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My New Dentist Is Hesitant About Replacing My Crowns

Posted by AllSmiles

I agreed to let my former dentist replace my old amalgam fillings with composite fillings or crowns, depending on the size of the cavities and tooth structure. In late March, we started the work, and my dentist placed two fillings and three crowns. The crowns are uncomfortable because they are bulky and press on my gums. My bite is off too. I was stressed because family issues came up and interrupted my dental care. Two weeks ago, the pain was so intense that I decided to call around for a cosmetic dentist who could see me right away. Although the dentist could not do anything at that time, she offered to do free x-rays and a paid exam. I canceled treatment with my former dentist.

The new dentist says that my nerves are irritated, and she does not want to replace the crowns until the nerves heal. She did not explain what is happening with my teeth. I do not understand this, and I am anxious and concerned that I need to switch dentists again. Is nerve irritation related to when I can get crowns replaced—especially if they hurt? How can I find the right dentist? Thanks for your help. Leighann from NH


Thank you for your question. We are concerned about your new dentist’s hesitation to replace your crowns without explaining the source of the issue.

Nerve Irritation with Dental Crowns

If a dentist cuts deeply into teeth when preparing them for crowns, it can irritate tooth nerves. In contrast, removing a crown may be mildly irritating—if at all. After a week or two, tooth nerves should calm down. But the irritation should not linger.

Dental Crown Placement

Dental crowns should fit so comfortably that they feel like natural teeth. Crowns that press on your gums, feel bulky, and disturb your bite are poorly made or placed. It seems that both dentists are uncomfortable with the process.

Young woman resting in a hammock portraying how sedation dentistry helps you relax
Ask a dentist about sedation options to help you relax while getting dental crowns replaced

Unfortunately, it is best to switch dentists again. Instead of scheduling an emergency appointment, this time, select a cosmetic dentist with extensive with post-graduate cosmetic dentistry training. You can consider scheduling consultations with two cosmetic dentists to increase your comfort in choosing a provider for your new crowns. Explain your anxiety to each dentist, and they will discuss sedation options to help you relax during crown replacement.

Rocky Hill, Connecticut cosmetic dentist Dr. Thaddeus Michalski, sponsors this post.