My dentist placed a filling in one of back molars about a year ago, but afterward I would get pieces of food stuck between that tooth and the on in front of it because for some reason there was more of a gap. I oftentimes could get floss in between the teeth to get the food out but sometimes food would not come out.
My dentist recommended a crown which I just had the crown prep done on the 15th of August. During that crown prep the hygienist had me bite down, but because she didn’t tell me to hold the bite, the mold got messed up so she had to redo that one. On the next, I made sure to keep my bite down this time, but she told me to open too soon because the mold was not set yet and immediately i had to bite back down. She said let me see if Dr. ____ thinks this is okay.
I am concerned that the original mold was done incorrectly because now that the permanent crown is in my mouth, I have a pretty much flat tooth with no real cusps on the tooth and it feels incorrect when I bite down. There is also a bulge on the inside of my tooth by my gums like a bubble was formed from the rebite. I really don’t think that the dentist is willing to do much about it, but I am going to speak with him today again. Can this be fixed and is he liable to make it correct?
– Crystal from Wisconsin
It does indeed sound like there is a real problem with this crown, and that you need to get a second opinion.
Keep in mind that we haven’t seen the situation in your mouth ourselves and so I am relying entirely on what you are telling me, but what you are telling me makes sense, and it seems like something that can easily happen in a dental office.
What you are describing to me with the mold you were biting on sounds like the impression that the dentist takes in order to make the dental crown. This impression has to be absolutely accurate, because the crown has to fit the tooth precisely. If there is the slightest gap between the final crown and the tooth, that provides an opening where decay can enter, and it can also provide an irritant to the gum tissue. So if, when you opened your mouth the second time, if that was while the impression material was partially set, that impression would be distorted to one degree or another, and I’m confident Dr. Hylan would have discarded it and done it over.
The features of the crown that you are describing – the bulge on the inside by the gum, and the flat chewing surface, also do not sound healthy. I would need to look at this myself to make a correct judgment of the situation, but it is cause for me to question your treatment.
Also, the history that you are describing with this tooth – the filling a year ago that sounds like it didn’t make proper contact with the adjacent tooth, so it collected food between the teeth – that doesn’t give me much confidence in your dentist. And it makes me wonder if you really needed the crown. Maybe you did need the crown, but all these questions add up.
So yes, I would recommend getting a second opinion. I also would like to give you a piece of advice about getting a second opinion. The most accurate second opinions are what we would call “blind,” meaning that the dentist has no other information other than what he or she can perceive. So it’s best if the second dentist doesn’t know who did the work in the first place, and I would say as little as possible about the history. So I would get a recommendation of a good dentist and ask the dentist to look at this crown and give you an opinion about it. If the dentist presses you with questions about what happened, you can tell him or her that I told you not to give any history, but the dentist should just evaluate what he or she sees.
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