In the long on-going saga (see previous thread: Yet another crown
question) I've just lost another one. Actually it's still there, just
wedged in between adjacent teeth and pointing towards and rubbing
against my cheek. I suppose I could use a pair of Craftsman needle
nose pliers ... <g>.
Well, while pondering this further punishment in life it occurred to
me:
When I grind my food my lower jaw works to make circles and to move up
and down. Why then are molars not flat? Surely as the bottom teeth
move (say) left to right the raised parts will encounter the downward
pointing tooth placing lots of lateral strain (even a blow) on the
upward pointing nub and even the upper tooth? Worse, if any of the
teeth are uneven in their contact points (say: the first molar is
slightly higher that the second) then one or other will take a real
beating. Hmmm, it's amazing that any of them survive.
Presuming that the answer is that you (the dental people) make lots of
effort to see that there aren't too many impacts, could it be that the
reason I'm getting so many crowns coming out is that my dentist hasn't
done enough in this regard? Agreed the bonds are weak and the teeth
are fragile but that's even more of a reason to make sure that the
teeth can't impact each other.
One other question on the same line. When I grind (lightly) my teeth I
can hear (or feel, I'm not sure) a noise like a finger rubbing across
a smooth but not slippery surface such as glass. I presume it's caused
by the continuous breaking of the tension between the finger and the
glass. What's this noise called?
Joel344 - 18 Aug 2005 10:37 GMT
If the addition to my house were sinking (long before its time), I woul
call in a new architect and a new engineer and request a small study b
done so's I can decide what to do.
Same for teeth. I recommend not an architect, but a orofacia
architect, not an engineer but a good dentist who understand
mechanical principles, a subject that we all study very extensively.
Alternatively, post some x-rays here.
Crowns do not "fall out" without reason.
Joel M. Eichen DD
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Joel34
jwn dds - 18 Aug 2005 23:13 GMT
Just saw a patient about 20 minutes ago that had a crown "fall out". Caries
were the reason. Are you still brushing and flossing?
> In the long on-going saga (see previous thread: Yet another crown
> question) I've just lost another one. Actually it's still there, just
[quoted text clipped - 26 lines]
> by the continuous breaking of the tension between the finger and the
> glass. What's this noise called?
Amatus Cremona - 19 Aug 2005 15:00 GMT
I think crowns fall off due to:
1) caries (decay)
2) trauma
3) hypererruption (tooth raises out of socket due to underlying infection)
4) bad preparation
5) tooth is too short
6) occlusion is terrible
7) moisture contamination during cementation
8) fracture of an all porcelain crown
9) improper rest preparation or design on an RPD abutment
10) bizarre case of bad luck

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Amatus
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> Just saw a patient about 20 minutes ago that had a crown "fall out".
> Caries were the reason. Are you still brushing and flossing?
[quoted text clipped - 29 lines]
>> by the continuous breaking of the tension between the finger and the
>> glass. What's this noise called?
Joel344 - 20 Aug 2005 02:54 GMT
I will bet anything that the crown itself was not decayed!

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Joel344