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Question:
Uneven New Crowns: I was grinding one side of my mouth and wearing down my teeth, making the teeth on one side of my mouth a lot shorter than the other side.

So, I got 16 crowns (8 top and 8 bottom) but the new crowns have been moulded on the old teeth so they are still shorter on one side.

My dentist recommends filing down the teeth (new crowns) on the other side to make it even. Will filing down the teeth ruin the seal on the ceramic crowns?

Should I get him to make new crowns to match the good side? ...Visitor from Australia

Answer:
Grinding Down New Crowns

When you have only have eight new crowns done on the upper arch and you have a total of 14 upper teeth, the new crowns have to follow the line of the existing teeth that are not being treated.

If you want your bite to be corrected and both sides of your mouth to be the same length, the level of care now has to go beyond only 8 upper teeth and 8 lower teeth. All of your teeth need to be treated in order to meet your expectations and to achieve the best level of care.

The key to this problem is that only some of your teeth are getting care. When a patient grinds down one side of their teeth, the reality is that all of the teeth have been ground down or altered in some way by patient clenching or grinding.

You may be asking the impossible from your dentist if your budget limited the care to only 16 teeth.

At this point, an analysis of the models of your new crowned teeth with photos by your dentist may be helpful in deciding the best method to proceed.

He or she may need to just shorten one side, or just lengthen one side or go to a higher level of care and rebuild your entire bite. This combination of procedures is commonly called a full mouth reconstruction with altering the occlusal plane and opening the vertical dimension.

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