Bite Problems After Cosmetic Crowns

Smile makeover/full mouth reconstruction is a treatment that involves identification of occlusal problems and solving them as well. And usually in hands of an experienced prosthodontist the case should be functional first and esthetic second. When the patient presents for smile makeover with existing occlusal problems it is critical to find the problem- TMJ, muscles or teeth. After that patient is either wearing the occlusal guard or is placed in provisional crowns/bridge to decrease clinical symptoms such as pain in muscles or TMJ, tenderness or clicks. And only after this step is complete the patient can get final restorations. If the symptoms have appeared after the final restorations have been placed the treatment plan should be carefully revised and all crowns/bridges should be re-evaluated and corrected if possible. In some cases, they can be redone. In such situation second opinion of a prosthodontist can be helpful. Usually a prosthodontist is a specialist who can identify if you have a true TMJ problem and need to see a specialist to treat TMJ dysfunction or you can get your bite corrected without that.

A top, nationally recognized cosmetic dentist should also be highly trained in treating the occlusion (bite) and temporomandibular joint. I must wonder if you have some non-dental condition causing the pain you are experiencing. If you are seeking the help of a third dentist, you want someone with advanced training in treating problems of the occlusion and differential diagnosis of pain.