I had every tooth crowned because of some rather severe problems. The back teeth were crowned down to nubs and the front teeth were chipping daily. My jaw ached and clicked. As a result, my dentist said my bite needed to be opened. He did the bottom crowns and bridges first. That seemed fine. It wasn’t until he bonded on the upper crowns and bridges that the problems developed. On one side of my mouth, the teeth hit way too soon. With the other side, though, the teeth don’t touch at all. I’m in worse pain than ever. Is there a way for him to file down the ones that are hitting too soon? My pain is unbearable and I have already spent a fortune on this.
What your dentist did is known as a full-mouth reconstruction, usually it is done with a combination of dental crowns, bridges, and sometimes dental implants. It is a technically advanced procedure that takes significant post-doctoral training along with experience. Doing this wrong can throw someone’s bite off and create painful TMJ problems. It sounds like you were already dealing with some TMJ symptoms and the way your dentist handled this case has exacerbated it.
Complex procedures have to be done carefully. It is important they get the occlusion of your teeth in line perfectly with temporary crowns first before anything is bonded on. He should adjust the temporary crowns until you are perfectly comfortable and there are no problems with your speech. Only then should the permanent crowns be made to replicate the temporary crowns.
While theoretically the teeth that are touching too soon could be ground down a bit, that is usually something reserved for minor changes. The description I am getting from you is the teeth on the other side of your mouth don’t touch at all. This means the amount of grounding necessary for them to meet would go past the porcelain.
Please bear in mind as I answer your question that I haven’t examined you. Based on what you have described, I think this case need to be completely re-done. I want you to get a second opinion. But this time, see someone who is an expert in reconstructive dentistry. For instance, Dr. Thomas is a fellow with the International Congress of Oral Implantologists. It takes a high level of training and expertise to get to that distinction. Looking at his bio, you can see the amount of advanced post-doctoral training he has invested in.
It is helpful if you get your second opinion from someone out of town so there is less of a chance the two dentists are pals. That way there won’t be any conflict of interests. Once you secure the second opinion, you will be armed with the information you need to secure a refund on your case and get it done by someone who can do it properly.
This blog is brought to you by Sugar Land Dentist Dr. Thomas Siny.