How can I avoid bite problems after fitting a dental crown?

Doctor's Answers 1

If you want to leave the existing crown alone and fit the left molar crown to the open bite created by the right molar crown, then you will also have to make the other back teeth touch in order to create a comfortable bite.

Having one or only 2 teeth touching when your back teeth bite together can be very uncomfortable. This increases the load on the affected teeth and may cause the crack in the left molar to get worse, and the tooth may even split into half which is extremely painful.

In order to make all the back teeth bite evenly together, you may realign your teeth using braces or add material to the biting surfaces of the other back teeth so that they touch when you bite down.

If this sounds like too much trouble, then you can replace the right molar crown so that it fits in with your existing bite and then later crown the cracked left molar.

If your left molar is very short, trimming it to allow a crown to be placed usually does not require root canal treatment except in extreme cases. If there is limited space, you may choose to have a metal crown which requires less space to fit, you may need the tooth biting on the left molar to be trimmed slightly or repositioned. Crowns on short teeth tend to dislodge more easily, and this can be very frustrating for patients.

This problem can be overcome by ending the crown margin inside the gum, repositioning the gum (crown lengthening) or using braces to extrude the tooth above the gum. Hope this helps!

Similar Questions

Should I do my dental crown or braces first?

It is better to get your braces done first before your crown. This is because the tooth and gum position will move and it may affect the final crown work. The crown surface may also be damaged during braces work (risk is small) which means that you may need a new crown after braces. If you want to be treated with subsidy you will need a polyclinic referral letter. However please note that there are no subsidies for any orthodontic treatment. You can be seen by the postgraduate students at NUS for a slightly reduced price for braces if you wanted to.

Photo of Dr Sylvia Tan

Answered By

Dr Sylvia Tan

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How are dental crowns removed, and is it a challenging procedure?

Crowns may be removed in one piece but this is rarely the case unless the existing crown does not fit well or if there is significant decay in the tooth structure underneath the crown that has undermined the fit. Most of the time, the method used to remove crowns involves sectioning the crown and removing the segments separately. This minimizes the chances of the underlying tooth breaking. Non precious metal crowns are made of very hard metal alloys. These crowns can be removed with special metal-cutting burs but due to the nature of the metal alloy, sectioning can take some time to complete.

Photo of Dr Jaclyn Toh

Answered By

Dr Jaclyn Toh

Dentist

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