Am I have an allergic reaction to crowns in my mouth?

[luckyman316]

As far as I know, the crowns are white gold crowns. I had one fall out last week due to the fact that my previous dentist did not cement it in since it was a great fit. Ironically, a lot of neck pain I had went away after this fell out.

I went to my new dentist and he cemented the the crown back in, which was on my bottom right tooth (tooth number #31). I also have a crown right next to it on tooth #30. The very next day, my eye turned very red. It has been like this for a little over a week. I already went to the eye doctor and they found nothing wrong with the eye and suggested it was an eye allergy.

Am I having some sort of allergic reaction from the crown? If so, what actions do I take?

[scottma]

Occlusal adjustment on natural tooth or crown is no difference, as long as there is presence of bad contact, it must go away. If crown is perforated , let it be perforated, there is generally no problem. Treating. Crown as natural tooth, if there is exposure of natural tooth, and worrying about decay, you do a filling on it.the dentist who did crown work may not be competent enough to redo the work. Night guard certainly is highly effective for TMD symptoms, but it is highly technique sensitive, few dentist can do it right.

[luckyman316]

Scottma wanted to update you and the rest on this. I seeked out a prosthodontist and had the appointment with him yesterday. He spent time on my teeth, in particular the area with my crowns. He said that in fact, one of the crowns was too high (Tooth #30). While he could have adjusted it, he was reluctant to do so due to the fact that it was a gold crown and he did not know how thin it was, and an adjustment to get it right could lead to putting a hole in the crown which would make it worthless and force him to redo my crowns. He actually suggested both my crowns next to each other were a little high (#30 being worst though) and that since it was done by previous dentist, it might have been his style to do it this way -- shame on him!

He talked to me about how the high crowns were not allowing my muscles to work properly and how other parts of my body were trying to compensate for it. With the adjustment, it would get my body back to normal. He said to keep wearing he night guard which would help.

He left it in my hands to decide whether I want to get this done or not so I told him I'd take a couple of weeks to think about it. His suggestion was that I should get new crowns, as that would be ideal and told me himself or my regular dentist could do this (he wasn't forcing me to go with him). Now, I'm unsure of what to do. I obviously don't want to wait this out but at the same time, I don't want to risk getting things worse. Can you give me some advice?

[luckyman316]

Scottma, I did follow your instructions to the T and asked my dentist to grind off bad contact (occlusal intereference). He didn't grind the crown, he grinded the tooth on the upper side to get the bite right. I was skeptical of him doing this, but he admitted he was nervous about grinding the gold ground for fear of putting a hole in it. I think at this point, I need to see a skilled prosthodontist in my area. My dentist is not specialized in this.

I think I've pretty much all but verified my interference is coming from height of crowns. I decided to give my night guard another shot and the past 2 days, my eye has not been red. This leads me to believe the height of my crown is causing my clenching teeth to give me the red eyes, since it's touching first. I'll report back when I have a better idea what's going on.

[scottma]

Please read my post carefully, there was answer already. Ask your dentist to grind off bad contact( occlusal interference). He /she may not have bimanual manipulation technique to detect occlusal interference, you can help locate by what I have written.

[luckyman316]

I just wanted to update this. My dentist made the adjustment for the bite, by again shaving off some of the upper tooth and then polishing it up, etc. He was reluctant to shave down the crown as he didn't want to put a hole in the crown.

When I left his office, my bite felt right and did for a few days until last night again. I'm not sure what is going on. My symptoms, especially the red eye (right) on the same side as that crown, is still there. Again, this happened the very next day after the crown was recemented. I've been to 3 different eye doctors, none of which know what the cause would be.

What's my next step here?

[luckyman316]

Thanks, scottma. I was away on vacation but just saw this. My new dentist a few months ago, did make an adjustment on the upper tooth but very tiny and it made a difference (root canal tooth was actually hurting.. it does not any more). I need to talk to him about an adjustment or seek the prosthodontist as I was originally going to do. I think I'm having some neuromuscular issues being caused by this. I initially thought I had mercury toxicity or an allergy to the material used on the crown. But my old dentist confirmed they have been mercury free since 1986 (I started going in 2005) and my crowns are high noble metal. Gold, titanium, palladium. The irrigate Peridex, with salt water. I'd imagine my issues are not caused by any of this.

[scottma]

There is no need to remove crown, the dentist can adjust intraorally. unless he or she is comfortable establishing ideal occlusion, For the sake of avoiding malpractice,most dentist will grind crown only.

[luckyman316]

Thanks, Scottma. Should the dentist be adjusting there crown on the bottom tooth or should he be adjusting the upper tooth that its making contact with? Also, how is the crown adjusted? Do they take it off or just adjust it while its on? Its a white gold crown on a pretty big tooth

[scottma]

Occlusal adjustment of second molar whether it be gold crown or natural tooth entails much extensive knowledge and experience, same thing applied to night guard. Same treatment rendered by different dentist can give very different outcome. When you have a dental appointment, try to help your dentist detect bad contact of crown by this technique. When your dentist place articulating paper between your teeth, you chin up and tilt your head backward, in the mean time, roll your tongue back and up, try to touch palate with tongue tip, you'll feel there is only one point of the most back tooth contact, usually. That's the occlusal interference. Thereafter, move your head downward, i.e. Flexion of head,this maneuver can help detect bad contact. Once your dentist sees the contact on the crown, he or she can easily grind out without problem. If your dentist knows biannual manipulation technique, it will make life much easier. Repeat procedure as many as needed , until you feel bite right, at least you can clench comfortably. If well done, you can rotate your head comfortably, which means your neck muscle can relax, which is related to correct bite

[luckyman316]

One last question. Would I benefit from a nightguard with this issue or could it make it worse? My dentist made me one since I started to clench my teeth when this all started, and I've been reluctant to use it. The times I have used it, I didn't notice a difference and I think the night guard also needs to be adjusted.

[luckyman316]

Thanks scottma. Ironically, I've had some very strange issues about 3 days after the 1st gold crown was put on almost a year ago. This is why I suspect an allergic reaction of some sort. My new dentist said that one was fine with the height, but suspected the other one next to it might have issues. I'm going to consider the prosthodontist on this one. Appreciate all the advice.

[scottma]

Gold alloy is the best material of crown, no need to replace a new crown. Your problems have nothing to do with allergy. Seeing a prosthodontist who is competent in occlusion adjustment is advised.

[luckyman316]

Thanks scottma. Any particular dentist I should see about this? My current dentist used to practice holistic dentistry. Or should I seek a prosthodontist? Also, should I consider replacing my current crowns for porcelain crowns to eliminate any reaction I could be having to the gold?

[scottma]

All your symptoms are probably related to occlusal interference of crown, many health professionals may not believe once crown was put back and symptoms occurred. However, it's common in my practice that similar symptoms relieved right after occlusal adjustment of second or first molar.seeing a dentist who can adjust occlusion or bite of your newly cemented crown optimally is advised.

[luckyman316]

Hi scottma, yes the redness is only in my right eye. How do I go about getting this fixed?

FYI, ever since my dental crown placements, I've had issues with brain fog, tinnitus/hearing loss and balance issues. Even the neck issue I had, was all on my right side.

[scottma]

If your eye redness is only right side , it may be related to autonomic phenomenon induced by occlusal interference of dental crown, based on your descriptions.