Dental Crown Issues: Loose Teeth and Bite Pain After Treatment - Dentistry

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Teeth are slightly worn and have minor mobility; there is mild discomfort when biting with braces?


Hello, Doctor.
About three years ago, I had a cavity in my upper right first molar, which underwent root canal treatment and was filled.
Recently, the crown cracked, and my dentist said that I cannot just place a single crown; I need to have two crowns (including the second premolar).
However, my first premolar is an edentulous space (no tooth present), and they suggested placing four crowns (including the canine), which requires grinding down three teeth (the canine, the second premolar, and the first molar).

Question 1: After the crowns were completed and cemented, I noticed that the canine is slightly mobile.

Question 2: When I chew with my posterior molars, I experience pain when they contact my lower teeth, but there is no discomfort when biting down without pressure.

What should I do about these issues? Are they normal occurrences? It has been five days since the crowns were placed, and the symptoms have not resolved.
How should I proceed? Thank you! Wishing you peace and happiness.

papa, 60~69 year old female. Ask Date: 2022/12/25

Dr. Zeng Guanghui reply Dentistry


If there is soreness during the occlusion process from the canine to the first molar bridge, it is advisable to check whether the adhesive is properly bonded and to assess if the occlusion is too high.
It is recommended to return for a follow-up appointment for further examination by a dentist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/12/25

More Info


Hello! Thank you for reaching out with your concerns regarding your dental crowns and the issues you are experiencing. It sounds like you have been through quite a journey with your dental health, and I understand how frustrating it can be to deal with complications after treatment. Let’s break down your questions and concerns regarding the dental crowns and the associated symptoms.


Issue 1: Mobility of the Canine Tooth
The fact that your canine tooth feels slightly loose after having crowns placed is concerning. Ideally, once a crown is cemented, it should be stable and not exhibit any mobility. A few potential reasons for this could include:
1. Improper Fit: If the crown was not fitted correctly, it may not be providing the necessary support to the underlying tooth structure, leading to a feeling of looseness.

2. Underlying Tooth Condition: If the tooth beneath the crown has not healed properly or has underlying issues such as periodontal disease, it could contribute to the feeling of looseness.

3. Cement Failure: Sometimes, the dental cement used to bond the crown can fail, leading to instability.


Issue 2: Pain When Biting
Experiencing pain when biting down on your posterior teeth can be attributed to several factors:
1. High Occlusion: If the crowns are too high, they may be causing excessive pressure on the opposing teeth when you bite down. This can lead to discomfort and pain. It’s essential to have your dentist check the occlusion and adjust it if necessary.

2. Sensitivity: After dental work, it’s common for teeth to be sensitive, especially if they have undergone root canal treatment. However, if the pain is significant or persists, it may indicate an issue with the crown or the underlying tooth.

3. Jaw Alignment: If the new crowns have altered your bite, it may lead to discomfort in your jaw and teeth. This can sometimes be addressed through occlusal adjustments.


Recommended Actions
Given that you are only five days post-treatment, some discomfort can be expected as your mouth adjusts to the new crowns. However, if the symptoms persist, here are some steps you should consider:
1. Return to Your Dentist: It’s crucial to go back to the dentist who performed the procedure. Explain your symptoms in detail, including the mobility of the canine tooth and the pain when biting. They may need to take X-rays to assess the fit of the crowns and the health of the underlying teeth.

2. Occlusal Adjustment: If the crowns are too high, your dentist can perform an occlusal adjustment to ensure that your bite is even and comfortable.

3. Monitor Symptoms: Keep track of your symptoms. If you notice any swelling, increased pain, or changes in the mobility of the teeth, inform your dentist immediately.

4. Oral Hygiene: Maintain excellent oral hygiene to prevent any complications such as infection or decay around the crowns. Brush gently around the crown area and use dental floss to keep the margins clean.

5. Seek a Second Opinion: If you feel uncertain about the advice or treatment you are receiving, it’s perfectly acceptable to seek a second opinion from another dental professional.


Conclusion
In summary, while some discomfort can be expected after receiving dental crowns, persistent issues such as mobility and pain should not be ignored. It’s essential to communicate openly with your dentist about your concerns and seek further evaluation if necessary. Remember, your oral health is paramount, and addressing these issues promptly can help prevent further complications. Wishing you a speedy resolution to your dental concerns and a healthy smile ahead!

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