The metal dentures do not fit properly against the gums?
Hello, Doctor! I have a molar that is half decayed, so I had a metal crown placed on it.
The week after getting it, I felt very uncomfortable; food debris keeps getting stuck in the gaps of that tooth, and I feel that the crown does not fit well with my gums, which causes extreme sensitivity and pain when debris gets trapped.
I went back to see the original dentist, and after describing my symptoms, he only mentioned that it was gum inflammation and that I needed to adjust to it.
However, the problem persists, and there have been several instances where the pain was severe enough to cause headaches.
I would like to ask if the crown was not done properly, is there a way to avoid spending more money to have a new one made?
Ann, 20~29 year old female. Ask Date: 2023/11/05
Dr. Lin Jiayong reply Dentistry
Hello: It is generally recommended to observe for at least one month.
If discomfort persists, you may consider undergoing root canal treatment followed by capping the entire tooth with a crown.
Regarding costs, it is advisable to have the procedure done at the same clinic to receive a more reasonable discount.
Reply Date: 2023/11/05
More Info
It sounds like you're experiencing significant discomfort and complications following the placement of a metal dental crown. This situation is not uncommon, and many patients face similar issues when receiving dental restorations. Let’s break down your concerns and explore the potential reasons for your discomfort, as well as your options moving forward.
Firstly, it’s important to understand that dental crowns are designed to restore the function and aesthetics of a tooth that has been damaged due to decay, trauma, or other factors. However, if a crown does not fit properly, it can lead to a range of problems, including food impaction, sensitivity, and even pain. The fact that you are experiencing food getting trapped around the crown suggests that the crown may not be adequately contoured to fit your gum line and surrounding teeth. This can create pockets where food debris can accumulate, leading to irritation and inflammation of the gums, which may explain the sensitivity and pain you are feeling.
Your dentist's initial response that this discomfort is due to "gum inflammation" and that it requires a period of adjustment may not fully address the underlying issue. While some discomfort can be expected after a crown is placed, persistent pain, especially to the point of causing headaches, is not typical and should be investigated further. If the crown is indeed poorly fitting, it may require adjustment or even replacement.
In terms of your question about whether you can avoid paying for a new crown, this largely depends on the circumstances surrounding the placement of your current crown. If the crown was placed incorrectly or if there was a failure in the technique used, you may have grounds to request a redo at no additional cost. It is advisable to have a candid discussion with your dentist about your ongoing discomfort and express your concerns regarding the fit of the crown. If your dentist acknowledges that the crown is not fitting properly, they may offer to correct the issue without additional charges.
If you feel that your concerns are not being adequately addressed, seeking a second opinion from another dental professional can be beneficial. A different dentist may provide insights into whether the crown is indeed poorly fitted and what corrective actions can be taken. Additionally, they can assess the health of your gums and surrounding teeth to ensure that there are no other underlying issues contributing to your discomfort.
In summary, while some discomfort can be expected after receiving a dental crown, ongoing pain and sensitivity, especially to the point of headaches, warrant further investigation. It is crucial to communicate openly with your dentist about your concerns and to seek a second opinion if necessary. Your oral health is paramount, and you deserve a restoration that not only fits well but also alleviates any discomfort. If the crown is determined to be poorly fitted, you may have a valid case for having it redone at no additional cost.
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