New crown probs - is this acceptable??

sudzs

Sorry in advance for such a long post, it's a bit of a saga and will try to be as consice as possible!

I had a crown fitted on a root-canalled lower molar that was falling apart! But it was a poor fit making flossing difficult and there was some bleeding at the gum line. I went to a new dentist for a replacement. It's a porcelain on a low gold alloy crown. Unfortunately it was to big/high and impeded my bite eventually causing an ache in my jaw as it was obviously being put out of its usual position. I returned to the dentist for 4 adjustments (filing/grinding back of the surface) and now the only glazed bit remaining is on one side of the crown!


I had to go back yet again yesterday as there was a rough bit on the top of the crown irritating the side of my tongue. It's still the same today so I will have to go back yet again to have it smoothed down or something.

But my question is... is it acceptable that I am now left with a mostly unglazed crown that has, and still is causing me nothing but discomfort. And will it be strong enough now that so much porcelain has been removed. I think if it were gold at the core it would be, but it's Argipal, a low-gold alloy.

And is it acceptable that the dentist tried to suggest my visit yesterday was a check-up and tried to charge me for it? Surely I'm still having the crown adjusted until it is comfortable and that falls under the cost of it, already paid in full.

Any advice appreciated as I had placed my trust in this dentist to do a good job but now I'm beginning to feel like he would like to see the back of me!

I also feel like I am partly to blame now for the ongoing irritation to my tongue as I was in the chair and should have been able to tell him the crown still felt rough but it is so hard to tell until afterwards when the irritation recurs.

Thanks to anyone who reads, any advice greatly appreciated!

btkm8unsl0w5r4

The crown should fit properly and the bite should require only a little if any alteration. I think from what you have said that a new crown in required. Could I ask where in the country this dentist is as this seems to be a ongoing issue for you spanned across 4-5 threads?

sudzs

Oh dear, have I been repeating myself??! Sorry! And thanks for the reply.

I'm in the UK and it was 2 private, not NHS dentists I've seen. I'm going back to the second (current!) dentist on Monday next, for further smoothing of the irritating edge. He's very jolly and personable but seems to rush through anything he does and then he kind of happy chats me out the door before I get a chance to compose myself to query the quality of what is left of the crown. I still get in a bit of a state even if going in for a little bit of a look!

As it's the second crown (same site) that has needed lots of adjustment, from a different dentist from another lab, I'm wondering if there's something wrong with my bite or I do something wrong when the impressions are being taken.


Editing to say I just looked up my other thread about my crowns! That other one was about the 2 crowns I got originally from dentist no1. (for which he refunded me in full as it was a botched job and he charged me top price for the cheapest crowns you can buy) The current problem is with the replacement for one of those crowns which was done by dentist no.2! Sorry, I'm probably making it sound very complicated!

sudzs

It has been suggested to me that there could be a discrepency between "the maximum intercuspation" and the "centric releation" and that is the reason 2 crowns from 2 different labs came back too big. Dentist no.2 knew he was replacing a crown which had required significant filing back to fit in with my bite, so perhaps he should have realised this problem existed. Or am I wrong?

Going to see him again this morning anyway. But if there's any earlybirds reading, I'd be very grateful for an opinion on what you think the dentist could/should offer as a solution to this unacceptable situation.

Thanks!

georgieporgy

Have you considered visiting the Irish Republic for your dental treatment?

btkm8unsl0w5r4

sudzs wrote: »

It has been suggested to me that there could be a discrepency between "the maximum intercuspation" and the "centric releation" and that is the reason 2 crowns from 2 different labs came back too big. D!

Might I suggest that you got another crappy crown.

sudzs

Landry Salty Lockjaw wrote: »

Might I suggest that you got another crappy crown.

Lol! Yes you may!


I went back to see the dentist yesterday and he polished off the filed back crown. Although I had been there last week to have the rough edge of the crown smoothed, the actual fine polishing wasn't done until yesterday. It's beyond me why he left it until then to do it and then he complained that there had been more time spent on adjusting the crown that it took to fit it, more or less saying time is money. :eek:

I said I wasn't happy with the crown and I queried the strength of the crown and mentioned that it could be prone to chipping and might well break down and not have the lifespan of an intact crown. He said no, it was very strong and hardly anything had been taken off it (even though when his collegue was adjusting it he said "I can go back a little more, but not much" indicating quite a bit had been filed back don't you think?!)

He said if it failed in the next year or two he would replace it. I said I might be back in Ireland by then and he said there was nothing he could do about that. :mad:


Not sure what to do next... I am truly jinxed! :rolleyes: