DENTAL HEALTH COMMUNITY
Crown Height

Crown Height

My grand daughter who is five years old had a crown placed on her lower back right molar the other day and her other teeth do not make contact now, There is a big gap between the top and bottom teeth when she closes her mouth now that was not there before. It is very easy to see that the crown is much higher and larger over all compared to the other teeth. The dentist ground the crown and the upper tooth to try to close the gap but it is still there. I would have to say the gap between the top and bottom teeth in the front is about 1/16th of an inch now. The dentist said her other teeth will adjust because she is growing. Her teeth were nice and straight before without large space and she had a nice bite. If left like this, will her other teeth start to shift to fill in tha gaps resulting in crooked teeth and can this cause other medical complications? She does grind at night sometimes, so can this also cause problems since the right side is much higher than the left?

I also looked at the tooth after the dentist finished prepping it prior to placing the crown. The dentist drilled three holes in the top of the molar rather than prepping the perimeter of the tooth. I have had crowns in the past so I know how they normally are prepped. Her tooth did have a big filling in it and the pulpa had been removed so that is why she needed the crown, but I am still not sure why she would have drilled holes in the top of the tooth and not ground the perimeter. I think that is why she needed to use such a large crown also. Can you advise. Thank you.
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  I think that all of your concerns are VERY VALID.
Does your granddaughter seem to be in pain due to the crown being so high?
I think if it's at all possible I would get her a second opinion.
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No, she is not complaining but I am concerned that her teeth will start shifting to fill in the gaps. I would also like to know if this could cause problems for her permenant teeth? The dentist said she will not lose her first molars until about 12 years of age so that tooth is going to be in her mouth for a long time.
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My Grand daughter will only eat soft foods now because she says it hurts to chew on either side of her mouth. She is not able to eat firm vegetables and fruits like apples, pears and carrots, etc.
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