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crown problem

  • 18-09-2011 2:29am
    #1
    jofe
    Closed Accounts Posts: 17 ✭


    Hi, just looking for some advice. I had a crown done about a year ago on a lower molar and felt the surface was very rough and was irritating my tongue. I have been back to the dentist a number of times and he has been polishing it but to be honest it still feels a bit like sandpaper and as if my tongue is sticking to it. I have been trying to ignore it and have resorted to putting chewing gum over it at times. What is worrying me now though is that there is a little white patch on my tongue where it has been rubbing. I have shown this to the dentist and he said it was just an ulcer which would heal but it has been there now for a couple of months. The dentist says that a new crown might not make any difference so I asked about extraction and he said that would be complicated since it is a crown. I really feel I can't put up with this situation any longer and am just wondering what to do. Thanks for any advice.


Comments

  • #2
    btkm8unsl0w5r4
    Closed Accounts Posts: 9,535 ✭✭✭btkm8unsl0w5r4


    As I said to you before for the price you paid you should have a smooth crown. At this stage it should be replaced. The white patch on your tongue is just a callus (thickening which looks white) from chronic irritation but should be checked out.


  • #3
    Oral Surgeon
    Registered Users, Registered Users 2 Posts: 3,240 ✭✭✭Oral Surgeon


    Sounds like the crown should be replaced if it's not right after adjustments...

    Is it gold, porcelain, porcelain fused to metal??

    Sure enough, rough teeth, filling or crowns can cause frictional keratosis (thickening of the oral mucosa) and removal of the offending rough area (extraction, smoothing the area, replace crown) should allow the area to heal.

    But, our rule of thumb is that any unusual patch/ ulcer/ suspicious lesion in the mouth should be investigated if present for longer than 2-3 weeks.

    If you are a smoker & drinker or have any unusual oral condition (I wont list them all), we would look at the possibility that the rough crown is a red herring and go for a biopsy.

    If you are a non drinker, non smoking saint then we would make sure that the area was smooth one way or another and then monitor for healing.

    As Fitz said, get it checked out, Oral cancer day is coming up on 21st Sept- see sticky!!

    Good luck,
    OS


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