crown

[kayla276]

(regarding #19 crown) put on 6 months ago. My gum pain is starting to subside and the crown seems like is starting to stay in place, adjusting itself to the gums, but the crown keeps moving sideways when I eat.  I get gaps between number 18 and 20  when this happens. #19 is the tooth the cap is on.  

I have attached pictures so you can see what I am talking about in my profile.  Why does the cap keep moving sideways left to right and right to left when I eat making gaps appear between the teeth?   It also feels like food is still getting stuck in the gaps as I have shown in my picture attached in my profile.

I did go back to the dentist and he stated there is nothing wrong with this crown and it is normal for teeth to move.
He would not adjust it the day I went back, the last day I went back was December 16th.

When I eat the tooth gets irritated.  I believe all teeth may move, but it should not be that noticeable to yourself when you are eating and feel gaps between the teeth right away.  

When he took the x-ray, he stated the nerve looks fine.   Please let me know if you can tell me what keeps causing a crown to move and causing gaps between the teeth.  

Thanks for your time.

[kayla276]

thanks so much.  I think this crown is too big to fit in the spot he put it in and needs replaced with a smaller crown even if I have to jeopardise the nerve and get a root canal.

He should have never put an ill fitting, too big crown on and left it there and think he would not have  to adjust it to make it fit right.  If he didn't want to adjust it, he should have never put it on in the first place and should have just ordered another one from the lab that fit right from the beginning.  

I am now getting soreness in my jaw, neck and under my chin. It felt like my jaw moved.   I just can't deal with this anymore or his crazy office staff that try to defend him and his work.  It's like going in to battle when I step in his practice. lol

I got his receptionist telling me I cannot have things I'm allowed to have so I can do some investigating on it myself because he states there isn't anything wrong and I have her telling me what is wrong with my tooth. Then I have him stating their isn't anything wrong with my crown and then I have to deal with his medical assitant telling me that this is the way my original tooth was.  

Geeeezzzz   I gotta find an excellent office and dentist practice. I thought he was great up until now.  Any office that will lie to you about not being allowed to have the things you are allowed to have and won't provide them to you definitely has something to hide if you ask me.  

Thanks for all your help.  

[scottma]

Your assumption or perception is possible, but hard to verify clinically. Unless pre-op and post-op x-rays are compared. When a new crown introduces occlusal interference, many consequences may happen, which include sensitivity to thermal stimulus, uncomfortable bite, jaw bone ach, muscle sorness, tmj problem, head,neck, shoulder pains, tooth mibility, ear, eye symptoms. Not all patients present all of above symptoms, most pateints have some of above symptoms.
There are more than 200 joints in a human body. Each joint has it's own preferred movement of path. Tmjs are  certainly no exception. When a new occlusal interfernce is introduced, the original pattern of  neuromuscular function is changed. Even removal of fauly crown may not return to original status.
If you were my patient, I would adjust the occlusion of offending tooth, which is #19. If the margin fitness is acceptable. It may take several visits, because your neuromuscular system and tmjs are not stable. If your problem are solved by this simple adjustment procedure, no further treatment is indicated. However, if other tmj associated symptoms persist, occlusal appliance therapy would be indicated. Generally, tmj associated symptoms would resolve after 3-6 months therapy. After neuromuscular and tmjs system are stable, full mouth occlusal equilibration is indicated. the above occlusal treatements are lengthy and costly.
Hope you can find an occlusionist or prosthodontist who can solve your problem. When you present your problem to a new dentist, do not tell him or her the complicated issue, otherwise, very few dentists have the guts to accept you.

[kayla276]

None of the prosthodontist I have contacted will even look at what another dentist has done work on.  I have contact 3 of them. LOL

So now I have one more question.  What would cause this tooth to sink further down into the gums and start moving the other teeth to the left?

It feels like it is going clear down into the bone or something and when it gets so far something is trying to push it back up.   I feel a pulling muscle in my neck now and in my jaw bone on the left.    Could a crown cause all this just in 7 months?

When I went back on January 8th and the medical assistant told him she found a new mark on the paper a Number 20 and 21and it is my other two teeth, he would not even look at the marks on the other teeth that were made from the paper.   This is the teeth this tooth has pushed over and now the bite on them is off when I shut my mouth.

December 16th I remember her telling him she found marks also on number 19 a new spot and he would not look or adjust the crown at all.  So this makes December 16th and January 8th that he would not adjust the crown. Every time I have been in after November 4, he will not even touch the crown or look at the marks the dental assistant is finding when she uses the articulating paper. I don't know why this is.

[kayla276]

Thanks,  I found a prosthodontist finally, in my area.   Now I am going to see if my original dentist wants to do something about the tooth the way it is or I am going to see
if he wants to pay for the prosthodontist to fix the tooth right.

Thanks again for all your help and advise.  

[scottma]

The crown appears overcontoured  on buccal surface to me from the picture presented. Occlusal interference can only be detected by articulating paper with proper manipulation skill. However, the high spot identified by yourself is a common location of occlusal interference. If you feel crown moving, it's probably the crown is not well fitted or the whole tooth is moving. If your dentist can not solve your problem, you may need to see another dentist.