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Medical Forum / General / Dentistry / June 2007I'm new -Crown question
I am 62 year old female and had a crown put on one of my bottom teeth today (5 teeth over from front bottom tooth going towards the back). Drilling for the tooth was done a week ago and the temporary crown came off a few days later and resulted in my having a toothache all weekend (bad time to get toothache when you can't get a dentist). Today the dentist gave me a needle because of the pain I had and used cement to bond the crown on. Tonight when eating supper, I feel I am grinding my teeeth when the newly crowned one and the molar above it come together and I bite down. Its like when I used to grind my teeth with that kind of squeaky noise (hard to describe) unless you grind your teeth. When the dentist fitted the crown today, he said it was a bit too high and ground it down or whatever you do, but I am wondering if it is still too high because its not all that comfortable. If I am not eating, its ok, but I don't want to eat on the right side all the time. I wonder if I should go back to see the dentist tomorrow- can crowns be adjusted lower? Right now, the crowned tooth is still a bit sore which is to be expected, but should it feel "crunchy" - not the correct word and would it feel better if the crown was lower as far as eating? -also, the dentist said something about he was putting cement on the crown instead of bonding, in case he had to go into the tooth again, as bonding makes it too hard and the crown is no then useless. Is cement as good as bonding? - Are temporary crowns so fragile as to be easily broken like what happened to me? It happened soon after supper, though I just ate soft foods. I didn't get a chance today to ask these things and after he gave me a needle, its hard to talk. I would really appreciate any and all comments and notice there are a few dentists here. I live in Toronto, Canada if needed to know. Thank you. Mary If the bite does not feel right now that the anaesthetic has worn off, I'd go back and see the dentist tomorrow, or the next day at the latest if things don't seem to be getting better. > - Are temporary crowns so fragile as to be easily broken like what > happened > to me? It happened soon after supper, though I just ate soft foods. This happens from time to time. Sometimes the temporary cement gives way, sometimes the bite on it is too high, sometimes the temporary was too thin, sometimes the patient ate something too hard or sticky......many causes. In my experience, a temporary will fall off or break about 1% of the time. Without seeing your temporary or what was done, can't tell you for sure what happened in your case. > I live in Toronto, Canada if needed to know. Thank you. I see Governor Arnold was in town on a trade mission. I wonder who his dentist is? John > If the bite does not feel right now that the anaesthetic has worn off, I'd > go back and see the dentist tomorrow, or the next day at the latest if > things don't seem to be getting better. No, it doesn't feel right. I can grind my teeth easily like I used to - even when I was an adult. I am the only one who can really tell as its my mouth and me who has to eat with it. The dentist can only do what he thinks looks best. Can a crown be adjusted or filed down or how does the dentist file make the crown lower? I complained so much today, the dentist probably wouldn't want to see me back so soon :) > > - Are temporary crowns so fragile as to be easily broken like what > > happened [quoted text clipped - 6 lines] > Without seeing your temporary or what was done, can't tell you for sure what > happened in your case. I don't know either. I made sure that I didn't eat anything hard or sticky on Friday but whatever the case, it broke off. > > I live in Toronto, Canada if needed to know. Thank you. > I see Governor Arnold was in town on a trade mission. I wonder who his > dentist is? He was on local Toronto TV tonight. He's never been here before but he and the Premier of Ontario (same as your State Congressman) seem to be interested in Environmental issues and stem cell research and he is here to discuss that and to have a bet on who will win the hockey game between Anaheim Ducks and Ottawa Senators. The winner to get bottles of California wine or Niagara wine or something like that. As to Arnold's dentist, I don't know who that would be. He's got plenty money and can ask the Premier who also has plenty money :) Mary > No, it doesn't feel right. I can grind my teeth easily like I used to - > even [quoted text clipped - 3 lines] > best. Can a crown be adjusted or filed down or how does the dentist file > make the crown lower? Generally, the crown can be reduced if the bite is the problem. You need to go back. > I complained so much today, the dentist probably > wouldn't want to see me back so soon :) So what. You are not happy with what you paid for and what you must live with. In my office, I'd want to see you asap to fix the problem. > He was on local Toronto TV tonight. He's never been here before but he