Re: Permanent Crown and Temporary Not Fitting Correctly...
Teeth newly or recently prepped for crowns tend to be a bit sensitive due to them being filed down - they sometimes need time to settle down and recover from the trauma - sometimes though the nerve has been damaged and then a rc is necessary.
I have found that my temps were always fine but the perms were always too bulky and big - I would have to agree that regardless of whether a dentist has an on-site lab or sends his work to an outside lab its really up to them to make sure it is fitting properly. Sometimes I think though the dentist and/or the lab infuse their own judgement in their "creation" instead of just relying on the impression or model and the patients other teeth to guide them.
My guess is that your gums might have been slightly swollen maybe due to the prepping and so forth when the temp was made and the space or gap developed as they returned to normal which then allowed the tooth to be exposed. Some dentists wrap a string or piece of floss around the base of the tooth when taking impressions to make temps and/or perms as this pushes the gum down a bit so the margin is deeper and they get a better fit.
At least your dentist is willing to correct it - I had one dentist that refused to even admit his crowns were not right - if I didn't like how they looked - he would say they "had to be that way", if they hurt he would say "I would get used to it" - and the teeth he made were just awful - they looked like big yellow/tan horse teeth (like Mr Ed, if anyone remembers him). When I started getting facial pain - I think my muscles were being overworked trying to get around his horse teeth - he said "it can't be from the teeth I made" - well it wasn't coming from my natural teeth since I had them for 40 years and my face never hurt.
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