Can Dentist’s Grinding on Your Crowns Ruin Them?

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Last October, my dentist placed crowns on my left first and second molar tooth. One of the crowns fell off, so my dentist cemented and ground it down to correct the bite. Within two weeks, the back side of the crown (closest to my tongue) broke. I think she was too aggressive with that grinding tool. Now, it feels weird when I chew on that side of my mouth. Am I going to need new crowns? Thank you. Jenn

Jenn,

Thanks for your inquiry.

Can Dentist’s Grinding on Your Crowns Ruin Them?

Dentists commonly adjust a new crown to your bite by grinding or filing it down. However, the dentist must check your bite in intervals to ensure that not too much—or too little—of the crown is adjusted. These are small adjustments. Your dentist will shape and smooth the crown to prevent it from feeling rough.

But we are concerned about several aspects of your experience.

  • Loose crowns—Permanent crowns should not loosen or fall off. Your dentist might have aggressively prepared your tooth or bonded the crown incorrectly.
  • Adjusting your bite—A dentist should adjust your bite and crown when placing it. It is not common to adjust the crown after re-cementing. Something went wrong, but your dentist must explain why she adjusted.
  • Broken crown – A crown should not break from conservative bonding.
  • Affecting your bite—The adjustments affect your bite, which can cause multiple issues that lead to TMJ symptoms.

Your dentist should compensate you. We recommend scheduling a second opinion appointment with a cosmetic dentist trained in occlusion and bite.

Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post.

My Dental Implant Crown Is Still the Wrong Color

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My dentist can’t get my implant crown color right. She corrected it twice but bonded it on before assuring a color match. Before I switch dentists, how can I get a refund? Thanks. Milan from IL

 

Milan,

Before switching dentists, search for dedicated cosmetic dentists who prioritize aesthetics and patient satisfaction.  They will ensure your implant crown seamlessly blends with your natural teeth.

How to Achieve the Correct Dental Crown Color

Skilled cosmetic dentists use a series of steps to color match a dental crown, including:

  • High-quality smile photography: They capture detailed photos of your smile, highlighting the desired color and characteristics.
  • Advanced shade matching: Utilizing a shade guide alongside your photos, they communicate precise color information to the dental ceramist.
  • Clear communication: They send the ceramist detailed notes regarding color and crown fabrication, minimizing any room for error.
  • Ask for your feedback: A dental ceramist will make your final crown only after you approve the temporary one. Also, a conscientious dentist will attach the implant crown only with your consent.
Model of a dental implant with the crown, abutment, and root form labeled

A dental implant mimics a natural tooth and does not need support from other teeth

Unfortunately, your situation likely requires a new crown. A skilled cosmetic dentist understands how to safely remove the existing crown without compromising your implant.

Who Should Pay for Your New Crown?

You entrusted your dentist with achieving a specific outcome – a well-fitting, color-matched implant crown.  Here’s how to approach your dentist professionally:

  • Seeking a Solution: Kindly request a refund from your dentist. Explain that you didn’t get what was promised—a crown that matches your surrounding teeth and fits well.
  • Gathering Evidence: If your dentist is unwilling to cooperate, get a second opinion from a cosmetic dentist. This consultation report will document any additional work needed for a successful outcome.
  • Mediation: Inform your former dentist that you intend to report the issue to the state dental board if a resolution isn’t reached. This should be a last resort, aiming for an amicable solution first.
  • Legal Consultation: Consult a medical malpractice attorney if further action is required.

Ideally, an ethical dentist would readily address the issue and provide you with a new, properly matched crown. We hope you won’t need to involve the state dental board or legal counsel.

Dr. Steven Brooksher, a Baton Rouge accredited cosmetic dentist, sponsors this post.  Read about what he does to give patients the best dental care he can.