Can a new crown create a change in my occlusion? What are your suggestions to solve this? (Photo)

Question

I had a crown made with metal base and ceramic over on tooth #2. A few weeks later I had radiating pain on side of neck upper back and upper arm and my occlusion has changed and not back to normal, not touching on one side, When i open my mouth it is all crooked! (see picture). They had to grind my teeth multiple times to help with my bite and now the metal is showing off. I am now with a biological dentist but want to get a second opinion. Is this happenstance normal? What do you suggest next?

Charles W. Janes, DDS · Answer

In all likelihood the crown was "too high" thus the grinding. It's very possible this produced movement of the disc of the TMJ complex, therefore you can't "open straight" anymore. In my opinion the crown needs to be removed and a new one placed that is in the proper occlusion. If the prepared tooth is very short a gold crown works very well in this situation. However my material of choice today is a full zirconium crown.

Desiree Yazdan, DDS · Answer

There may be an underlying issue as to why you had radiating pain down the side of your neck and upper back and arm weeks after your crown was placed.  If you are having any radiating numbness, I would see your physician immediately.However, I would also address your crown.  Your crown on #2 needs to be removed, and a temporary placed with the proper occlusion.  Your crown may have been very high, which could change the position of your TMJ disc.  I would not allow a permanent restoration to be placed until you no longer have radiating pain, and you are able to open your mouth without deviation to the side.  Having to do adjustments after permanent restorations are seated is normal, so this should be something you are very comfortable talking to your dentist about.

Mark Edington, DDS · Answer

Your crown should probably be replaced.  Go back to your dentist yet again and don't leave until your bite feels normal again.  The extensive adjustments could damage the crown to the point of needing a redo, especially since the metal is already showing through.  These kinds of adjustments are common and your dentist depends on your feedback, so you should not feel uncomfortable addressing this with your dentist.

Joseph F. DelPrete, DMD · Answer

I suggest you remove the crown on number 2. Make a temporary crown and balance your biteonce you are comfortable then make a new crown on # 2 if you occlusion is off your muscles could be in spasm and that could be affecting your TMJ

Can a new crown create a change in my occlusion? What are your suggestions to solve this? (Photo)

Answers (4)

Answer: Bad occlusion

Answer: Bad occlusion

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Can a new crown create a change in my occlusion? What are your suggestions to solve this? (Photo)

Answers (4)

Answer: Bad occlusion

Answer: Bad occlusion

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Everything you need to know about Dental Crown

Our mission is to create a world where every investment in modern beauty is Worth It.