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Four Molars Have Been Crowned, Bite Problems and a Fracture?

My front teeth are hitting hard and I have a hairline fracture in my right eye tooth (which also has a root canal). I went back to the endodontist as a precaution to recheck the root canal (x-ray) for infection. No problems detected other that the crack in the tooth which the endodontic stated that there was the significant risk of breaking the tooth. I’m afraid of more fractures and the risk of loosing teeth if this is not addressed properly. Please advise…

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fracture break recommendation

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6 Doctor Answers | Asked by Morgan84

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Teeth fracture due to many reasons

Teeth fracture due to many reasons, but what you seem to describe, indicates that your back teeth are shorter than they should be and your upper and lower front teeth do not have the proper positioning, and they do not come together right. Bite guards as suggested may help your teeth a little from further ware or sensitivity, but is not the solution. Visit a reconstructive dentist who is familiar with Neuro -muscular principles. They will find the source of your bite issues,... more

Soheyla Marzvaan, DDS

6 reviews

Orange County Cosmetic Dentist

Bite Problems and a Fractured Tooth

Regarding the fractured eye tooth with a root canal, it is always wise to crown a root canal treated tooth to maximize the strength of the remaining tooth structure. If you are having repeated teeth fracturing, your bite should be evaluated. The solutions could range widely from a simple nightguard all the way to orthodontics or having the bite restored.

Tooth fractures due to bite problems.

The fact that your front teeth are colliding more so now than perhaps in the past is in most cases due to inadequate height of your back teeth. This can result from new crowns on the molars which are not tall enough or worn natural teeth. If the bite is not corrected, you do risk further damage and loosening of your front teeth. Find a restorative dentist with a lot of knowledge and experience in bite correction. Ask to see some before/after cases and even... more

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Front Teeth Hitting Hard and Fracturing

You should immediately see a dentist that is well eucated and experienced in occlusion, whether it be Neuromuscular Occlussion, or Centric Occlusion. If your upper and lower teeth do not occlude (touch eachother when biting together) properly, your teeth and any type of restoration are likely to fracture or fail.

Complicated bite and teeth fractures

It sounds from your description that you most likely have grinding of the teeth called bruxism. That`s a symptom extremely popular in adults that causes the masticatory muscles spasms and causing teeth grinding and attrition. If you notice small fracture lines, so you teeth can be in real danger. You should see a restorative dentist to get a comprehensive treatment plan and a nightguard, that will protect your teeth during the night.

Bite Problems

From your description, the first thing I would suggest at the minimum would be a custom made bite guard appliance. If you have the opportunity you should have your bite evaluated by doctors who can advise you about the etiology of your bite problems. They may even suggest orthodontics. Some believe in "occlusal equilibration". This is selective grinding of the teeth. While this may be an immediate improvement in some cases it doesn't last for many... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Dental Crown: Q&A