does bad temp crown indicates bad dentist

[angela9999]

Hi
I have two temp crowns done by a new dentist.  The new temp crowns feel horrible and they are too short and they do not fit right and my bite has been off since those horrible temp crown.   And, they do not look like they are done by  a professional.  I'm not sure whether or not this is an indication that the dentist is not that good.

The other thing is that one tooth had almost perfect temp crown.  It just needed an impression for a permanent crown.  and the other tooth did not have a crown as I lost its temp crown.  The new Dentist decided to remove the perfect temp crown and do the impression for both teeth and redo the temp crown.  Despite the fact we agreed not to shave the tooth any longer because it is well prepared and ready for the permanent crown, I think she did shave the tooth further because it has been more sensitive and painful.  

I'm very nervous as I have been having horrible experience with dentists so far.  So far, No dentist seems to be willing to do decent nor proper work.  I was told that dental care in US is about collecting money.  That is very sad to hear though.

Please let me know if any of the above is an indication that this is a bad dentist.   How can the patient know if the dentist is good or bad before proceeding any longer and cause more teeth damage and more wasting money?

[Top 3 Dentists]

temporary crowns are an indication. But only ONE indication. Your case and situation might be a special one. And whoever told you that Dental Care in US is about Billing was very far off. There are many dentists who have dedicated themselves to excellence and they go above and beyond the needed level of training that the state boards require them so that they can provide superior service to patients. So please get this thought out of your mind, as it will hamper your decision making process and trust. IT is a thought process that will not serve you.
Now, back to your teeth, if they are more sensitive, it may or may not mean that the dentist has shaven it down more. It could have been that they washed the tooth with antimicrobial, and the irritation from the impression taking or even a temporary that is leaking is what is causing the sensitivity.

visit a dentist who has proper training in restorative dentistry http://www.top3dentists.com/pages/prosthodontal

[angela9999]

Thank you for your response.  I really appreciate it very much.

I have been waiting to meet the dentist who has integrity, good service quality, self conscious and not money driven.  

That dentist was referred by your web site.  And, because of the credibility of your web site, I had a free consultation with her and during that visit she looked like she will do better job.  However, I was very shocked with those temp crowns.  

Here are the characteristics of those two temp crowns (tooth 12 has root canal and tooth 13 does not have root canal) :  Both temp crowns are not cemented.  So they move and I'm afraid they can leak and cause cavity.  They are very short and they have no inclusion with the bottom at all.  As a result, my bite has been off.  I have observed that when the bite is off, the gum gets screwed as well.  So my gum has been irritated since my bite has been off.  

I saw her yesterday regarding those temp crowns.  And, she closed the gaps on tooth 13 temp crowns.  And, she did not want to add any length for my bite.  She said "This is part of the process".  I'm not sure if this is correct.  I think she does not see any thing wrong with those temp crowns which is a kind of shocking to me.

Please let me know your honest opinion...thanks again..

[Top 3 Dentists]

Hi Angela,
Here is one option to do. Although this is going to be slightly costly for you as the dentist would have to send the case to the lab for this, is to have the dentist make a custom temporary for you by the lab. This is cheaper than having the final restoration done, such as the crown, but it will give you a great indication as to how your teeth are going to look like. At times the dentist would have to take teeth out of occlusion for number of reasons. Such as irritation to the gums or the ligaments around the tooth. This would actually help your gums if the bite was not right or if the dentist saw irritation to the area.
Temporary crowns now a days are no longer cemented on, as the new materials allow the dentists to not use any kind of a cement under them, so this would not be a concern.
Also, reading about your situation, it is clear that you have a complicated situation in your mouth, and much work that has been done back and forth. I would also suggest you working with your dentist and asking them what your expectations should be. Setting up each conditions expectations are important in this process. At times, the dentist can only do their best, with what they have .
I hope this helps,

[angela9999]

Thank you for your honest opinion.

Yes my case is a little different or complicated as you call it because the previous dentist missed up tooth 12 by shaving it too thin and in a twisted way which makes the crown twisted and leaning to the lingual and also leaning to tooth 11.  

That was the reason, we posted our question in your forum in order to get your honest opinion.  Most people who post their quesions in this forum have either different or difficult case.

And, when your web site recommended that dentist, we assumed that the dentist is very skilled and honest because of the credibility of your web site.

During my last visit, we wanted the dentist to focus on tooth 12 only due to the face that it needs more attention and more focus.  But for whatever reason, she insisted to work on tooth 13 as well.  Tooth 12 was the main reason of our visit to that dentist.  Tooth 13 could have waited until we are done with tooth 12 first.

Anyway, my husband and I are still hoping that this dentist can make a difference and have crowns which not only look good but also function well.  We will let you know how it goes..thanks again.  

[Top 3 Dentists]

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