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My bite is messed up since having two lower molar fillings "redone"

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onibasu

Junior member
Joined
Jul 28, 2019
Messages
5
Location
California
Long story short, massive fear/mistrust of dentists due to a quack dentist I had when I was younger. Can't believe I even agreed to have this done, but I had tiny composite fillings in my back molars(the ones before my wisdom teeth) that my dentist claimed were wearing away after about a decade and wanted to "top them off" because there was a groove in them that was shallower than it should be. I reluctantly agreed. My bite was off immediately. They adjusted them and it was somewhat better, but still bothered me. I came back 3 days later for another adjustment and it now felt mostly better. I realized a few days later again, that it felt high. When I'd bite down it would cause jaw pain and tooth pain when I would clench my jaw- something that never bothered me before. I went back a second time for another adjustment and they shaved off a tiny bit and everything seemed fine.

Now, about a month and a half later I am noticing that my bite has been way off again. It just feel uncomfortable to smile, and if I clench my teeth now all of the biting pressure seems to be on my incistors/front teeth, it's as if my molars don't align anymore. When I observe the teeth that are filled, they look actually more "deep" then they did initially. And one of the fillings had a noticeably area that is deeper than it was just a few weeks ago. It's like a hole of sorts.

I plan on getting a second opinion and just ditching this dentist. Does anyone have any idea what is going on? No issues, then got the two fillings replaced, then it felt high for 2 adjustments, now it feels like they are too shallow and I can't bite down on my molars properly. It just feels extremely uncomfortable. I am worried now I can't get my bite back to how it was. I don't even care that it's going to cost me hundreds/thousands of dollars to get this resolved at this point. I just want it fixed. That will be the last time I ever get anything done at a dentists office that is not obviously causing me issues. I am now worried that if I have them redone again at a new dentist, I will have the same issue with them being too high. It's almost as if the fillings shrunk after having them adjusted that final time, because I didn't notice much issue until about a month after they were finalized.
 
kitkat

kitkat

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1,567
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Sorry to hear that you are going through this. Speaking from personal experience, I know firsthand how infuriating it can be dealing with long term occlusion issues. It sounds like they could have overcorrected and shaved off too much at this point? The mouth is extremely sensitive to the smallest of changes and sometimes it seems like the filling has to wear down a bit naturally before my bite starts to feel normal again but if it’s causing pain than something is likely more problematic and will not correct itself over time. It may be a good idea to get a second opinion since you were unsuccessful twice with the current dentist. I went through something similar after a root canal. My crown caused my bite to be off for 2 years and after 2 unsuccessful adjustments I tried to live with it. It resulted in teeth grinding (and I’m pretty sure my teeth shifted as well to accommodate the problem). It wasn’t until I had a filling done on the tooth behind the crown, that my bite was finally normalized again. I wish I had answers for you but all I can offer is sympathy as I am not a dentist. Best of luck and please let us know how you get on with things!
 
Niall Neeson

Niall Neeson

Well-known member
Verified dentist
Joined
Apr 18, 2019
Messages
107
Location
Ireland
Hi Onibasu,

I’m sorry to hear of your discomfort with these fillings. I know it is incredibly frustrating for people when come in to the dentist in no pain and are left with a subsequent pain after treatment!

It’s not uncommon that fillings/ restorations require some adjustment in the bite as it can be difficult whilst lying back in the chair to be sure that things feel ‘normal’ at that point. This is made more challenging when the area is numb.

My experience over the years is that issues that continue afterwards can often be related to the sidewards/ forwards movements of the teeth rather than simply on the ‘normal’ biting position. As suggested, it’s possible that the dentist has over-compensated in an attempt to remove the stress from the teeth that seemed to be contributing to the original symptoms.

Could it be possible that you clench or grind you teeth at night? It is really common to do this - and, as it’s during sleep, it’s common to not be aware of it. Clenching doesn’t make the typical tooth grinding noise so can be somewhat under the radar too.

