Tag Archives: one visit crowns

Tooth Trauma Delay

A few years ago, while hiking, I tripped and damaged a tooth by breaking a part of a front tooth. I was out of town when it happened but did get an emergency root canal treatment with a dentist I didn’t really know. Once I returned home, my regular dentist checked it out and thought the work was good, but added a dental crown to it. Fast forward two years and the crowned tooth really started to bother me. It became sensitive to hot and cold. My dentist referred me to an endodontic specialist. He thought the problem was actually coming from the tooth next to the one with the dental crown because I have been clenching it in my sleep. Eventually, it stopped hurting, but now it is hurting again. They say there is nothing on the x-rays. I don’t know what to do. If something happened, is it normal for an adjacent tooth to have a problem a year or two later? What do I do?

Sammie


Dear Sammie,

A woman grabbing her jaw in need of an emergency dentist

I think I can help you here. First, once the root canal treatment was done on your tooth, the nerve was removed. So that means the tooth with the crown could not be the one sensitive to hot or cold unless the root canal wasn’t done or if it failed. This was an upper front tooth, which are the easiest root canals to do, so I don’t think it failed. Plus, your dentist checked it out and said it was fine.

I’m not shocked that they didn’t see anything on the x-ray. Until it progresses to an infection it might not be visible. It is also not unusual for a tooth to have trauma but not show problems for a year or so. I don’t know why your dentists are having trouble with this. My suggestion, if it is no longer bothering you, is to follow up with this and have an x-ray every year or so to check for a developing infection. It may never develop.

If you do have pain blow up before your yearly x-ray, get an emergency dental appointment because you want to stay on top of it.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.
Click here to learn about one-visit crowns.

Why Does My CEREC Crown Look Like a Piece of Chicklet Gum?

My dentist got in this new CEREC machine. He was so excited. In fact, I remember him talking about how he couldn’t wait to get it at my last appointment. So, when I needed a crown, he was almost giddy. He’d get to use his new toy. I was happy for him and happy about only needing one appointment. But, when I got the crown, it’s way whiter than the rest of my teeth and looks like a rectangular piece of Chicklet gum. I can’t believe my dentist was so excited about this. Is that was CEREC crowns always look like? I wouldn’t mind if it were a back tooth, but it’s a front tooth and very distracting.

Cyrill K.

Dear Cyrill,

I’m sure you’ve heard the phrase, “The only difference between men and boys is the size of their toys.” It sounds like your dentist was as joyful as a boy at Christmas with his new CEREC machine. While it is the CEREC which mills the crowns, it’s the dentist who designs the crown.

If your crown looks like unnatural, it’s not because it’s a CEREC crown. It’s because your dentist isn’t a skilled cosmetic dentist. Have you tried telling him how unhappy you are with the crown? He might be willing to re-do it, especially if it means he gets to use his new machine again. Or, he may give you a refund.

If the color difference is the only issue, you may want to consider whitening the surrounding teeth to match the crown. Any teeth whitening you do will not affect the crown. It only changes the color of natural tooth structures. However, you mentioned the shape being different from the other teeth too, so re-doing it is the only thing which will fix that.

If for some reason he refuses, you may want to get a second opinion on the crown. If it’s obviously mismatched to the surrounding teeth, that dentist could put pressure on him to refund your money. Dentists care about what their peers think of their work.

This blog is brought to you by Dr. Matt Roper.

Crowns without a temporary

I needed to get a dental crown. My temporary crown has fallen off. Of course, my know it all sister told me if I’d have gotten a cerec crown I wouldn’t have needed a temporary to begin with.  I’m sure she’d correct (she always seems to be), but can you tell me what this cerec thing is?

Nate- Boston

Nate,

I have a sister like that. As much as I hate to tell you this, she is right. CEREC crowns are milled at your appointment by a computer. They’re generally ready in about twenty minutes.

Because they’re done by computer, they generally will fit better as well.  You’ll have to find a dentist who uses CEREC technology.

Hopefully, your current dentist took care of your temporary crown.  You don’t want to leave that off because it can throw off your bite and your permanent crown won’t fit.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.