and > the Premier of Ontario (same as your State Congressman) seem to be [quoted text clipped - 6 lines] > know who that would be. He's got plenty money and can ask the Premier who > also has plenty money :) He must be getting lots of flak from some republicans at home for his promotion of stem cell research. Its interesting how big news his arrival was. The government of Ontario is pledging $30million dollars more over 5 years for stem cell research. Thats only $6million more per year. Thats pocket change for the government with a gazillion dollar annual budget. Really not news to me. But the star power may help the Liberals in the upcoming provincial election. PS. I also practice in Ontario. John > > No, it doesn't feel right. I can grind my teeth easily like I used to - > > even [quoted text clipped - 3 lines] > > best. Can a crown be adjusted or filed down or how does the dentist file > > make the crown lower? > Generally, the crown can be reduced if the bite is the problem. You need to > go back. I made an appointment for tomorrow at noon. He is getting hard to get these days. Maybe he's heading towards semi retirement. He's not that old, only around 55 or so but he was leaving at 11 a.m today and I didn't phone early enough, and doesn't work Monday mornings or Friday afternoon and a couple of years ago he only took Friday afternoons off, so I have to get him when I can. I've been going to him for 20 years but never had too many problems till the last year or so. But he seems like he is quite a good dentist. > > I complained so much today, the dentist probably > > wouldn't want to see me back so soon :) > > So what. You are not happy with what you paid for and what you must live > with. In my office, I'd want to see you asap to fix the problem. Well, its not always easy to get him and he always seems to be in a hurry - more than he used to be. So yes, he has to fix the problem, and my dental insurance only pays 50% so I am having to end up paying close to $500.00 out of my own pocket. And my insurance company pay last years dental fees for "regular" dentists. By the way, my jaw and gum are still sore where that tooth is, and the molar above that tooth which he treated with laser gum surgery a year ago, started to get intermittent twinges of very short pain right after the impressions were done. He did two impressions which I had to bite down hard for 3-4 minutes, and when he took the thing out for the impressions, I felt like all my teeeth were coming out with it. The top molar above the crowned tooth, was a bit sore (off and on) after that and still is and that was almost 10 days ago. So far, its not sensitive to cold or hot. Could that molar be a bit "fragile" and have become irritated by the length of time I had to bite down hard on the liquidy stuff for the crown impression? The same molar is what seems to grind against the crowned tooth if I bite them together. It feels like it used to feel when I used to wake up grinding my teeth. > > He was on local Toronto TV tonight. He's never been here before but he and > > the Premier of Ontario (same as your State Congressman) seem to be [quoted text clipped - 14 lines] > Really not news to me. But the star power may help the Liberals in the > upcoming provincial election. I doubt it. McGuinty has lost a lot of voters since he's been in. I heard on my car radio this afternoon that Arnold said that Toronto is the Detroit (Motor city) of Canada. When I hear the weather on local TV stations, when its hot weather and if its smoggy that day, the weather guy often says, the hot air from Gulf of Mexico is creating the heat we have today, and brings with it winds that pick up pollution from the US into Ontario and mixed in with some of our own I guess. But we just send them cold air down to them because until we get the hot air from them, we don't have any :) The main attraction I saw for Schwartzenegger on the TV is the kids here have been following him due to him being "The Terminator". I was very surprised when he became governor of CA. He seems to be doing better than I thought. He is going to Vancouver after Toronto I heard. They don't have that much smog. > PS. I also practice in Ontario. Are you in Toronto? Thank you for your help. Mary > Could that molar be a > bit "fragile" and have become irritated by the length of time I had to > bite > down hard on the liquidy stuff for the crown impression? No. > He is going to Vancouver after Toronto I heard. They don't have > that much smog. Considering the average cost of a home in Vancouver is now $575,000, I'm not sure who can afford to live there. They do, however, have incredible traffic problems. If you think Toronto is bad, try going to Vancouver which as no major expressway or highway through it. Takes major time to go anywhere in the city during the day. They also have a premier that likes to drive while intoxicated when he visits Hawaii. Remember that? I was on a helicopter with him once going to Victoria from Vancouver, before he was premier...seemed like a nice guy and he seemed sober, possibly because he was not flying the helicopter. Has everyone in BC forgotten about this? >> PS. I also practice in Ontario. > > Are you in Toronto? Waterloo John >> Could that molar be a >> bit "fragile" and have become irritated by the length of time I had to [quoted text clipped - 22 lines] > > John Is Toronto real estate cheaper than Vancouver? I visited Vancouver and Victoria a couple of years back. Lovely time. For that matter, my mother in law lives in Seattle--I could definitely live there. