gap between crowned tooth and natural tooth

[kayla276]

A dentist put a 2 crowns on my teeth 18 and 19 back in June, I have recently went to a Prosthodontist
to have new crowns made, but I still have a gap between 19 and 20 I can feel. Will
this gap be able to be fixed do you think?  

I thought with taking the old crowns off and putting on the temp crowns that the
gap would not be there anymore, but it is.

The original dentist grinded the side of my number 20 tooth to make the crown fit and
now I have a gap which is still hurting in the crevice of the tooth 19 and 20.  

Is there anything that a dentist can do to rectify the problem of the gap?

I go back the 26th to get the permanent ones put on 18 and 19, but am scared to get the permanent
ones put on if my number 18 and 19 are still hurting like they have been ever since the original
dentist put them on and they were in hyper occlusion.

What things should I ask my current dentist about my crowns at this point?
With the gap being there, the side of my lip or jaw keeps hitting one of my teeth or two at the same time when I
close my mouth and I can feel the gap there and it is irritaiting to me.

I thought the tissue would have heeled by now, but how long does it take tissue to heal after hyper occulsal
has been the problem for 8 months?

[kayla276]

I cannot thank you enough for your truthful responses and everything you say makes perfect sense. I know I may be a rare case but there is something causing me pain and some reason the soreness and irritation has not gone away and is still there this long.

I wish every dentist would be as truthful as you are.  

[scottma]

If periodontal tissue is healthy, gum or jaw bone aching is commonly associated with occlusal interfverence, assuming root canals are optimally obturated. The discomfort almost disappears immediately  after removal of occlusal interference. Each dentist has his own judement. I can only assume if you were my patient, I would take final impression only after provional s proved to be successful. It appears that your provional crowns are not completely successful. Since the final crowns are fabricated already, and there might be problems present, permanent cementation is probably not appropriate. Grinding occlusal interference is easy, everey dentist can do it. The difficult part is detection of occlusal interference. Perhaps you feel bite is fine while you sit in the dental chair, once you go home, you feel bite is off again. It's because different head position can influence jaw movement. In addition, voluntary closure of jaw is different from manipulation. Sometimes, full mouth equilibration is essential in order to achieve optimal results. Which means, just working on resored crown is not going solve the problem.

[kayla276]

I know my condition is extremely rare, but if the original dentist would have taken off the crown when I told him it was too big and bulky feeling and found the problem right away, I might not be in this predicament I'm in.

I have another question.

If my tissue underneath my crown is still hurting should I have the permanent crowns permanently cemented anyway?  

Thanks for your response.

[scottma]

If there was tight contact between natural tooth and temporary crown, and there is gap between final crown and natural tooth during final try in, the possible causes are: lab error, teeth shift due to occlusal trauma or periodontal disease.
If provisional crown works well , i.e, optimally comfort chewing, no thermal sensitivity(vital tooth), final crown can be fabricated.
It appears that final crowns are fabricated already and there is gap between teeth, the dentist can take a pick-up impression  and send back to lab for correction. However, your condition is extremely rare, I would suspect that your teeth are mobile, and occlusion is unstable. Further working on temporary(provisional) is probably needed.