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Medical Forum / General / Dentistry / March 2006Teeth "not fitting"
Two and half years ago, I had a silver inlay fall out of my lower right next to all the way back molar and I was not able to retrieve what fell out. I went to the dentist and asked for a crown (I have had good luck with my crowns, they stay in!). But he did not want to grind away good teeth so he made a gold "onlay". Sort of the top half of a crown. When he initially fit it, it was horrible. Just a big mass in there that did not fit whatsoever. I started having TMJ symptoms (ache, jaw cracking, neck ache) and went back to get more ground off over 12 times. Finally he ground down all my teeth after making one of those jaws (against my wishes, I just wanted him to remove the new onlay and start over). It was better, the TMJ stuff mostly went away but I still don't have a good fit (for the last two years) and I grind excessively. My molars are now too short and dont fit right. Better than it was at its worse but not good like it was before (I didnt even know I HAD a bite before all this happened). The latest thing that happened is the onlay behind that one fell out. I went back to the same place (different dentist) and now have a temporary. I complained long and loud about my teeth still not fitting, they sent me to an orthodontist who says he cant do anything. (The guy downstairs). I had an appointment with another guy they broght in, who is suppossed to be an expert in this sort of thing. He says my problem is psychological (I say BS, it is my TEETH DONT FIT). His whole attitude was lawsuit mitigation anyway, Terrible dentist, just blamed me and claimed what a great dentist the original dentist was. I don't want to sue anybody, I just want my teeth to fit. Anyway I have discovered there is this technique for making a glueon temporary for all my molars (they are too short now after he ground everything down), and glue it in. Then based on if that is comfy, making new crowns to that shape.I think that is the best thing I've heard of. It will mean getting several new crowns which I am willing to do . Any help here on how to proceed? I don't trust this dental service anymore. I want an EXPERT in creating new, taller crowns that will give me a comfy fit. I am 55 years old. Thanks for your help. I am not sure but it sounds like the silver inlays are better .... Joely > Two and half years ago, I had a silver inlay fall out of my lower right > next to all the way back molar and I was not able to retrieve what fell [quoted text clipped - 35 lines] > anymore. I want an EXPERT in creating new, taller crowns that will give > me a comfy fit. I am 55 years old. Thanks for your help. Crowns stay in on my teeth. Plus you can build teeth vertically with crowns. If you are serious about restoring your occlusion, you will need to invest a lot of time and money. Whether or not it is anyone else's fault is impossible to tell after the fact. It may well be that the care you received was the best possible for the problems you presented with. It may be possible the dentists acted with what we were taught 30 years ago instead of what is current knowledge. It is possible they chose the wrong treatment. Impossible to tell now. If you want to restore things, you will need to first establish what the vertical height is that you can tolerate. This means first deprogramming any parafunctional muscle activity. Then, (after a few months) you would need to wear a plastic "lift" on your lower teeth to see if you can tolerate a higher position. After a few months of this, the teeth can be restored with onlays or crowns. Onlays would re-build the entire occlusal table without cutting away the entire side of each tooth. Every tooth in your head will probably need to be restored. Figure at least a thousand dollars per tooth, plus the cost of the muscle therapy (usually done with an NTI), and the cost of the "lift". Factor in some money for cores and RCT if your dentist does not do the onlays with CAD-CAM. Do the math.  Signature/ Amatus / > Crowns stay in on my teeth. Plus you can build teeth vertically with > crowns. Anyone get mercury inlays .....? Joel Joel Wrote: > I am not sure but it sounds like the silver inlays are better .... > [quoted text clipped - 59 lines] > give > > me a comfy fit. I am 55 years old. Thanks for your help -- Joel34 |
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