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Do I Need New Crowns Replaced to Stop My Teeth from Chattering?

Posted by AllSmiles

I chipped both front teeth as a young teenager. At the time, my dentist filled the chips with dental bonding. I’ve had the bonding replaced several times throughout my life. At 52, my current dentist recommended replacing the bonding with dental crowns. I regret accepting that recommendation. I have six crowns on my upper front teeth. My bite is off, and my teeth chatter. Maybe my anxiety is making it worse. I’ve returned to the dentist multiple times, and she referred me to a periodontist who confirmed that my gums are healthy. Do I need to see another dentist for bite adjustments? Could I need new crowns? Thanks. Emiko from San Diego

 

Emiko,

Your anxiety is understandable. We can’t say whether you would need new crowns without an exam and X-rays. However, we have several concerns and suggestions on how to proceed.

Replacing successful composite bonding with six crowns seems like an overly aggressive approach. A more conservative solution, such as replacing the bonding, might have been sufficient. Referring you to a gum specialist seems irrelevant to your bite problem. A dentist specializing in occlusion can address the bite concerns.

This raises questions about the dentist’s judgment and ethical considerations.

Meticulous attention to occlusion is crucial when performing multiple crown procedures, especially on anterior teeth. This includes ensuring proper centric occlusion, anterior guidance, and canine protection. Any deviation from these principles can lead to long-term dental problems, including the issues you are experiencing with your bite.

Your post-treatment symptoms, including dry mouth, burning sensations, and an urge to clench your teeth, are concerning. The most significant red flag is the bite issue. A well-executed crown procedure gives you a natural and comfortable bite. However, your description of an awkward bite and the desire to clench your teeth suggests potential problems with the occlusion.

Get a Second Opinion from a Qualified Dentist

Given the situation’s complexity, we recommend seeking a second opinion from a dentist with advanced training in occlusion. Dentists who have graduated from institutions like the Pankey Institute, Dawson Academy, Spear Education Center, or the Las Vegas Institute possess the necessary expertise to diagnose and treat complex occlusal issues.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Read why his patients think he is the best dentist in Rocky Hill.