New Crown Feels Too Tight

[ssmith1001]

3wks ago I had a por.crown cemented on tooth 30. Been going to this DDS for 10 yrs. Had 3crowns done bef.& no probs.
However, last wk. hubby's crown didn't fit. Got sent back to lab.

My crown stayed on for 2 days & then popped off when chewing.
I went to have it recemented.

Crown was then on for 24-48 hrs.& I started to have a feeling of tightness like a vice around the tooth. This wouldn't go away & I began to have a jaw ache from the tightness I was feeling around the tooth. The feeling is like a clamp has been tightened around the tooth & then the tight sensation starts to ache.

1st call. I went in for an adjustment. This did not help.
2nd call. He did say he thought the distal of crown was rather long to compensate for something(?)& maybe that was pushing on the bone. But,if that was the case it should over time adhere & conform properly & the feeling of tightness would go away.He was at a loss as to what could be the problem. Suggested he could ask his friends(a periodontist& a prosthodontist)what they think could be happening. He dosen't know what to do for me as he has not experienced this before.

* There is a pin and some filling exsisting under crown
* The pulp was not exposed during crown prep
* No pain issues bef/after crown prep
* No inflammation around gums  
* RC...has NOT been done on this tooth however,DDS says the tooth does not appear to need one either
* No percussion problems
* No issues with hot and cold liquids

Do you think I have an ill fitting crown or some other issue?
What could/should be done?

[Jerome Bogin, D.D.S.]

This is an interesting question. Frankly, I am at a loss, but if the discomfort does not abate I would suggest that the crown be removed, the nerve checked for vitality, a temp be made until the symptoms disappear.

[mike1105]

hard to tell without seing it. why not go for another opinion if your current dds has no answer?

[ssmith1001]

Mike,

Thanks for your reply.

I suppose I could get a 2nd opinion.

In a way, I feel that perhaps it would be a waste of money since my own DDS couldn't find an answer to the problem.

I would almost rather put that money towards payment to my own DDS to remove the current tight crown and put a temp crown on tooth for about a month...and see if that tightness goes away. If it does...then have a new crown made. Of course, my ins won't pay for another one...but

I haven't suggested that to my DDS yet as I was hoping this feeling would go away. However, since it has not & my DDS seems to have NO ANSWERS do you think it would be alright to tell my DDS what I would like him to do?  I am not trying to take over his job...as he is the DR.

Thanks for any help you can give me.

[ssmith1001]

Dr. JB,

Thanks for your time and your reply back.

I appreciate your honesty and help will the problem.
Your suggestion was very helpful. I believe that is what I will do.

Thanks again.

[kid_twist]

I had the same issue with an uncomfortable crown. My dentist is gonna take the crown off and put a temp on to see if the symptoms subside. He said it could just be a crack under the crown or an ill fitting crown.