Reply to Answer Ill Fitting Crown. My New Crown Never Feels Right Even

asked 1 year ago by breory in Clearfield, UT
Latest answer by Howard Perlmutter, DMD
Question viewed 455 times
Tags: adjust, chewing, grind, options

after 4 bite adjustments. Dentist says wait 3 days to see if I I can still feel the tooth when I chew. He has ground the tooth to almost nothing and is even now grinding the bottom teeth just trying to get the adjustment right. I am going back again next week. I do not want anymore adjustments, I want the tooth fixed. What else could be wrong. Adjustments are not helping.

5 answers to Reply to Answer Ill Fitting Crown. My New Crown Never Feels Right Even

Crown doesnt feel right after many Adjustments

A well fitting Crown should allow you to bite and chew in comfort after it has been inserted. Proper tooth preparation and impression technique should provide the lab technician accurate information to allow the fabrication of a well fitting crown. In regard to your specific complaint the need for adjusting the new crown as well as the opposing tooth indicates that your crown prep tooth was under prepared. One of the key elements of good crown preparation is providing enough room for... more

Howard Perlmutter, DMD
Paramus Cosmetic Dentist

Crown that is high

In order to place a crown on a tooth, the tooth needs to be reduced a certain amount to create space for the crown. It sounds like the chewing surface of your tooth may not have been reduced sufficiently. Another cause for an ill fitting crown may be an inaccurate impression. If it's not possible to further adjust the crown, then the crown may need to be taken off to reduce your tooth a little bit more if needed, take a new impression, and make... more

Elizabeth Jahanian, DDS
Corona Cosmetic Dentist

Well Fit Crowns

Precision is key when making a crown. The tooth must be prepared to allow sufficient space for the restorative material (gold alloy or porcelain) and anatomical design. The impression must be highly detailed and accurate to insure a fully deated and sealed crown on the remaining tooth surface. Lastly, the registration of your bite must be accurate. When a crown is adjusted to the point of wiping out the occlusal design and/or reducing the opposing tooth, a design... more

Marc Zive, DMD
Springfield Cosmetic Dentist

Ill Fitting Crown

A crown should not require that much adjustment to make it fit. A well-done crown requires multiple steps to be done precisely, from tooth preparation to impression to crown fabrication (which also requires multiple steps). If any of the steps in the process is not quite right the crown will be compromised. A crown that is "ground to almost nothing" generally indicates that there was not sufficient tooth structure removed during the preparation of the tooth. If you are not... more

Brad Lockhart, DDS
Tustin Cosmetic Dentist

Crown Adjustments not helping the pain.

There is a potential that your tooth might be infected. Once the nerve dies an infection/abscess might suddenly occur causing the tooth to move higher into the occlusion which would interfere with your bite. If it is in the early stages an X-ray may not show anything yet. If this is the case a root canal would be required. With so many adjustments it sounds like your nerve has been affected to a stage where it cannot be reversed. If your pain is persisting even... more

Dan Haas, DDS
Toronto Cosmetic Dentist

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