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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible To Adjust The New Crown As It Is Too Low?

A few weeks ago I got a new crown. Last molar in bottom back left side. I cannot afford to loose the tooth. He used the new technology. Two hours and all done. But it sits too low. He has tried to adjust my bite by taking a little off my front bottom teeth but it still is too low. Can the crown be built up with porcelain while in my mouth. I am afraid of taking it off and redoing it because the tooth has a crack in it.
Fri, 17 Apr 2015
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Dentist 's  Response
Hi Dear,

Welcome to Health Care Magic Team.

Understanding your concern.

New crown of last molar tooth as you said is lower in position which means this crown is not at all in occulsal contact with teeth of opposite jaw. If teeth are not in proper occlusal contact while chewing it will cause load to distribute unevenly which in turn cause pressure on muscles and temporomandibular joints and it will cause wasting of muscles.

Your tooth can be saved easily that is not an issue but what your need is removal of existing crown and resetting it to higher level. A well fitted crown will allow you to bite proper once it is properly inserted.

Resin cements along with bonding agents are used now a days for crown lengthening.

Subgingival i.e below your gum line margin placement can be done to improve height of your crown.

Alternation of tooth preparation design with placement of retention forms can be done.

I would suggest you to stick to your exiting dentist and tell him your problem because if you will switch to another dentist that could be very costly for you and new dentist can cause same mistake again.

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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Dentist Dr. Honey Arora's  Response
Hi..
Can u understand your concern..

As per your query..

If the crown fits too low, its height cannot be raised and by adjusting through grinding other teeth can only damage the enamel layer of other teeth and excessive grinding of other teeth can lead to sensitivity of those teeth..

The other thing is that when porcelain crown is made it needs to be processed in specialized machine at high temperature and is then checked in patients mouth and then glazing is done (to give it a shine as we have in natural teeth because of top layer of tooth called Enamel ) once the fit comes perfect. Therefore porcelain cannot be added when crown is in the mouth..

Dentist has to remove the crown by an instrument called crown remover and if the undelying tooth is not strong enough to bear the jerk of crown remover and can get fractured dentist can remove the crown by cutting it..

Then he has to get the crown made again and replace in your mouth...

Hope your query is solved..

Thanks and regards..
Dr.Honey Nandwani Arora.
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Is It Possible To Adjust The New Crown As It Is Too Low?

Hi Dear, Welcome to Health Care Magic Team. Understanding your concern. New crown of last molar tooth as you said is lower in position which means this crown is not at all in occulsal contact with teeth of opposite jaw. If teeth are not in proper occlusal contact while chewing it will cause load to distribute unevenly which in turn cause pressure on muscles and temporomandibular joints and it will cause wasting of muscles. Your tooth can be saved easily that is not an issue but what your need is removal of existing crown and resetting it to higher level. A well fitted crown will allow you to bite proper once it is properly inserted. Resin cements along with bonding agents are used now a days for crown lengthening. Subgingival i.e below your gum line margin placement can be done to improve height of your crown. Alternation of tooth preparation design with placement of retention forms can be done. I would suggest you to stick to your exiting dentist and tell him your problem because if you will switch to another dentist that could be very costly for you and new dentist can cause same mistake again. Hope your concern has been resolved. Best Wishes, Dr. Harry Maheshwari