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Medical Forum / General / Dentistry / October 2008

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Newly Placed Porcelain-to-metal crown is too long

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Chris - 24 Jul 2008 20:48 GMT
I had a permanent porcelain-fused-to-gold crown placed Tuesday on a
front tooth, the one in front of the incisor, on my left side.  I have
no pain and the tooth is comfortable, however, it is quite a bit too
olng, and descends about 1/8 inch below the two teeth on either
rside.  It is quite noticeable and my smile is not symmetric at all.
My wife says I look like Steve Buschemi on one side, and others have
asked me about it as well.  The temporary crown I had, I was thrilled
with, it looked great, felt great, etc., but of course they don't last
forever.  Is it possible for my dentist to reduce the length of the
crown after it is placed?  If not, I guess I'll have to have it
removed and a new crown made, but the cost is very high.  I am wishing
that I never went in for the permanent crown, the temporary looked so
good.  The shade of the permanent crown is not right either, I can
live with that because it is not too far off, but the length really
bothers me.  I like my dentist and don't want to offend him, but I
can't walk around with this Fred Flintstone tooth either.  Does anyone
know if, and how much, a crown like this can be shortened?
Dartos - 24 Jul 2008 21:02 GMT
Normally that isn't a big deal to shorten a crown.  Get an
appointment to have it checked.

JMO,
D

> I had a permanent porcelain-fused-to-gold crown placed Tuesday on a
> front tooth, the one in front of the incisor, on my left side.  I have
[quoted text clipped - 13 lines]
> can't walk around with this Fred Flintstone tooth either.  Does anyone
> know if, and how much, a crown like this can be shortened?
Mark & Steven Bornfeld - 24 Jul 2008 21:05 GMT
> I had a permanent porcelain-fused-to-gold crown placed Tuesday on a
> front tooth, the one in front of the incisor, on my left side.  I have
[quoted text clipped - 13 lines]
> can't walk around with this Fred Flintstone tooth either.  Does anyone
> know if, and how much, a crown like this can be shortened?

    I'm not clear which tooth is this.  Is this the second tooth or the
third tooth from the front?
    Ideally, you should have had the chance to look at the crown before it
is permanently cemented, and 1/8" is a significant difference.  Whether
it can be recontoured in the mouth depends upon the thickness of the
porcelain.  If the tooth is really out of whack, the dentist IMO really
shouldn't charge for the redo.
    BTW, Buscemi's problem is primarily crowding, which makes some of his
teeth look far more prominent than others.  Of course it could be
repaired, but he wouldn't be Buscemi anymore--like having Streisand fix
her nose.  Buscemi lives not far from me in Park Slope, and we have seen
him in the Halloween parade on 7th Ave. with his kids.
    One of the funniest movies I've ever seen is "The Impostors, with
Buscemi and his pals Tony Shalhoub and Stanley Tucci.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Chris - 24 Jul 2008 21:31 GMT
On Jul 24, 4:05 pm, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
> > I had a permanent porcelain-fused-to-gold crown placed Tuesday on a
> > front tooth, the one in front of the incisor, on my left side.  I have
[quoted text clipped - 37 lines]
>
> - Show quoted text -

It is #11 on the Wikipedia diagram (Universal Numbering System).  I
was not able to view it until it was permanently cemented.  In his
defense, this was a previously crowned tooth (about 8 years ago) and
the crown fell out and was lost (down the sink drain), so there was no
"oroginal" tooth to use for an impression. However, the technician
prepared a beautiful temporary crown that was the right length, shade,
and thickness.  I wish the impression that was taken to create the
permanent crown was made after the temporary was in place, because
that temporary was great.
And yes, Steve Buscemi is great, I don't mean to poke fun at him.  I
thought he was great in Con Air - he is a very versatile actor.
I have an appointment for tomorrow afternoon at 3:30.  I really
appreciate your feedback and Dartos' as well.  I wasn't quite sure
what to ask the dentist to do to fix it.  Hopefully there is enough
porcelain thickness at the bottom of the tooth to safely remove a few
mm.  I'd be satisfied if it just looked somewhat better, I'm no movie
start and don't expect perfection, but it is quite noticeable.  Thanks
to all for the info.
Mark & Steven Bornfeld - 24 Jul 2008 21:48 GMT
> On Jul 24, 4:05 pm, Mark & Steven Bornfeld
> <bornfeldm...@dentaltwins.com> wrote:
[quoted text clipped - 57 lines]
> start and don't expect perfection, but it is quite noticeable.  Thanks
> to all for the info.

    In fairness, it is quite common for an upper canine (#11 is the upper
left canine) to be slightly longer than the tooth directly in front of
it (#10--the lateral incisor).  Of course, too much difference in the
length will make #11 appear fang-like.

Good luck,
Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Chris - 28 Jul 2008 16:08 GMT
On Jul 24, 4:48 pm, Mark & Steven Bornfeld
<bornfeldm...@dentaltwins.com> wrote:
> > On Jul 24, 4:05 pm, Mark & Steven Bornfeld
> > <bornfeldm...@dentaltwins.com> wrote:
[quoted text clipped - 72 lines]
>
> - Show quoted text -

UPDATE:  I saw the dentist Friday afternoon, and he was able to
shorten the tooth to match the length of the surrounding teeth. There
was no charge, it took only about 10 minutes, no anesthetic was
necessary, and I left a happy customer.  I did mention to him that I
was much happier with the appearanc eof the temporary, but that I am
very happy that he was able to see me so quickly and make the repair.
I'll be returning for a crown on a molar on the same side on August 6,
now that my faith has been restored.  Thanks to all for taking the
time to explain this to me, it was helpful to be able to go in knowing
what to expect.  Thanks again.
Dartos - 28 Jul 2008 19:30 GMT
Glad it worked out.  'We' had a feeling it would.

;-)
D

> On Jul 24, 4:48 pm, Mark & Steven Bornfeld
> <bornfeldm...@dentaltwins.com> wrote:
[quoted text clipped - 88 lines]
> time to explain this to me, it was helpful to be able to go in knowing
> what to expect.  Thanks again.
Newbie@bix.nex - 29 Jul 2008 01:09 GMT
Yeppers.

>Glad it worked out.  'We' had a feeling it would.
>
[quoted text clipped - 93 lines]
>> time to explain this to me, it was helpful to be able to go in knowing
>> what to expect.  Thanks again.
CA-DDS tired of BS - 24 Oct 2008 17:22 GMT
Porcelain fused to metal  on  a FRONT tooth?

No wonder it doesn't look right.

Ask for a zirconia crown at no charge for the inconvenience

>I had a permanent porcelain-fused-to-gold crown placed Tuesday on a
> front tooth, the one in front of the incisor, on my left side.  I have
[quoted text clipped - 13 lines]
> can't walk around with this Fred Flintstone tooth either.  Does anyone
> know if, and how much, a crown like this can be shortened?
 
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