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.
June 18, 2011
Answer: 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 problem is probably the cause. Either the tooth was insufficiently reduced or the bite registration did not record full closure of your teeth.
Replacement of the crown may be needed. This would allow confirmation or appropriate tooth reduction and recording of a completely closed bite. A little inconvenience to obtain a comfortable and properly fitting crown.
Helpful 1 person found this helpful
June 18, 2011
Answer: 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 problem is probably the cause. Either the tooth was insufficiently reduced or the bite registration did not record full closure of your teeth.
Replacement of the crown may be needed. This would allow confirmation or appropriate tooth reduction and recording of a completely closed bite. A little inconvenience to obtain a comfortable and properly fitting crown.
Helpful 1 person found this helpful
June 18, 2011
Answer: 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 satisfied I would ask that the crown be redone. In my office, if a patient is not satisfied with anything we do it is redone at no cost to the patient...I would hope this is the policy in every dental office.
Good luck!
Helpful 1 person found this helpful
June 18, 2011
Answer: 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 satisfied I would ask that the crown be redone. In my office, if a patient is not satisfied with anything we do it is redone at no cost to the patient...I would hope this is the policy in every dental office.
Good luck!
Helpful 1 person found this helpful