I have a huge problem. I am a teeth grinder. My dentist suggested we crown all of my teeth. I went ahead and did that but now I am in a lot of pain and feel like my situation is worse than it was before. My jaw hurts and some of my teeth touch and some don’t. Now my jaw has started clicking. I haven’t even gotten to how bad the crowns look. They almost look like beige chalk. Do you have any idea what I should do to fix this? Do I have to choose between a dentist who can make them look good and a dentist who can do this right? So far, I’ve had neither.
I am sorry you are facing this. Placing crowns on every tooth is called a full-mouth reconstruction. It is one of the most advanced procedures a dentist can do. If it is not done correctly, a dentist can end up causing more problems than they are solving. This seems to be what is happening to you.
It sounds like the way your dentist shaped the bite has led to you having TMJ Disorder. I would give your dentist a couple of choices. First, he can give you a refund so that you can get this done correctly elsewhere or he can pay to have it fixed by a dentist you choose.
Look for a dentist who has strong reconstruction training, such as you can see on Dr. Thomas’ bio page. Do not be shy about asking what their post-doctoral training is. Dental school is not enough for the type of replacement work you need to be done.
As to form versus function, you do not have to choose. While looking at the type of training a dentist has, it will also be helpful for you to take a peek at their smile gallery. This will give you some idea of the type of aesthetic results they give their patients. If they do not have a smile gallery, they have no interest in how things look and you need to move on to someone else. If they do have a smile gallery and you like the results, take the additional step of calling their office to make sure the images are of work the dentist has done himself and not stock photos.
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