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Crown Dilemma

L

LottF

Junior member
Joined
Mar 16, 2020
Messages
17
Location
London
I had a crown prep done about 5 months ago on my left side very back lower molar , it was sensitive to biting pressure on the temporary crown but thought that may just be because it was a temporary crown

The dentist fitted the permanent Zirconia crown about 4 months ago with temporary cement to see how it goes but I’m still having problems with a slight bit of sensitivity on hard foods , it’s usually on the first bite , soft and medium foods not much sensitivity at all and there is no aching or hot or cold sensitivity or tapping sensitivity

i can get the pain if I press on it with my finger quite hard though , again its only very slight , not excruciating or anything

It was crowned because of a crack at the back so my dentist said it could be the crown flexing on the crack ? But I thought the point of the crown was to cover that issue ?

He wants to give it more time on the temporary cement to see if it settles which is what I’ll do but he says the only other option would be root canal ?

he’s a good dentist with a good reputation

I got a 2nd opinion when I was at a root canal specialist for another issue and he said the crown looks to be fitted good

So I’m a bit unsure what to do , the pain is not really that bad so I was thinking maybe I’ll just live with it as is and hopefully in time it settles because root canal is quite expensive

one thing I did think of was could it be sensitive because it’s on there with temporary cement ? If it was fixed on there permanent is there a chance the pain will go away ?

only other thing I noticed was the crown is a little low on my bite compared to the other side as he filed it down a few times as he thought the high spots might be causing pain

can the crown be raised higher when it’s fitted permanently ?

many thanks for your help
 
Gordon

Gordon

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Oct 25, 2005
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6,245
It's not likely to be the cement that's causing the issue.

No the crown can't be raised higher. However quite often they will drift into the bite spontaneously, teeth tend to erupt out of their sockets until they meet resistance.
 
L

LottF

Junior member
Joined
Mar 16, 2020
Messages
17
Location
London
Ok thanks for the reply , so is to possible that it’s the crack still causing the issue and only root canal will solve it ? Thanks
 
Gordon

Gordon

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Yes, it's possible. It's also not guaranteed that a root canal will definitely fix it, cracks are a major PITA.
 
L

LottF

Junior member
Joined
Mar 16, 2020
Messages
17
Location
London
Ok thanks , I guess I’ll give it a bit more time then for now
 
L

LottF

Junior member
Joined
Mar 16, 2020
Messages
17
Location
London
Still got it on with temporary cement and no change really

Bit of a dilemma whether to get it put on with permanent cement or go ahead with root canal ? Any thoughts ?

I always thought the point of a crown was to cover over any cracks ? So bit confused what's causing the biting pressure sensitivity ?

There's no cold or hot sensitivity or aching or anything, just pressure sensitivity on medium to hard foods, I can replicate the pain if I press my finger on it.

Thanks
 
Gordon

Gordon

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The crown can cover up some cracks but not all of them, it's not a panacea. A root canal isn't guaranteed to solve it either unfortunately.
What does your dentist think?
 
L

LottF

Junior member
Joined
Mar 16, 2020
Messages
17
Location
London
He wants to give it more time on the temporary cement and if no better then root canal
 
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