Getting a dental crown is a significant step in restoring your oral health, offering a durable and aesthetically pleasing solution for damaged or decayed teeth. But what happens if, after the crown is cemented, you experience discomfort or notice issues with its fit? The short answer is: yes, a crown can sometimes be adjusted after it's cemented, but it depends on several factors. This article will delve into the specifics of crown adjustments post-cementation, addressing common concerns and providing valuable insights.
Why Might a Crown Need Adjustment After Cementation?
Several reasons might necessitate a crown adjustment post-cementation. These include:
- High bite: This is a common issue where the crown interferes with your bite, causing discomfort, pain, or even difficulty chewing.
- Irritation of surrounding gums: A poorly fitting crown can irritate the gum tissue, leading to inflammation, discomfort, and potentially more serious gum problems.
- Poor aesthetics: While less common, the crown's shape or color might not perfectly match the surrounding teeth, leading to an unsatisfactory aesthetic outcome.
- Occlusal discrepancies: Problems with the way the upper and lower teeth meet can cause discomfort and necessitate adjustment.
Can My Dentist Adjust a Cemented Crown?
While it's not always possible, your dentist can often adjust a cemented crown. The process usually involves:
- Removing the cement: A special instrument is used to carefully remove the cement holding the crown in place. This is a delicate process to avoid damaging the crown or the underlying tooth.
- Making the adjustments: Using specialized tools, the dentist will carefully grind down or reshape the crown to correct the issue. This could involve altering the height, shape, or margins of the crown.
- Recimenting the crown: Once the adjustments are made, the crown is carefully cleaned and re-cemented to ensure a secure and comfortable fit.
The ability to adjust the crown depends on the type of cement used, the extent of the adjustment needed, and the overall condition of both the crown and the underlying tooth.
What Happens If a Crown Can't Be Adjusted?
In some cases, a cemented crown may not be amenable to adjustment. This could be due to:
- Extensive damage to the crown: If the crown is significantly damaged during the adjustment process, it may need to be remade.
- Irreversible damage to the underlying tooth: If the underlying tooth structure is compromised during the cement removal, the crown might need to be replaced.
- Incompatibility with the cement: Certain types of cement make adjustments more difficult or impossible.
How Long Does a Crown Adjustment Take?
The time needed for a crown adjustment varies depending on the complexity of the adjustment. A minor adjustment might take only a few minutes, while more significant changes could require several appointments.
How Much Does a Crown Adjustment Cost?
The cost of a crown adjustment depends on various factors, including the extent of the adjustment needed, your location, and your dentist's fees. It is generally less expensive than getting a new crown. It's best to discuss costs with your dentist directly.
How Long Does it Take for a Crown Adjustment to Feel Better?
After a crown adjustment, any discomfort should subside relatively quickly. However, some mild sensitivity may persist for a day or two. If the pain is severe or persistent, contact your dentist immediately.
Is it Common to Need Crown Adjustments?
While not every crown requires an adjustment, it's relatively common to need minor modifications after cementation. It's a routine procedure that usually ensures a comfortable and functional restoration.
What are the signs I need a crown adjustment?
Signs you might need a crown adjustment include persistent discomfort when biting, a high spot that interferes with your bite, noticeable pain, or gum irritation around the crown. It is crucial to contact your dentist if you experience any of these symptoms.
Remember to always communicate any concerns you have about your crown with your dentist. Regular check-ups are also vital to ensure the long-term success of your crown and overall oral health.
