is seated too high, your other teeth move to come into contact. Your teeth should not have to adjust to your new crown, call your dentist as soon as possible. Crown placement can be tricky. It could be as simple as the dentist re-seating the crown. Good luck!



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