Bulky crown. Does this need to be redone? (Photo)

I’m sorry to hear about the discomfort you're experiencing after your crown procedure on tooth #14. Based on the symptoms you've described, it seems that there may be multiple issues with the current crown placement. These could include the bulkiness and rough texture of the crown, an improper bite adjustment (leading to jaw pain and clicking), and possible irritation of your cheek and tongue due to the crown’s shape.
Dr. Miller Vieira Paula would recommend the following steps for proper evaluation and resolution:
• Comprehensive Assessment: A detailed examination, including an intraoral scan or 3D imaging, should be conducted to accurately assess the crown’s fit, the bite alignment, and the condition of surrounding structures. The fact that no scan was taken prior to crown preparation might have contributed to the current misalignment.
• Replacement of the Crown: If adjustments have already been made and are insufficient, it might be necessary to replace the crown altogether. A properly fitted crown should not cause discomfort or interfere with your bite. Emax or zirconia crowns can provide a better balance of strength and natural appearance without the excessive bulk.
• Bite Adjustment and Occlusion: Since your bite feels off and you're experiencing jaw pain and clicking, a full occlusal analysis may be needed. This could help determine if the crown is causing an imbalance in your bite, leading to TMJ (temporomandibular joint) discomfort. Correcting the bite can relieve strain on your jaw and alleviate pain.
• Pain and Soft Tissue Irritation: The roughness and bulk of the crown may be contributing to the irritation of your cheek and tongue. A more anatomically correct and smooth crown should resolve these issues.
It’s crucial to address these concerns promptly to prevent further complications.