I'm trying to get the right color and right fit for 4 crowns on my upper, four front teeth. I've been wearing crowns with temporary cement. We're now at the second attempt. The first set of crowns were comfortable, but they were too yellow. The dentist took impressions and sent them back to the lab and told the lab to mimick the size but whiten. The crowns came back with a better color, but the lab didn't mimick the size and made the crowns too long in front. The dentist filed the crowns shorter. I've told the dentist the crowns are uncomfortable, they feel thicker in front and one crown hurts and keeps coming off. The temporary and the yellow crown stayed on with no problem. The dentist said they are the same crown because the lab used the same core. He measured the crowns and said they're the same size around as when they were yellow. Is it possible that because the lab made the crowns too long in front that it added the thickness to the front to compensate the length in front, and made them less thick in back? And, why would one crown hurt now when the temporary and the yellow crown didn't hurt?
I had similar problems in the past but have no answer for you. Hopefully you will not accept the ill-fitting crowns - please don't let the dentist browbeat you into thinking they are the same or you will get used to it, etc. b/c if it does not feel right now it never will - I made that mistake already. Either let him redo it again or - if the lab is close to where you live, make an appt to see the lab technician who made the crown and discuss the problem with him. Crowns should not hurt - if they do it could be b/c the abutment is not correct, the thickness or bulk of the crown interferes with other teeth or your tongue, etc. Aslo, sometimes cement can get wedged between the abutment and the gum tissue which can prevent the crown from seating correctly - which can also cause pain.
I'm trying to get the right color and right fit for 4 crowns on my upper, four front teeth. I've been wearing crowns with temporary cement. We're now at the second attempt. The first set of crowns were comfortable, but they were too yellow. The dentist took impressions and sent them back to the lab and told the lab to mimick the size but whiten. The crowns came back with a better color, but the lab didn't mimick the size and made the crowns too long in front. The dentist filed the crowns shorter. I've told the dentist the crowns are uncomfortable, they feel thicker in front and one crown hurts and keeps coming off. The temporary and the yellow crown stayed on with no problem. The dentist said they are the same crown because the lab used the same core. He measured the crowns and said they're the same size around as when they were yellow. Is it possible that because the lab made the crowns too long in front that it added the thickness to the front to compensate the length in front, and made them less thick in back? And, why would one crown hurt now when the temporary and the yellow crown didn't hurt?
Thelma-Louise:
Thank you for your input. I went to the dentist yesterday because I had to have him take off the one crown. It hurt so bad. I was hurting up in my sinus and from the crown to my ear. The dentist had the lab guy come to his office. The lab guy said he doesn't know why the crown would be hurting me. The lab guy took the crowns back to the lab to file some of the thickness from the fronts. The dentist put my temporaries back on and made me an appointment with an endodontist to see if I need a root canal. By yesterday evening, I was already feeling better. I went to see the dentist today because my crowns were back from the lab. I asked the dentist why the crown would hurt and not the temporary. He said he didn't know. I was a little hesitant, but we put the crowns back on (temporary cement). I did ask the dentist to file the one crown on the sides a bit because it did feel a little tight. The temporary was not tight between the teeth and I thought maybe that could make a difference. I'm wearing the crowns right now and so far it doesn't hurt any worse than this morning. I'm thinking if that was the problem, it's still going to take a little time for me to heal completely. If it starts hurting, I will not accept the crown. I will ask for another impression of that tooth and have the lab completely make a new crown. My biggest fear is that if this crown feels fine and doesn't hurt again, that when it's put on with permanent cement if it's not placed on my tooth exactly right that I will be in pain eventually and it would have to be cut off.
That is exactly what happened to me. A crown on an upper canine was temporarily cemented in and it seemed fine. After one week the dr replaced the temp cement with perm cement and the problems (pain, throbbing, etc) started immediately afterwards. He then refused to remove the crown despite my pleading and evenutally I developed muscle fatigue from the chronic pain which I feel eventually led to muscular tmj. In hindsight I should have just gone to another dentist to have it replaced . I would suggest you ask the dentist to give you a good month or 2 using the temp cement - with the agreement that should it come loose you will go promptly in and have it recemented on and will take care not to chomp too hard on it for a while. I have had other crowns done this way since and it worked quite well. Actually one bridge I had was with temp cement for more than 4 yrs - the dentist said it lasted so long b/c the bridge had a great fit to begin with, meaning that no debris was able to get beneath the crown's abutment so the cement was never disturbed and remained secure.
Good Luck - I hope you have no further problems with it.
Thank you for your input. I went to the dentist yesterday because I had to have him take off the one crown. It hurt so bad. I was hurting up in my sinus and from the crown to my ear. The dentist had the lab guy come to his office. The lab guy said he doesn't know why the crown would be hurting me. The lab guy took the crowns back to the lab to file some of the thickness from the fronts. The dentist put my temporaries back on and made me an appointment with an endodontist to see if I need a root canal. By yesterday evening, I was already feeling better. I went to see the dentist today because my crowns were back from the lab. I asked the dentist why the crown would hurt and not the temporary. He said he didn't know. I was a little hesitant, but we put the crowns back on (temporary cement). I did ask the dentist to file the one crown on the sides a bit because it did feel a little tight. The temporary was not tight between the teeth and I thought maybe that could make a difference. I'm wearing the crowns right now and so far it doesn't hurt any worse than this morning. I'm thinking if that was the problem, it's still going to take a little time for me to heal completely. If it starts hurting, I will not accept the crown. I will ask for another impression of that tooth and have the lab completely make a new crown. My biggest fear is that if this crown feels fine and doesn't hurt again, that when it's put on with permanent cement if it's not placed on my tooth exactly right that I will be in pain eventually and it would have to be cut off.
Thelma-Louise:
If my tooth is still hurting on Monday with this crown, I want to ask my dentist to put my temporaries back on to see if the pain stops. I know he won't like that. I'm wondering why he didn't suggest that I keep wearing the temporaries for a while just to see if the pain would go away. He feels so strongly that it's not the crown. He hasn't suggested or offered to take another impression and start over. He's so intimidating; I feel like I have to stand up for myself.
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