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FAQ:  Dental Crowns


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Question:
About 5 years ago I had two crowns installed too low. The dentist said I would need a gold crown as I had a "hard bite". It was a bite he created as I had a perfect bite before.

Quite frankly I had forgotten about the dentistry until I awoke one morning with terrible pain in my front teeth. I have since had the crowns raised but the front teeth still hurt when I try to eat. So I am still existing on liquids and very soft food.

Do you think I have permanently damaged the front teeth and who do I seek for help? A neurologist? A neuromuscular specialist? I am at my wits end and need help badly. ...Visitor from CA

Answer:
It is almost impossible to make crowns too low and then make them higher or need ones higher. I know that may not sound like the answer you'd like, however a couple of things for you to think about while we are on this subject.

Your mouth is like a hinge. For instance, a door can not close all the way if there is an object, big or small, i.e a chair or a pencil, in the way. For you to be able to close all the way down, a crown has to fit relatively perfect or you would never, I repeat never, have "forgotten" about your bite.

I suggest you consider moving on about concerns over your bite and deal with the issues of your front teeth still hurting when you bite down. With regards to that the word "still" means you must have omitted that from the first half of your note.

I do not believe you have permanently damaged your front teeth. In most likelihood there is no relationship between these symptoms and your crowns. My best remote diagnosis is that you are clenching and grinding your teeth at night, like most people, and are completely unaware of the situation.

This is a stress related activity and not one you can change without the use of a night guard made by your dentist. The second possible issue involved with your pain, could be any one of the front teeth has a nerve problem.

I suggest you go back to your dentist, give him your list of complaints, and see what he thinks. Broach the subject of a possible referral to a endodontist. An endodontist is a root canal specialist and they can easily tell if one of your teeth is going south.

Editorial Staff

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