Cosmetic Crowns Put in 3-4 Years Ago Have Always Hurt. I Found That the Margins Are Exposed. Why?

Several years ago I had cosmetic crowns put on. On one side of my mouth there has always been some sensitivity which I was told would go away. I recently had an implant put in (by a different dentist) on the other side of my mouth. I couldn't avoid the "sensitive" side anymore and it has been painful. I mentioned this to the dentist that did my implant and he took an X-ray which showed several exposed margins on a couple of teeth. I'm VERY unhappy and in pain. Any advice?

Doctor Answers 4

Exposed Margins on Crowns

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Even the most experienced dentist can have an issue with crowns being seated improperly.  An experienced dentist, however, should take post-op x-rays after the crowns have been seated to make sure they are properly fit.  If they find that they have not been seated perfectly, a good dentist will rectify the situation for no charge so the patient has no future issues.  In your case, I would recommend contacting the original dentist that placed your crowns and see if they can offer any solutions to you.  If they are unwilling to fix the problem, the only other solution would be to get the crowns redone by a more experienced and honorable dentist with great references that won't leave you in the same predicament.  

Fort Lauderdale Dentist

Cosmetic Crowns Put in 3-4 Years Ago Have Always Hurt. I Found That the Margins Are Exposed. Why?

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Any dental work, including many cosmetic dentistry treatments are still minor surgery. Most people should expect some discomfort after new dental work. BUT, it should not be too major, AND it should not last too long.

After cosmetic dental crowns, I would expect your teeth to feel generally comfortable in around a week, sometimes two weeks.

I tell all of my patients what to expect, and if they are having an issue longer than two weeks, I need to see them for follow up. 

In your case, the most important thing is to get your teeth comfortable. It could be doing some minor bonding at the margins of the crowns. A worst case scenario could mean removing a crown, inspecting under it, desensitizing the tooth, and possibly a new crown.

It's very important to have good communication with your cosmetic dentist. In a calm manner, ask a few direct questions and see if he can or is willing to take more action to get you comfortable.

Cosmetic Crowns with Exposed Margins

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See a very good experienced cosmetic dentist to replace the crowns. Remember, if you look for bargains, you get what you pay for!

Jay Neuhaus, DDS
New York Dentist

Many reasons

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Without xrays to look at, there are too many possible reasons why, and most have nothing to do with negligence.  It simply is what it is.  The only real option LIKELY is to replace the crowns.

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.