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FAQ: Dental Crowns

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Question:
Crumbling porcelain crown: I had a crown in front replaced 15 months ago, and the replacement crown edge chipped off as the dentist was using a rotary tool to file away a part of the back side to accommodate my bite.

The dentist had to have another one made. Fast forward a year, and a chip on the front of the tooth randomly appears on the bottom right corner.

Three months later the entire corner (about 1/8" across the bottom) crumbles away leaving a noticeable gap.

I wear a bite guard every night but was told it could be my lower teeth causing pressure on that part of the tooth. However, there is no contact between the two in that area.

Can it be an inferior produced porcelain crown? ... Visitor from KY

Answer:
It appears there is an occlusal "event" that the dentist is either having difficulty diagnosing or is unable to diagnose correctly.

Seek some consults with other established dentists (15+ years) to obtain some unbiased assessments of what is going on.

Getting additional treatments from this dentist may not be in your best interests. You may want to contact your state dental board for additional assistance.

Here is a video of a technology that many "occlusion experts" use in evaluating a persons bite before and after treatment.

http://www.dental--health.com/video_tekscan_occlusal.html

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