need help/advice with dental work (crown and bridges)

Discussion in 'Dental Archive' started by MCDONAMW, Aug 5, 2004.


    MCDONAMW Guest

    About a year ago I had a crown put on one of my upper molars on the
    left side of my mouth. At the same time on the upper right side I had
    a gap filled with bridge (2 crowns and a pontic I believe it's

    Anyway, when they fit the final crown on the left it always felt like
    it sat too high. (when I close my mouth my left upper/bottom teeth
    contact each other before the right side.). They had to do a bit of
    grinding on the finished crown just to get it to fit, and on top of
    that they had to grind it down due to it sitting high. It never felt
    completely right, but since I've been missing part of my tooth to
    decay for so long before that, it felt weird, but I assumed it to be

    At any rate, within a week, I clenched my jaw in anger and it cracked
    a major part of the crown. I never got it repaired because I feared
    they would say it was my fault (after all I clenched). I didn't want
    to have to repay for my own damage.

    Now it's been about a year since the procedure, and the right side is
    now chipping left and right! I was eating some food, and part of my
    left side crown chipped off. It all went down hill from there. About
    2 days later, I was chewing on a plastic tooth pick (which I do on
    occasion). The pontic completely broke (at least part of the outter
    side chipped off. I could always feel parts of it chipping away as it
    felt like dirt particles or sand were always in my mouth. this caused
    me to constantly scrape my teeth gently side to side. I guess I have
    an oral fixation and my mouth is constantly doing something. Anyway
    the side to side movement broke off another big piece of the upper
    right crown in the back. Now there's a sharp piece of porcelain
    facing the rear of my mouth and it hits my cheek when I am chewing
    food. Sometimes it hurts, but the major problem is I cannot leave it
    alone!!! I keep trying to grind the chip down to make it dull.

    At any rate I'm looking for some guidance as to what I'm to do. I've
    always had a tongue piercing, but I have never had any problems with
    my teeth due to it. I often grind my teeth, most of the time I don't
    even know I'm doing it (i.e. sleeping). I guess it's Bruxism.

    I contacted my insurance agency because I don't see how these things
    should be breaking left and right. (before leaving the office I asked
    if it will affect what I can eat or cannot... i.e. i chew on ice all
    the time... they flat out told me no, that i can chew on chicken bones
    if i want to, they'll be strong enough to withstand this). The
    insurance company says my only options are to file malpractice (which
    I think is a tad extreme and probably not the case, although it's
    possible), or to go back and ask if they can fix it all at no cost, as
    a warranty type of thing.

    I don't wanna file malpractice because I have no proof that it was.
    It could be simple issues with my teeth grinding, but I was told they
    would survive eating bones.. how else am I to take that but they are
    solid and won't break?

    I also do not want to go back to this dentist because I never felt
    really comfortable with him to begin with. The whole office seemed
    rather off. (the dental assistant is who started grinding the crown
    down to get it to fit right).

    What do I do? This one operation maxed out my dental benefits for
    that year, and I still paid almost $1500 out of pocket. I can't
    afford to pay that again.

    I was always fine without the bridge (it's been a gap for several
    years because I never had insurance to pay for it), but the Dentist
    talked me into it to prevent the bottom teeth from rupturing or
    growing excessively? I don't know.

    Please help me.
    MCDONAMW, Aug 5, 2004
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    Dr Steve Guest

    If you did not have the bar-bell in your tongue, I would replace the bridge
    at no charge. If the bar-bell went through the tongue after the bridge went
    in, I would share the cost with you. If the bar-bell was in your mouth when
    the dentist made the bridge, then the dentist should have warned you that
    those things commonly break porcelain.

    If there was not a hunk of metal bouncing around on the end of your tongue,
    I would say that the porcelain fractured due to some defect during
    manufacture of the crowns which was not visible. With a bar-bell through
    your tongue, I would be very *suspicious* that the bar-bell cracked the
    porcelain a little at a time.

