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Dentistry/Crowns over root caneled teeth

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Question
Had root canals on teeth 2 and 3.  Dentist did temporary crowns for both.  Permanent crowns for theses teeth were too big so dentist drilled 2 and 3 again to make crowns fit.  Crowns/gum line is sore  between 2 and 3. Should the dentist have re-molded for new crowns or was he correct in making the teeth fit the crowns?

Answer
Hi Jeffrey,

I am guessing that no expert on Allexperts could not answer your question without a physical evaluation.  That's why this question was tossed into the question pool.

Maybe the original root canals were too small for those crowns to fit.  I bet dentists would error on the side of making that space on the smaller side.  It would be easier to make the hole bigger, then to go the other way and reduce the size of the space.

On the flip side of the coin, I would hope your dentist believed that the crowns were correct......and NOT because he did not want to have the lab redo the work into a smaller size.  Getting those crowns to be just right and having your teeth close properly is very precise work.  He probably did not want to compromise the crown or your bite by changing the shape of the crown.

Maybe a lot of things.  If your gums are sore, have him look at you again.  Try to stay away from additional tinkering with the gums.  As a longtime patient, I have found that a conservative approach is usually best.

Regards,
Jonathan
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Dentistry

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Jonathan at PatientBabble

Expertise

My area of expertise from the patients point of view would be Dentistry/TMJ plus the speech challenges that these jaw and bite problems sometimes represent. Over the years I have seen a multitude of dentists, orthodontists, oral surgeons, speech therapists, neurologists and other health professionals who all had an opinion about my TMJ/bite problem. I AM NOT A DOCTOR...but would purely be a patients point of view type person. I "get it" when people say they tried to explain to their dentist what their TMJ/bite problem is and that they are misunderstood. I can listen to people's trials and tribulations and there is a good chance I have been down that road before. I can make suggestions as to what people can do at home, or what questions to ask their doctor or dentist when they visit. I will try and recall information or experiences that may be helpful to you.

Experience

About 25 years ago, I had my wisdom teeth out and since then my bite has never felt "normal." For whatever reason, the first sensation I remember was not that my bite was off.....but rather that my normal tongue and speech patterns had been impeded. I spent years going to different dentists, who lumped me into their generic version of what they knew about TMJ. The majority of dentists believe they can treat TMJ, but only those whose primary focus is TMJ treatment, are really any good at it. Any dentist, can take an impression of your teeth, send that impression off to the lab and have them make a night guard. That is the easy part. The tricky part is what the dentist does with the night guard, once receiving it from the lab. The dentist has to do a "fitting" where they tailor the night guard to be evenly balanced and comfortable in your mouth. Sometimes it can take a few visits, because further adjustments need to be made to the night guard appliance, to get it just right. I have found that dentists, who have had the most practice, do a better job at fitting your appliance. It's almost like an art form.

Organizations
Jonathan's Blog is: https://patientbabble.squarespace.com/jonathans-blog

Education/Credentials
College Graduate with Bachelor of Arts Degree

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