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Question:
Front Crown Too Large: My front crown was too tight to put in so my dentist ground down each side and cemented it in.

The crown is too bulky and I even have trouble talking and my lip keeps "catching" on the crown. The dentist made an "adjustment" and ground it down on the front and now it is rough feeling and lost some of its sheen.

How will that affect the crown and was this the correct thing to do?

I probably will have to have it replaced anyhow since I don't think he can get it so it's comfortable enough, but he's insistent on making another "adjustment" by grinding more away if it's still not comfortable.

I don't think that this is the way to remedy the situation. ...Visitor from IL

Answer:
There are multiple causes of symptoms you are having.

Sensitivity can arise from occlusion issues related to individual tooth treatments or be more related to the existing health status of the tooth being treated, where the original structure is in a state of decline.

Creating and placing posterior crowns is difficult for any dentist. The fact your existing TMJ problem prevented a "more normal" treatment opportunity may or may not have played a role in a questionable crown product.

If there were no decay issues or old deep fillings in the original tooth structure, the sensitivity you are having could be related to an artifact of a difficult cementation process, less than optimal relationship between the two bonding surfaces (prepared tooth and interior surfaces of the crown) or the use of a crown product that violates the existing occlusal plane (e.g., too high or unusual lateral force). In this difficult situation it is not uncommon to have a crown cemented and then find out it may need a root canal.

We usually will take a periapical film to see if the root is acting up, which could also be causing the sensitivity issue.

Mitchell Pohl, DDS
Boca Raton Cosmetic Dentist
2900 N. Military Trail, Suite 105
Boca Raton Florida FL 33431
(561) 368-3440

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