    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    Dr Steve, Aug 5, 2004
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    StovePipe Guest

    Ditto.. To say nothing of what that bar might do to the gum on the
    lingual side of the lower front teeth.
    StovePipe, Aug 6, 2004

    MCDONAMW Guest

    (StovePipe) wrote in message news:<1gi2awu.1uhn2ufmf7arvN%>...
    I know it's my fault for waiting so long, but in my defense I have to
    further say this.

    At one point I had a really long barbell in and it would always hit my
    back teeth. As soon as I got the crowns, I changed it out with one
    that was half as long. I can't even hardly touch any of my teeth
    without twisting my tongue in all sorts of painful fashions just to
    get too the teeth.

    The first crown broke, when I just clenched my jaw just within a day
    or 2 of having it. Ever since I left the place I said that my left
    crown made contact with my bottom teeth before my right side. That
    would suggest that my bite wasn't corrected like it should have been.

    The barbell has probably done it's fair share of chipping, but the
    major breakages have been caused either by my own teeth (clenching),
    or while I was chewing on a plastic toothpick. Plastic. I distinctly
    remember when the pontic snapped. It felt like a gunshot in my head.
    I was chewing on the toothpick, and SNAP. Major chunk gone.

    I will further say that now with all the breakages, my bite almost
    feels PERFECT. Looking at my teeth, you can see how my bottom fit
    almost perfectly into each breakage in the crowns. It seems more
    natural now than it ever did.

    I know it's a lost cause to ask the doc to pay for it all over again
    because it is very suspicious with me having this big hunk of metal.
    What I'm asking is why it never felt natural to begin with? Both the
    crown and the bridge always felt like they were not fitted correctly
    to fill the grooves of my other teeth, for a natural bite setting.

    I know I'm going to have to repay for it all.. if I even go that
    route. Looks like I won't have a choice if these keep chipping away
    and end up leaving my shaven teeth exposed. I'm already starting to
    feel sensations. (2 of the teeth have had root canals, but one is a
    live tooth that was shaved to fit part of the bridge).

    My last question would be: If I get them replaced, can I get
    something more durable at least? I don't care for the cosmetic part
    of it. (if I could have titanium teeth, i'd replace them all haha).
    Can I get something that is pretty much solid metal instead of just
    the gold underlay of the porcelain?

    Will it be cheaper than the porcelain vaneer? I just want my teeth
    stumps covered with something I don't have to worry about breakin
    everytime I eat/sleep.

    Thanks in advance.
    MCDONAMW, Aug 6, 2004

    W_B Guest

    On 6 Aug 2004 07:25:16 -0700, (MCDONAMW) wrote:

    Cast gold.


    Take out the G'RBAGE
    W_B, Aug 6, 2004

    Dr. Steve Guest

    Your description of the "bite" feelng off until it chipped could fit a
    schenario where the crowns were not made well. Chipping porcelain could be
    from the lab making the porcelain too thin. the bar-bell may just make
    figuring out the excact problem difficult.

    "MCDONAMW" <mmcd7
    > wrote in message
    Dr. Steve, Aug 8, 2004

    MCDONAMW Guest

    I agree. What is the proper course of action? I just fear I will be
    told " too bad gtfo of my office". I don't want confrontation with
    the original dentist. Would going somewhere else first to get their
    opinion be best? Still also, as far as replacements... alternative to

    MCDONAMW, Aug 9, 2004

    Dr Steve Guest

    You can get full porcelain, full gold, full base metal, porcelain fused to
    metal, composite resin, stainless steel, soft acrylic, etc. There are lots
    of choices. None are good choices if they are not done well, or if the
    patient does not take care of it. All are good choices in the right cases.

    You need to see the original dentist first, and give them the opportunity to
    re-do the case (if they feel they share any blame). You can always go to
    any dental office you want. Be prepared to pay for a second opinion (that
    is the way things work), and be prepared to pay full price, if the work is
    re-done at a different office.

    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    This posting is intended for informational or conversational purposes only.
    Always seek the opinion of a licensed dental professional before acting on
    the advice or opinion expressed here. Only a dentist who has examined you
    in person can diagnose your problems and make decisions which will affect
    your health.
    Dr Steve, Aug 9, 2004
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