Temporary Crowns and Porcelain Veneers: Common Concerns

Q: Temporary Crowns and Porcelain Veneers: Common Concerns

Dear students with mild anxiety：<br>1. <br>Due to the thickness of the dental crown, you may initially feel that your lips are pressing against your upper front teeth.<br>2. <br>The thickness of the crown on the upper front teeth may also give you the sensation that your lower te

Temporary crown, all-ceramic crown

Hello Doctor: Recently, I had two upper front teeth and two lateral incisors made as all-ceramic crowns.
The front teeth underwent root canal treatment, while the lateral incisors were made for aesthetic reasons.
Today, I just had temporary dentures placed, and after the anesthesia wore off, I noticed a few issues and would like to ask you:
1.
When I close my mouth, I feel that the bottom edge of the upper front teeth is slightly pressing against my lips.
Is this normal?
2.
After returning home, when I move my jaw side to side with a bit more range, I feel that my lower teeth are getting stuck against the two upper lateral incisors.
Is this also normal?
3.
When I gently push the two lateral incisors with my tongue from the inside, I feel a tight, somewhat strange sensation.
Is this normal? (The two lateral incisors have not undergone root canal treatment, but they have had cavities.)
4.
Based on the previous question, do you think it is necessary to perform root canal treatment on the two lateral incisors, or can they be preserved? I would really like to hear your opinion! Additionally, if I do not undergo root canal treatment and later need to treat an inflammation after the all-ceramic crowns are placed, can the crowns be reused after removal, or would I need to make new ones?
5.
Lastly, I have a question unrelated to the temporary dentures.
During recent treatments, a mouth opener made of a material similar to dental gloves was used, but after two consecutive treatments, I have experienced noticeable pain around my lips, and this time there is some redness and swelling, along with increased pain.
What should I do? (Currently, I have applied a thick lip balm.)
These are my questions, and I would greatly appreciate your help in answering them.
Thank you very much, Doctor!

Wei Jiao Lv de Tong Xue, 20~29 year old female. Ask Date: 2024/04/25

Dr. Zeng Guanghui reply Dentistry

Dear students with mild anxiety:
1.
Due to the thickness of the dental crown, you may initially feel that your lips are pressing against your upper front teeth.
2.
The thickness of the crown on the upper front teeth may also give you the sensation that your lower teeth are catching against the upper front teeth.
3.
The sensation in your tongue is also caused by the thickness of the crowns on the front teeth.
4.
Whether or not a root canal is needed before placing the crown depends on whether there is inflammation of the dental pulp and the integrity of the tooth socket.
If the crown is placed and there is subsequent inflammation of the dental pulp, root canal treatment can still be performed.
5.
If the treatment process is prolonged and the mouth opener is used for an extended period, discomfort may arise.
It is advisable to discuss with your dentist whether the treatment time for each session can be shortened.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital

Reply Date: 2024/04/25

More Info

When it comes to understanding temporary crowns and porcelain veneers, it's common for patients to have concerns, especially after recent dental procedures. Let's address your questions one by one, providing clarity and reassurance.

1. Feeling of Resistance at the Lip Base: It's not unusual to feel some pressure or resistance at the base of your upper front teeth when your mouth is closed, especially with temporary crowns. Temporary crowns are designed to protect the underlying tooth structure and maintain space for the final restoration. However, if the feeling is significant or uncomfortable, it may indicate that the crown is slightly too long or positioned incorrectly. It's advisable to discuss this with your dentist, who can make necessary adjustments.

2. Teeth Locking During Jaw Movement: Experiencing a sensation of your lower teeth hitting the upper temporary crowns when moving your jaw side to side can also be normal, particularly if the temporary crowns are slightly bulkier than your natural teeth. This can happen as your mouth adjusts to the new crowns. However, if the sensation is painful or if you feel that your bite is significantly off, you should consult your dentist for an evaluation and possible adjustment.

3. Tightness When Pushing with the Tongue: A feeling of tightness or discomfort when you gently push on the temporary crowns with your tongue is not uncommon. Temporary crowns may feel different than your natural teeth, especially if they are slightly larger or if the underlying tooth has been altered due to treatment. If this sensation persists or becomes bothersome, it’s worth mentioning to your dentist.

