Dental Crown Pain

[Brookm482]

I have now had 8 incisors replaced with porcelain crowns or veneers as a result of severe wear from bruxism.  My final crowns were placed 2 weeks ago. I have had my bite adjusted twice since the procedure, and have been wearing my bite guard every night.    I still have severe pain in many of the replaced teeth.  If I drink hot or cold fluids, acidic drinks or eat something sugary, I have sensitivity that lingers for hours afterward.    I'm feeling very frustrated and helpless. I have been in pain for so long now that I feel nauseous everyday.  Every time I go back to the dentist he grinds my crowns down more and more and says, "try that for a while".   I was very optimistic that my pain would finally be resolved, but it is not any better, I could really use some advice.  

[Douglas Hauck, DDS]

I am glad to hear this. Please let me know of your progress.

[Sam Delfino]

Hi Brook,
I have seen this many of times. There are several things that can cause this, but the bite issue could be the key to this especially if the xrays show that everything else is normal. It sounds like your bite is changing. Remember, there was a reason why your teeth were worn down. Your body was finding your old bite uncomfortable so it was trying to find a right position. The issue is this, if you are wearing a night guard, you are protecting your teeth at nights, but you are not protecting your teeth during chewing, yawning, walking, running, or other activities that you do when you are awake, which will cause your teeth to touch. This causes continuous trauma.
So xrays of the teeth need to be taken, to make sure all margins are closed and sealed and that needs to be checked clinically as well, then the roots of your teeth need to be checked, evaluation for root canals and your bite needs to be evaluated. You TMJ needs to be evaluated and xrays of your joints (TMJ) would be very helpful.
Make sure the dentist that you see has extensive training in TMJ therapy and full mouth reconstruction and bite disease diagnosis AND treatment. Let me know if I could be of any assistance in finding a dentist that has proper skills in your area.  

[Brookm482]

Thank you so much for the reply, it was helpful.  It has been several days now since my original post and my teeth are beginning to feel better.  I think I may just need one more bite adjustment in one spot.  The sensitivity seems to be improving every day now and perhaps it is just taking time for my teeth to recover from all the work.