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Medical Forum / General / Dentistry / November 2008Crown Too High Again
I posted 3 weeks ago about Tooth #2's crown feeling high. It hurt when I pressed it. I saw the dentist the next day and he filed the gold down a little. For 2 weeks after that it felt better and for the most part, completely comfortable. I had my teeth cleaned a week ago, he asked me how it feels now and I said sometimes a bit high but better now. Then yesterday and now, it feels high again. You told me to have him take a look at it and he did but the x-ray showed nothing and there was no tenderness around it or on the upper gum. This crown (tooth is not root canaled) is about 20 years old. Is it common for an old crown to suddenly feel high? What causes this all of a sudden? Do you ever have patients who have to have it adjusted more than once? I don't know what else he can do...I am at the point where I want him to remove the crown and see what's doing underneath or just extract it, but would rather not. Could the discomfort on biting just be from needing a bite adjustment and nothing serious? Is it customary to charge the patient if I return for another adjustment? > Is it common for an >old crown to suddenly feel high? Common ? No, but I wouldn't call it rare. >What causes this all of a sudden? Teeth drift throughout our lifetime. >Do you ever have patients who have to have it adjusted more than once? Yes >I don't know what else he can do...I am at the point where I want him >to remove the crown and see what's doing underneath or just extract >it, but would rather not. Agreed. >Could the discomfort on biting just be from >needing a bite adjustment and nothing serious? Sure. You may also need a nightguard, could just be nocturnal clenching, grinding, parafunction, etc... >Is it customary to >charge the patient if I return for another adjustment? Not in my practice. >> Is it common for an >> old crown to suddenly feel high? [quoted text clipped - 26 lines] > > Not in my practice. Yes, yes, yes, yes, yes....and agree. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 On Nov 19, 2:36 pm, Mark & Steven Bornfeld <bornfeldm...@dentaltwins.com> wrote: > New...@bix.nex wrote: > [quoted text clipped - 28 lines] > > > Not in my practice. Thank you so much for the very comprehensive answer, bix, and Steve's agreement. It's baffling me because within one day, it can feel high and then normal. The tooth IS slightly loose so may be moving around. All I hope is that there's no infection or crack brewing. I'll have it filed down a little more this week if it keeps up. > Yes, yes, yes, yes, yes....and agree. > [quoted text clipped - 4 lines] > Brooklyn, NY > 718-258-5001 > On Nov 19, 2:36 pm, Mark & Steven Bornfeld > <bornfeldm...@dentaltwins.com> wrote: [quoted text clipped - 33 lines] >> Brooklyn, NY >> 718-258-5001 See Bill's post too--I suspect his insights are right on the money. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 By Bill, do you mean bix? I did read it and hope that's all it is. Now Amatus said the tooth may be dying, well, what do I do? Wait for it to start aching and turn into an abscess? It just feels high on the outer side of the crown but does hurt a little (sometimes) when I bite on it, momentarily. I'll see what my dentist says again...I imagine he'll try to shave it down a bit and see if that helps. One hour it feels high, then it feels normal and this goes on all day. Confusing. How can you tell if a crowned tooth is dying if the x-ray shows ny infection and there is no swelling of the gums or apical area? > See Bill's post too--I suspect his insights are right on the money. > [quoted text clipped - 4 lines] > Brooklyn, NY > 718-258-5001 Steve, I found the post (Bill's) that you're referring to, on my thread 3 weeks ago. Makes a lot of sense. Thank you for pointing me to it and thank you, Bill. If I have #2 extracted, even though I have 3,4, etc. I do not have 29 and 30, so 31 would serve no purpose. It can't even be an anchor because it isn't in great shape either. Can they attach a partial to #28 if that's my last tooth on the bottom (a root canaled crowned tooth)? > Steve, I found the post (Bill's) that you're referring to, on my > thread 3 weeks ago. Makes a lot of sense. Thank you for pointing me to [quoted text clipped - 3 lines] > they attach a partial to #28 if that's my last tooth on the bottom (a > root canaled crowned tooth)? I'm referring to Bill's post in the other thread (Extracting Tooth 31 Next To Impacted 32), from this afternoon. The partial may be clasped to #28, and #27 as well (though clasping may present cosmetic problems with traditional cast clasps). Sometimes advisable to splint #27 and 28 together and clasp. But it sure would be nice if #31 can be retained. Steve Either the tooth is dying or you are clenching at night. Signature/ Amatus / >I posted 3 weeks ago about Tooth #2's crown feeling high. It hurt when > I pressed it. I saw the dentist the next day and he filed the gold [quoted text clipped - 13 lines] > needing a bite adjustment and nothing serious? Is it customary to > charge the patient if I return for another adjustment? |
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