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Is Toronto real estate cheaper than Vancouver? Yes. www.cbc.ca/money/story/2007/05/16/realestate.html John >> Is Toronto real estate cheaper than Vancouver? > [quoted text clipped - 3 lines] > > John Wow--prices peaked in the U.S. almost 2 years ago. In NY they've stabilized, but many areas are still seeing price declines. Still cheap compared to NY. (even though the American dollar is so low these days). Steve > > Could that molar be a > > bit "fragile" and have become irritated by the length of time I had to > > bite > > down hard on the liquidy stuff for the crown impression? > > No. I was thinking about that molar. It was a little sensitive for months before the impression and with hard biting down for several minutes, it might have made it more sensitive. Why would it be sore for several hours after the impressions when I only had intermittent twinges of pain before? The molar had laser gum surgery done a year ago and sometimes I get mild twinges, but not enough to do anything about it. > > He is going to Vancouver after Toronto I heard. They don't have > > that much smog. > > Considering the average cost of a home in Vancouver is now $575,000, I'm not > sure who can afford to live there. It was always quite expensive, especially in Victoria as well as so many Canadians retire there. Another of my cousins lives in Victoria. They retired there from Lethbridge. They love Victoria and have nothing bad to say about it at all. They have the scenery there which we don't have. Ocean and mountains. It looks beautiful there.I wouldn't mind living there myself. They do, however, have incredible > traffic problems. If you think Toronto is bad, try going to Vancouver which > as no major expressway or highway through it. Takes major time to go > anywhere in the city during the day. I have three cousins in Vancouver and two of them used to live in Toronto and when they come to Toronto they complain how bad the traffic is -Check the 401 on City TV cable news around 4 or 5 pm especially Friday afternoon and holiday weekends. Its bumper to bumper for miles, especially the west end. Its one of the busiest highways in N. America and was meant to be a temporary diversion but that was 50 years ago. And there's the subway carrying a million riders a day or something like that, plus the GO train. I live in east end and don't work so I drive on city streets almost every day.I won't go on the 401. Too nerve racking.The difference between Toronto and Vancouver traffic is their city streets are congested and so are Toronto city streets plus Toronto also has busy highways all around and 5 times the population of Vancouver. > They also have a premier that likes to > drive while intoxicated when he visits Hawaii. Remember that? No, I can't imagine him doing that for some reason. He looks so "straight" . And he doesn't have a reputation like Ralph Kline used to have when he always made a fool of himself. Remember the homeless shelter? I think he quit drinking after that. I was on a > helicopter with him once going to Victoria from Vancouver, before he was > premier...seemed like a nice guy and he seemed sober, possibly because he > was not flying the helicopter. Has everyone in BC forgotten about this? You mean have they forgotten that he was on a helicopter in BC? They probably didn't even know. Why was he on a helicopter or you ? > >> PS. I also practice in Ontario. > > > > Are you in Toronto? > > Waterloo Kitchener-Waterloo. I have never been there. I've just heard of Oktoberfest. Mary >> > Could that molar be a >> > bit "fragile" and have become irritated by the length of time I had to [quoted text clipped - 13 lines] > to > do anything about it. We're heading into an area I can't really discuss without seeing you. Your situation is likely because the bite on the new crown is off, but can't say for sure. >> > He is going to Vancouver after Toronto I heard. They don't have >> > that much smog. [quoted text clipped - 50 lines] > You mean have they forgotten that he was on a helicopter in BC? They > probably didn't even know. Why was he on a helicopter or you ? A communter flight from downtown Vancouver. I had never met him before. >> >> PS. I also practice in Ontario. >> > [quoted text clipped - 6 lines] > > Mary > >> > Could that molar be a > >> > bit "fragile" and have become irritated by the length of time I had to [quoted text clipped - 17 lines] > situation is likely because the bite on the new crown is off, but can't say > for sure. I went to the dentist today and got him to fix the new crown and its more comfortable now. When