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FAQ:  Dental Crowns


Sensitive Teeth
Loose Crowns
Gold vs Porcelain
Crown Lengthening
Leakage
Historical Standard
How To Prevent Failures
Crowns - Getting it Right the First Time

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Diagnosing New Crown Bite Pain
Emergency Crown Care
Crown Removal - Replacement Procedures
Temporaries - One Day Implant


Crowns Ask The Dentist Richard Winter Question:
Crown causes sensitivity? A few weeks ago, I had a crown put on a tooth that was cracked.

The temporary was fine, but after the permanent was put on, it seemed uncomfortable. My tongue would hit it while talking sometimes and my tongue just felt funny, slightly numb, just like it was hitting the back of the crown.

My dentist has adjusted it 3 times by grinding on it and others around it, but I don't think he thinks there is anything wrong with it. I asked if possibly it was too big, and he insisted that wasn't possible.

Now, a crown on the bottom below the new crown has become sensitive to cold. Could my bite be off? I have had lots of crowns and never a problem like this. Hard to explain, but just isn't right. ...Visitor from TN

Answer:
It sounds like you have diagnosed everything properly.

If you didn't have problems with the temporary, ask the dentist if you can see the temporary and if he could measure the dimensions of the temporary compared to the original crown.

If he threw the provisional crown away can he measure the front to back and side to side size of this tooth and compare it to the contra lateral tooth on the other side of your mouth.

Odds are that the laboratory over bulked the porcelain and it is bothering your tongue due to it's size. The pressure on the lower tooth is most likely due to traumatic occlusion so the dentist needs to check your bite and adjust it accordingly so you don't fracture the tooth opposing the new crown.

I would sit down with the dentist, calmly explain your problems and concerns and I am sure he will rectify the problem even if it means removing and redoing the crown.

Remember I am only able to comment based on your symptoms as I don't have x-rays, photos, probings or the ability to clinically test your teeth so it is up to your dentist to educate you about what's going on in your specific situation. Best of luck.

Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021

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