New York Dental Crown doctors
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Steve Alper, DMD
New York Cosmetic Dentist
5 East 19th Street 5th Floor, New York |
17 answers | |
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Peter Mann, DDS
New York Cosmetic Dentist
41 Park Ave #1C, Manhattan |
8 answers | |
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Anca Bazile, DDS
New York Cosmetic Dentist
10 East 53rd St, New York |
5 answers | |
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Laura Torrado, DDS
New York Cosmetic Dentist
116 Central Park South Suite 8, New York |
5 answers | |
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Joseph W. Worthington, DDS
Fairfield Cosmetic Dentist
1305 Post Rd. Suite 104, Fairfield |
4 answers | |
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Jennifer Jablow, DDS
New York Cosmetic Dentist
120 East 56th Street 6th Floor, New York |
3 answers | |
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Ryan Sellinger, DMD
Manhattan Cosmetic Dentist
55 Central Park West Suite 1E, New York |
3 answers | |
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Zev Kaufman, DDS
New York Cosmetic Dentist
121 East 60th Street 5-D, New York |
2 answers |
Recent Answers
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.
I would recommend getting a second opinion before you do any more treatment. Sensitivity can arise from a variety of issues. In your case in particular it can come from:
- the crown lengthening surgery - the gums may not have healed yet
- there could be excess cement that was not cleaned out completely
- the crowns may be "high" - you hit them first when you bite down
- after crown preps you may have some discomfort for a week or two
Get a second opinion by someone you can trust and go from there. Before you get a root canal I would even get a third opinion. Remember: measure twice and cut once!
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.
You should definitely get a second opinion from a board certified endodontist (root canal specialist). The sensitivity could have to do with the amount of preparation (drilling) done on the teeth in making the crowns, or due to the bonding (cementing) process, or due to the current occlusion (the way the top and bottom teeth hit each other). First get the endodontist's opinion, and then have your bite evaluated.
My dentist told me that temporary cement rather than permanent cement was used for my permanent implant crown. He said it would be easier to remove if needed. I wonder whether this is a common practice.
Dear Bonbonmilk:
Temporary and permanent are relative terms and are NOT scientific terminology. The question is of relative STRENGTH of the cement used.
For natural teeth, usually we try and use the strongest type of cement, and there are several different kinds. We want to make sure that the cement does not leak out and as a result, the tooth can decay underneath. In addition, we generally do not want to be able to remove the crown after it is cemented on the tooth. This is why people refer to it as "permanent" cement. The correct term should be: final cement.
On implants, since there are components which can loosen (the screw), or break (the abutment), the flexibility of being able to remove the implant crown off of the abutment is desirable. Hence, most implant crowns are usually cemented with the weakest cement medium possible. Most dentist use a weak cement which is used as a provisional (temporary) cement on natural teeth, the most popular one is called: Temp-Bond. This is why most people refer to it as a temporary cement, even though in the case of the implant crown it is the "permanent" one, or more properly: the final cement.
Your dentist is following standard practice.
Best wishes,
Dr. Zev Kaufman
