Roswell Dental Crown doctors

Susan Goode Estep, DMD Susan Goode Estep, DMD
Atlanta Cosmetic Dentist
1875 Old Alabama Road Building 100, Roswell
2 answers
Andrew Soulimiotis, DMD Andrew Soulimiotis, DMD
Atlanta Cosmetic Dentist
3189 Maple Drive, Atlanta
2 answers

Recent Answers

Can a Bad Dental Crown Cause TMJ? Is it Permanent?

In Nov I got crown for tooth #30,was broken and doesn't have any infection(#30 was impacted by #31 now removd) I crown altered my bite and caused some pain and mild headaches which started to build up, also started to have stiff jaw. After two months I went to replace the crown. Now I'm waiting for my permanent crown but for last few days I had stiff jaw, weird feeling in my ear and can't close my jaw properly without effort. Is this TMJ? Is this going to be permanent? Please advise. Thank you.

A: TMJ caused by a crown

Whenever you receive dental work of any kind, it is important to make that restoration at least even with your current bite.  If left at a different amount of force from your bite, it can cause problems with your jaw.  Many times, your jaw is already at a position that is not ideal, so adding just a small amount of difference can cause it to be a problem.  But this may have occurred later in life, even if a perfect fitting crown was placed. 

For some, the bite is so much off from where the jaw wants it to be, that things like this will happen.  Unless your bite is equilibrated (evened) on both sides and when you move your teeth left and right.  Doing so will help keep the disc of the jaw joint in a comfortable, natural position. 

It sounds like your jaw has been sore for some time now, and a new crown is a relief but may need some time to heal.  Or that tooth could have been infected during the entire time (even with the previous crown) and your problem this whole time has been a bad nerve, needing a root canal.  Good luck.

 

Andrew Soulimiotis, DMD
Atlanta Cosmetic Dentist
Two Recently Crowned Teeth Need Root Canals?

I recently got two crown lengthing/crowns. I waited a month between the lengthening and crown. It's two weeks later and I'm still throbbing in pain. It's hyper sensitive to cold. Now he says I need a root canal, without even looking in my mouth. I'm suspicious that two teeth suddenly need canals and suspect the process. These new crowns are all ceramic (not metal on ceramic) and I read the cement used might be the issue. I'm leaning towards getting a second opinion.

A: Recent crowns that need root canals

Without examining the teeth there is no way to properly diagnose your problem.  Many things can cause the symptoms you are describing.  If it is only a cold sensitive issue, there may be exposed part of the root that will need to be addressed and likely it would not need a root canal.  I agree with Dr. Frey, many times bonding an all ceramic crown improperly can cause an issue.  The true test is to get a second opinion from another dentist or visit a root canal specialist (Endodontist).  I hope this helps.

Andrew Soulimiotis, DMD
Atlanta Cosmetic Dentist
Veneer or Crown for Calcified Tooth?

My front left tooth has been dead for some 15+ years. It apparently calcified, creating its own root canal. I have never had work on it. The tooth is completely intack but very discolored. Would you recommend Veneer or Crown?

A: Veneer for dark front tooth

Since a veneer is a more conservative treatment for the tooth (I don't have to grind the tooth down very much), I will typically use a veneer in your case - as long as the tooth is otherwise intact, healthy, and has no other large restorations. To be honest, in cases like yours I will often veneer both front teeth with extremely conservative veneers (even no-prep veneers should the case allow), so that the two front teeth will be made out of the same material -- if I do only the one front tooth, I will have several try-in appointments so that I can tweak the porcelain until I get it as close a match as possible to the neighbor tooth. If you choose to do just one, it costs the same as two due to the greater number of appointments needed to get it just right.

Susan Goode Estep, DMD
Atlanta Cosmetic Dentist
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