4. Need for Root Canal Treatment: Regarding the two side teeth that have cavities but have not undergone root canal treatment, the decision to perform a root canal should be based on the extent of decay and the health of the tooth. If the tooth is still vital (alive) and asymptomatic, it may not require a root canal. However, if there are signs of infection or if the tooth becomes symptomatic, a root canal may be necessary. Your dentist will evaluate the situation and provide the best course of action.

5. Reusing Porcelain Crowns After Removal: If a porcelain crown needs to be removed due to inflammation or other issues, it typically cannot be reused. Once a crown is cemented, it is designed to fit the tooth precisely, and removing it can compromise its integrity. If a new crown is needed, your dentist will likely create a new one to ensure proper fit and function.

6. Discomfort from the Mouth Prop: The discomfort and redness around your lips from the mouth prop can occur, especially if it is pressing against sensitive areas. It's essential to communicate this to your dentist, as they may be able to adjust how they use the prop or suggest alternatives. In the meantime, applying a soothing lip balm or ointment can help alleviate discomfort. If the irritation persists, consider consulting a healthcare professional for further advice.

In summary, while some discomfort and unusual sensations are common after receiving temporary crowns, it’s essential to keep an open line of communication with your dentist. They can provide reassurance, make necessary adjustments, and ensure that your treatment progresses smoothly. Don't hesitate to reach out to them with any ongoing concerns or discomfort. Your oral health and comfort are paramount, and your dentist is there to support you through the process.

Similar Q&A

Addressing Occlusion Issues with Full Porcelain Crowns: Key Concerns

I had full porcelain crowns placed on my front eight teeth, and I am currently wearing temporary dentures. I have a concern regarding my deep bite; my dentist mentioned that when the full porcelain crowns are installed, some of my lower teeth will need to be ground down to match ...

Dr. Lin Jiayong reply Dentistry
Hello: 1. Due to the necessary thickness of dentures, it is sometimes unavoidable to remove opposing natural teeth, which is a regrettable necessity. 2. Yes, if the height is increased by more than 2mm, literature indicates that there is a potential risk of joint injury. 3. If yo...

Understanding Dental Crowns: Longevity and Durability Concerns

I am currently undergoing dental restoration, and the outer layer is made of ceramic. During the try-in, I found that the three restored teeth are too low, so the dentist took them back to the lab to add an additional layer. Can this dental prosthesis be secure, and will the adde...

Dr. Zhang Xiangyuan reply Dentistry
Dear online user, Based on your description, your dentures are currently temporarily bonded. During the fitting process, if any abnormalities are detected, the dentist can make adjustments or send them back to the dental lab for repairs. Areas with insufficient occlusion will b...

Ensuring Dental Hygiene During Temporary Crown Procedures

Hello, doctor. I previously had a single ceramic crown placed, but due to orthodontic extraction, I was wearing a temporary crown. Yesterday, the crown came off, and during the process of reattaching it, the dentist only had me rinse my mouth, try on the crown, remove the crown, ...

Dr. Huang Tingfang reply Dentistry
Dear Ms. Pp: Hello! As mentioned, as long as it is dried properly, there should be no issues. The temporary crown is usually adhered with a temporary cement, making it easy to remove for cleaning. Please communicate frequently with your dentist! Thank you! Wishing you safety! Sin...

Common Concerns About Dental Crowns and Temporary Adhesives

Hello Dr. Lin, I would like to ask the following questions: (1) Is it standard procedure to initially use temporary cement to attach a crown (or prosthesis) and observe it for one to two weeks? When applying the permanent cement for the final crown (or prosthesis), could mixing...

Dr. Lin Jiayong reply Dentistry
Hello: 1. When switching to a permanent adhesive, the temporary adhesive will be thoroughly removed first. 2. It depends on the composition of the permanent adhesive; if there are concerns about affecting the adhesive, you may wait a week before getting a dental cleaning. 3. If t...