he asked me to tap and grind down on the crown and also asked me to grind down on the gauze thing? (what material is it anyway), there was a crunching/squeaking noise and the dentist said "that even gives me the shivers, that has to be fixed". When I was there on Tuesday, I got a needle which didn't unfreeze for 4 hours, so it was pretty solid, and could only partially feel the crowned tooth, so when he was trying to fit the crown on and adjust it, he kept asking me how it felt, but I was not able to tell him because of the freezing. Normally, I wouldn't have needed a needle, except for the constant pain for the previous 4 days that by the time I got to him, I was very depressed and upset and he understood that. Anyway, it seems to be much better now. He ground down the crown or whatever you call it when they do that. Shaved it down? I asked him today about the molar above the crowned tooth as to why it was sensitive after the impressions and asked him if it was because of having gum laser surgery a year ago, and he said the molar had some issues and he wasn't surprised the impressions made it give me twinges after. I forgot to ask him two things if you wouldn't mind me asking you. -my jaw on the bone at the bottom left side where the crown was done, (towards the chin bone) is still quite sore even though its been 10 days. Not terribly sore, but it aches some still. Of course, there was a lot of drilling done that day, is it normal to take a while for the ache to go away. -and when I eat, should a bottom crowned tooth feel the same as before I had this tooth problem in the first place when it was a normal tooth? I feel I favour the other side of my mouth for eating as I am not afraid to bite down and its completely comfortable. With the other side, where the crown is on the bottom (5 teeth along fron the bottom front tooth), the tooth feels a little strange and I am afraid I will stress it if I bite too hard on it. its porcelain and metal by the way, and he put cement on it, in case he has to take it off for some reason, so he said. > > I was on a > >> helicopter with him once going to Victoria from Vancouver, before he was [quoted text clipped - 5 lines] > > A communter flight from downtown Vancouver. I had never met him before. I think a ride in a helicopter would be fun. Thank you for your help. There are quite a few dentists here. Very unique on a newsgroup to see so many professionals, but good of you all to donate your time giving people free advice.You are all to be congratulated for your kind help which I am sure is most appreciated by everyone, me included.. Mary > I forgot to ask him two things if you wouldn't mind me asking you. > [quoted text clipped - 15 lines] > has > to take it off for some reason, so he said. Can't really answer these without seeing you or knowing the circumstances around your crown preparation and insertion visits. sorry. John > > I forgot to ask him two things if you wouldn't mind me asking you. > > [quoted text clipped - 18 lines] > Can't really answer these without seeing you or knowing the circumstances > around your crown preparation and insertion visits. sorry. I thought *in general* because of the pressure when the dentist does the drilling in preparation for the crown, that there can be a slight ache in the jaw for several days after, in some some of your patients, and if your patients felt that eating after a crown was done, was much the same experience as before they had the crown done. Mary > I thought *in general* because of the pressure when the dentist does the > drilling in preparation for the crown, that there can be a slight ache in > the jaw for several days after, in some some of your patients, and if your > patients felt that eating after a crown was done, was much the same > experience as before they had the crown done. Generally speaking, things settle within a few weeks. I haven't had this report by a patient of minding the side of the new crown. That's not to say that someone on Monday morning won't tell me this. Give it a few weeks of trying the new crown out. If it still feels strange, go back and see your dentist. If you feel things are getting worse, go back sooner. John > > I thought *in general* because of the pressure when the dentist does the > > drilling in preparation for the crown, that there can be a slight ache in [quoted text clipped - 7 lines] > trying the new crown out. If it still feels strange, go back and see your > dentist. If you feel things are getting worse, go back sooner. When reading the part above starting at end of your first line where you say "I haven't had this report by a patient of minding the side of the new crown", I am not sure what you mean when you say "by a patient of minding the side of the new crown". Did you mean to say "by a patient of mine at the site of the new crown? or did I read that wrong? Thanks. Mary >>>if > your >> > patients felt that eating after a crown was done, was much the same >> > experience as before they had the crown done. I meant to say that your above statement is generally true, after a few days