I told the dentist the crown on my front tooth felt too tight in my mouth ... she said it has to be to prevent packing... is that correct? I just got a crown on one front tooth...it feels like a block of wood in my mouth. The crown also sticks out in back on the upper edge overlapping my gum line. it feels too big. When I chew with my back teeth I feel pressure on the front tooth causing it too move, is this normal and I just have to get use to it? The crown was done a couple weeks ago.
December 17, 2013
Answer: Aesthetics and occlusion of a new crown Thanks for your question. Based on your photo and question, there are a couple things I'd like to mention. It sounds like the bite on the new crown is incorrect. A crown should feel balanced with the rest of the teeth and should not feel like its hitting first when you bite. This can easily be adjusted at a followup. In regards to the aesthetics, a single central incisor crown can be very challenging. I do believe that the aesthetics of your crown can be improved. The crown can be recontoured and sculpted by your dentist to help give the illusion that the porcelain is less wide. An alternative would be to have a new crown fabricated as well as a veneer on the adjacent central to give more flexibility in aesthetic improvements in both shape and color of the front two teeth.
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December 17, 2013
Answer: Aesthetics and occlusion of a new crown Thanks for your question. Based on your photo and question, there are a couple things I'd like to mention. It sounds like the bite on the new crown is incorrect. A crown should feel balanced with the rest of the teeth and should not feel like its hitting first when you bite. This can easily be adjusted at a followup. In regards to the aesthetics, a single central incisor crown can be very challenging. I do believe that the aesthetics of your crown can be improved. The crown can be recontoured and sculpted by your dentist to help give the illusion that the porcelain is less wide. An alternative would be to have a new crown fabricated as well as a veneer on the adjacent central to give more flexibility in aesthetic improvements in both shape and color of the front two teeth.
Helpful
December 17, 2013
Answer: Is the crown too big? Doing one central incisor tooth by itself is one of the most challenging things a cosmetic dentist can do. The first thing I notice is that the new crown is wider than the other central incisor. Usually dentists strive for two things, one to make the two front teeth symmetrical, and the other is not to have any spaces. However, in your case if he had made it the exact same size as the other tooth, you would have spaces. As far as thickness, your dentist may be able to reshape the crown to make it look smaller.If you feel pressure, your bite probably needs adjustment, especially on the back side of the crown.However, if you were my patient and had high expectations, I would have recommended doing a veneer on the adjacent tooth, thus making both teeth the same size, length and thickness and out of the same material (as opposed to one in porcelain and the other tooth with natural enamel and a composite filling on the corner). This would give you the best esthetic result.
Helpful
December 17, 2013
Answer: Is the crown too big? Doing one central incisor tooth by itself is one of the most challenging things a cosmetic dentist can do. The first thing I notice is that the new crown is wider than the other central incisor. Usually dentists strive for two things, one to make the two front teeth symmetrical, and the other is not to have any spaces. However, in your case if he had made it the exact same size as the other tooth, you would have spaces. As far as thickness, your dentist may be able to reshape the crown to make it look smaller.If you feel pressure, your bite probably needs adjustment, especially on the back side of the crown.However, if you were my patient and had high expectations, I would have recommended doing a veneer on the adjacent tooth, thus making both teeth the same size, length and thickness and out of the same material (as opposed to one in porcelain and the other tooth with natural enamel and a composite filling on the corner). This would give you the best esthetic result.
Helpful
