Had a crown (metal/procelain) put on my top molar last week. The temporary felt amazing but the permanent was tight and caused a lot of pressure and pain. I also noticed there is a gap by my gums on the inside. Went back yesterday and the dentist found cement in the gum. I'm still having gum irritation today especially when I bite. As if something is digging in or cutting and It throbs. I sometimes just want to rip it off.
February 10, 2014
Answer: Contact too heavy It sounds like the contact point is too tight. If your having trouble flossing then this could be the problem. We as dentists try to make sure the contact with the teeth on either side isn't too loose, trapping food. If it is too tight, the periodontal ligament, the tiny space between tooth and bone which has nerves throughout, can be compressed, causing pain. I use a Cerec AC machine which is more accurate than traditional means of making crowns. The crowns don't have metal, so they look more natural.
Helpful
February 10, 2014
Answer: Contact too heavy It sounds like the contact point is too tight. If your having trouble flossing then this could be the problem. We as dentists try to make sure the contact with the teeth on either side isn't too loose, trapping food. If it is too tight, the periodontal ligament, the tiny space between tooth and bone which has nerves throughout, can be compressed, causing pain. I use a Cerec AC machine which is more accurate than traditional means of making crowns. The crowns don't have metal, so they look more natural.
Helpful
February 9, 2014
Answer: New Crown Fit I would double check the crown to see if the occlusion (bite) needs adjusting. Even a slightly high spot can make a huge difference. A temporary crown is made of a softer material than a permanent porcelain fused to metal one and may actually wear down a little while it's in place. A permanent crown is much harder and needs to be carefully adjusted so that the bite isn't high. The sooner you have it checked the better.Whenever there is a space or gap between the edge of a crown and unprepared tooth structure, that's an open margin. Open margins are a problem when plaque (which is mostly bacteria) gets into this space. This can cause decay (also known as caries) to occur around or under the crown. There should be a smooth transition and seal between a crown and the surrounding tooth, without any gaps, spaces, grooves or rough areas. A gap between a crown and the gum is not necessarily an open margin. A crown that ends short of the gums can be o.k as long as the edges are closed, meaning no gaps are present.
Helpful
February 9, 2014
Answer: New Crown Fit I would double check the crown to see if the occlusion (bite) needs adjusting. Even a slightly high spot can make a huge difference. A temporary crown is made of a softer material than a permanent porcelain fused to metal one and may actually wear down a little while it's in place. A permanent crown is much harder and needs to be carefully adjusted so that the bite isn't high. The sooner you have it checked the better.Whenever there is a space or gap between the edge of a crown and unprepared tooth structure, that's an open margin. Open margins are a problem when plaque (which is mostly bacteria) gets into this space. This can cause decay (also known as caries) to occur around or under the crown. There should be a smooth transition and seal between a crown and the surrounding tooth, without any gaps, spaces, grooves or rough areas. A gap between a crown and the gum is not necessarily an open margin. A crown that ends short of the gums can be o.k as long as the edges are closed, meaning no gaps are present.
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