following the crown insertion. John > >>>if > > your [quoted text clipped - 5 lines] > > John Hi John, So far, things seem to be ok and much improved since the dentist adjusted the crown last Thursday. The best thing of all, was getting rid of the severe tooth pain last Tuesday, and which I had had all last weekend. Thank you for your help. It is much appreciated. Mary Toronto is not the Detroit of Canada. Detroit is a DEAD city of steadily decreasing population with no vitality to the downtown area. Toronto is the opposite. Hey,,,,, ever check out the air quality in Sarnia? Uggh! How about the paper mills on the Northern side of St. Saint Marie? I think you guys are about even with us for pollution. It is just at different parts of the border. The water-way that forms the border tends to attract industries that pollute on both sides. We are trying to figure out a date to visit RB in Toronto this summer. Amazing how the schedule for the entire summer can fill up before it even begins. Signature/ Amatus > I doubt it. McGuinty has lost a lot of voters since he's been in. I heard > on [quoted text clipped - 12 lines] > thought. He is going to Vancouver after Toronto I heard. They don't have > that much smog. > Toronto is not the Detroit of Canada. Detroit is a DEAD city of steadily > decreasing population with no vitality to the downtown area. Toronto is [quoted text clipped - 3 lines] > different parts of the border. The water-way that forms the border tends > to attract industries that pollute on both sides. I agree about the pollution thing. I've never been to Detroit...only drove through it to get the I95 when I was 17 and driving to Florida with some buddies. That was 20 years ago! John > We are trying to figure out a date to visit RB in Toronto this summer. > Amazing how the schedule for the entire summer can fill up before it even [quoted text clipped - 19 lines] >> thought. He is going to Vancouver after Toronto I heard. They don't have >> that much smog. > I agree about the pollution thing. I've never been to Detroit...only > drove through it to get the I95 when I was 17 and driving to Florida with > some buddies. That was 20 years ago! Ooops...I meant I75. John Time to visit then. Come on over. Signature/ Amatus / > >> Toronto is not the Detroit of Canada. Detroit is a DEAD city of steadily [quoted text clipped - 36 lines] >>> thought. He is going to Vancouver after Toronto I heard. They don't have >>> that much smog. > Toronto is not the Detroit of Canada. Detroit is a DEAD city of steadily > decreasing population with no vitality to the downtown area. Toronto is the > opposite. Hey,,,,, ever check out the air quality in Sarnia? Uggh! How > about the paper mills on the Northern side of St. Saint Marie? They are right on the border though. Toronto is fairly close to the border, but not like Detroit or Windsor or the cities mentioned above. But we have a much larger population. Still, Ontario has tried to do a lot to curb pollution and much of it comes from the US and mixes with our own when the Gulf of mexico sends hot air up which is all the time. Southern Ontario has a very hot climate in June, July and August with very high humity. It was very hot today. I think you > guys are about even with us for pollution. It is just at different parts of > the border. The water-way that forms the border tends to attract industries > that pollute on both sides. That is true. But we get a lot of pollution in Toronto some days in the summer. Other days, its perfectly clear. A lot of it is due to high humidity and heat making the air not move around much and we get a lot of hor winds from the Gulf of Mexico. You get our cold air from northern Canada in winter and we get your hot air from Gulf of Mexico, but the hot air creates more smog, not cold air. > We are trying to figure out a date to visit RB in Toronto this summer. > Amazing how the schedule for the entire summer can fill up before it even > begins. I have to admit my ignorance or my age by asking who or what is RB? Is it Raptors Basketball? Are you in the US? Mary RB is Roy Brown. The best Denturist in the world. IMHO. [Michigan.] Signature/ Amatus [Michigan.] / >> Toronto is not the Detroit of Canada. Detroit is a DEAD city of steadily >> decreasing population with no vitality to the downtown area. Toronto is [quoted text clipped - 38 lines] > > Mary > RB is Roy Brown. The best Denturist in the world. IMHO. > > [Michigan.] Which also proves he has a very strong constitution. It would be tough to deal with denture patients all day, every day. Steve Watching him work is a learning experience every time. Signature/ Amatus / > >> RB is Roy Brown. The best Denturist in the world. IMHO. [quoted text clipped - 5 lines] > > Steve > RB is Roy Brown. The best Denturist in the world. IMHO. Since your comments were to me in most of your message, then you mentioned RB, so I thought you were telling me about RB. But I guess you were telling your fellow dentists. Mary > [Michigan.] > [quoted text clipped - 40 lines] > > > > Mary |
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