I went to the dentist about two weeks ago to have a crown replaced. I'd recently ruined the porcelain on the old crown when eating some homemake caramel.
The dentist has new equipment to make crowns in his office so I went in at 11 am for the prep work. All he had to do was cut the old crown off and do some minor grinding. At 2 pm I was back in the office for the new crown. When he put it in it was extremely high. He said he'd have to do "a little" adjusting on the opposing tooth to get it to fit properly. When he was finished the inside of the opposing tooth was level with my gun line. He said that it felt like more than it was and it was a normal procedure to fit the crown. The bite still didn't feel right but he said I needed to wear it for a few days and let it settle in. Well, a few days later, I was in significant pain. My jaw hurt and the opposing tooth was sensitive. I've had another adjustment done but my bite feels completely off. I'm now hitting on both sides but for either side to "fit" comfortable, the other is way off and straining my jaw. The crown on the tooth right next to the new crown has been adjusted to try and make things fit. I'm really afraid that my mouth is now permanently messed up.
Can the opposing tooth be put back? It was a filling he ground down on it, not tooth. Who can fix things back? How do I make sure I don't end up worse than before? Any advise or suggestions?
What a nightmare, eh? I seem to always go through this too, every time I get a filling or crown. The worse time was similar to yours - my jaw was beginning to ache and that's not a good sign - and as soon as I told them that, they had me come in right away. He had a tough time getting it right, and he spent quite a bit of time grinding here and there. And yes, I was thinking the same thing you are - that my mouth is messed up and he'll never get it right again. Eventually he did, but it took some time and alot of patience on both our parts, because as he said, 'I can always take more off, but I can't put it back'. It's very hard for a dentist to get your bite right, especially after he's inserted some fake ones in there, because that's all it takes is just one tooth to mess up your whole mouth. I call it the domino effect. He grinds a little here, which then makes that tooth over there hit, so he grinds that one to match the first one, and now there's one farther back that's hitting wrong because the second tooth isn't there to stop it, and so on. Your bite isn't messed up, at least not permenently, but it's going to take some skill on his part, and patience on yours, to get them all to fit right again. You can ask him about refilling the one tooth and starting over again with that one if you think it may help. Does he use those grinding papers on your teeth so he can actually see where all your teeth are hitting hard? Because he really shouldn't have too much trouble getting it right if he's using those, as the high spots will show up as blue on your teeth, and then he simply grinds that little bit off and keeps using the papers until he doesn't see it anymore. If he's not using those, then yes, he may not be able to correct it...and you shouldn't let him. If he uses these, then eventually he'll get it to where it's comfortable for you. If he doesn't, you may want to go to someone else as he really shouldn't be grinding anything without them.
How was your bite before you had your new crown done? If the answer is: fine/good, then that's how your bite should be now.
He obviously made the crown too bulky, and the fit is off. Now he's trying to grind down everything else in your mouth to accomodate this "big" crown. It sounds like his cerec machine didn't do such a good job in making the crown. Did he make your last crown?
Your bite needs to be correct.
#1 Ask him why your bite was fine before this crown was placed?
#2 Tell him that you don't want anymore taken off of your natural teeth.
If he has to make you a new crown to resolve the issue, then that's what he'll have to do.
If, at the end of your next "bite appt", your bite is still not right, tell him that you want the crown redone. Or, he can refund your $$ and you'll go elsewhere.
Remember, HE is responsible to follow through and finish what he started.
Don't back down.
Yes, my bite was absolutely fine before he did the work. I had a friend who works as an oral surgeon's assistant look at it last night. She said the crown had no "anatomy" and that he'd really boogered up the opposing tooth. This morning, teeth in the front of my mouth feel like their rubbing each other -- kind of like when you get something in between them and they have pressure on them. My jaw aches like crazy on both sides and I'm miserable!!! I've never had any trouble like this before. I have new respect and compassion for those suffering from TMJ.
I've made an appointment with a prosodontist recommended by the dentist I had look at my mouth after this work was done. But they can't get me in for two weeks. I'm not sure what I'm supposed to do for that long. Can my teeth move or get less repairable in that time?
You need relief right away! Call the prosthodontist again and see if they can fit you in asap. Tell them your symptoms and how much pain you're in. They'll squeeze you in...as long as you can get there when they tell you to.
You can't go like this for 2 wks. Think about how bad your teeth will hurt, your jaw joints and how bad your headaches will be.?!
Do you have dental insur.? If you do, you're going to have to fight to get your $$ back for the crown that was botched. Document all of your appts, the discomfort, the other dental appts and now the prostho appts. This includes dates, and fees incurred.
Prosthodontists aren't cheap. They're specialists.
I really don't think that this crown can be fixed, nor can your bite. I think that the crown is going to need to be replaced. As soon as you can get moving on this...the better.
My TMJ started when I had two fillings replaced by a new dentist. He did something wrong with the bite and when the novacaine wore off, my front teeth were hitting each and the molars didn't connect properly. I don't mean to scare you but little things can throw off your whole mouth.
It sounds to me like he didn't make a well fitting crown for you. What he should have done was fix the crown. Instead, he tried adjusting the opposing tooth. Like someone here mentioned, you often get a domino effect.
I don't know much about crowns. If a mould is taken to make one, perhaps he can make a temporary from the mould he used previously. Put that in your mouth and work on it till he gets the exact position. And take it from there. Perhaps if the opposing tooth's filling isn't a deep one, he can add filling material to it to make it higher and reshape it so it fits into the crown.