>>Question: does floss slip without resistance between the crown and the
>>adjacent tooth? There should be some resistance. If not, food will
[quoted text clipped - 14 lines]
> we had a good relationship, I'm not sure how I can put my feet down on
> this matter without burning any bridges.
You bring up a good point. The contact between molar teeth is nearer
the chewing surface than the gumline. Esp. if there is gum recession,
it's not unusual at all to have some space between the teeth near the
gumline but a decent contact near the chewing surface. Food impaction
from the side (horizontal food impaction) is generally less damaging to
the gums than vertical food impaction (through a weak contact). So
there may well be nothing wrong with the crown.
Even so, I would check for what we call "plunger cusps" from the
opposing tooth contacting near the space. Sometimes I'll see
improvement by just taking an abrasive stone and rounding the contours
of any opposing cusps.
As far as re-doing the crown for horizontal food impaction, it could be
done--by overcontouring the crown where it faces the adjacent tooth in
the food impaction area. This would decrease the area available to pack
food in. However, this could solve one problem and create another, as
overcontoured crowns tend to be irritating to the gums themselves. If
your dentist is diligent and honest, he should be able to speak to you
in terms you can understand as to what might be causing this problem,
and what might be done to improve the situation. If there are no good
options, he preferably should be able to explain why, esp. in view of
the fact that this problem did not exist before placing the crown.
Steve

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
W_B - 04 Nov 2005 16:31 GMT
>>>Question: does floss slip without resistance between the crown and the
>>>adjacent tooth? There should be some resistance. If not, food will
[quoted text clipped - 38 lines]
>
>Steve
If the proximal contact is good and no plunger cusp...
...what's wrong with a nice proxabrush ?
--
W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Steven Bornfeld - 04 Nov 2005 22:54 GMT
> If the proximal contact is good and no plunger cusp...
>
> ...what's wrong with a nice proxabrush ?
I agree. Of course, I have no idea just how annoying the food
impaction is.
Because of a miscalculation with interproximal reduction Mark did on my
Invisalign, I now have a small diastema mesial to my UL lateral incisor.
It's pretty annoying, but not a perio issue.
Steve
> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

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Tony Bad - 05 Nov 2005 01:30 GMT
> Because of a miscalculation with interproximal reduction Mark did on my
> Invisalign, I now have a small diastema mesial to my UL lateral incisor.
> It's pretty annoying, but not a perio issue.
>
> Steve
Miscalculation!! My brother in law is a lawyer...let me know if you want his
number.
T
Steven Bornfeld - 05 Nov 2005 04:19 GMT
>>Because of a miscalculation with interproximal reduction Mark did on my
>>Invisalign, I now have a small diastema mesial to my UL lateral incisor.
[quoted text clipped - 6 lines]
>
> T
Thanks, Tony.
Steve (the evil twin)
W_B - 07 Nov 2005 16:10 GMT
>> If the proximal contact is good and no plunger cusp...
>>
[quoted text clipped - 7 lines]
>
>Steve
Hw about a little composite bonding ?
--
W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Mark & Steven Bornfeld - 07 Nov 2005 19:52 GMT
> Hw about a little composite bonding ?
Maybe. I might be too lazy even for that.
Steve
> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
W_B - 07 Nov 2005 20:52 GMT
>> Hw about a little composite bonding ?
>
[quoted text clipped - 4 lines]
>>
>> W_B
C'mon over, I'll do it for you.
--
W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com