It’s a possibility that you may be clenching and that this, combined with the changes in the bite from the updated fillings, have just disturbed the normal healing or settling process after the fillings.

I think a second opinion is a good idea. I would suggest looking up someone who has an interest in TMD (temporomandibular joint dysfunction/ jaw pain) as they would be in a good position to explore the role of any additional forces applied through either normal function/ chewing as well as any possible unhelpful habits eg nighttime clenching/ grinding/ tapping the teeth.

Hope this helps. All the best with getting things sorted. It should be possible to find a solution. Depending on the findings of a clinical assessment, a nighttime guard such as a stabilisation splint may be helpful in both diagnosing the problem and managing the symptoms.

All the best with getting things sorted.

Niall
 
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onibasu

Junior member
Joined
Jul 28, 2019
Messages
5
Location
California
Did you get any help with this?
Thanks for asking.

Here's the update:

I am now positive the issue is that the fillings were too high, and one still is, not too low. The side that feels "normal" now has a large deep groove in it similar to how it did prior to being touched. The side causing problems now is noticeably higher visually and I can feel where my opposing molar hits it and prevents me from properly closing my mouth. I know exactly where the issue is, now that i've been living with this for nearly 6 months.


I've seen two dentists since this. The first one was fairly useless and told me I was a night grinder/clencher- which I believe is accurate, and that was the cause of all of my problems, and she could not fix any bad dental work from a previous dentist. I canned her after two visits because she wasn't helpful. She sold me a $600 night guard as well, which is uncomfortable and did not address the root cause of the issue.

I then saw a TMJ specialist type dentist. He said absolutely my bite is totally out of whack, and the filling on the left side is way too high. He used an advanced bite scan system called a T-Scan, articulating paper and manual exam. He said indeed the bite is way off on the side I complain about. He made a few small "occlusal adjustments"(he said he would try and not touch my enamel and only do teeth with fillings, but may have to.... which I wasn't happy about) to both the top and bottom teeth and said he wanted me to come back in 10 days and see how it feels. I'd say its 25% better from that. He was apprehensive about messing with the tooth that has the high filling, because he believes my bite has shifted so much as a result.

I have spent nearly $2000 trying to get this fixed. Very, very frustrating, depressing, I could go on.

Now that I have had so much time to evaluate this, I am 100% positive the filling is too high for various reasons. First off, I have zero pain if I don't touch my teeth. When they touch, I can feel drastically the left side of my mouth hitting together before my right can even touch. The scanning system the dentist used yesterday also showed a massive amount of pressure coming right on that exact tooth area compared to the other side.

I can also visually see the left molar filling is drastically higher than the one on the opposing side- which was also filed down quite a bit, and even wore significantly from presumably me clenching my teeth to try and fix this. There is now a nice gap in the filling area and it fits my upper molar comfortably.

The new dentist seems to think my bite is so out of whack from this stuff that he didn't want to adjust that filling too much, he felt the upper side needed to be adjusted too. I don't know. It's beyond frustrating. I am going back in 10 days. I would like him to just file down the filling and make it look just like it did for the last 15 years before I had any work done.

I cannot close my mouth and smile without feeling the exact spot where the upper second molar hits the tooth. It is too high, there is no question in my mind. It's difficult to see on articulating paper for whatever reason.

I will put my faith in this new guy and give him a few more tries. If it is still not satisfactory, I will have to look elsewhere. I just want this nightmare to be done with, living with chronic, stiff jaw and pain every time I smile is just absurd at this point. I am sick of it, I don't really have the money to keep paying specialists, but the alternative of not having any chance of fixing this is too worrisome. I have no intention of ever seeing a dentist again after this nightmare.

I did actually have an appointment with comfortdentist(he posts on this forum) but had to cancel due to a family issue. I will be seeing him next if this current guy cannot get this resolved. I am praying he does. I truly believe the filling is just too high on the left side and needs to be filed down so my upper molars can properly rest. I feel as if the dentists are not taking my specific complaint seriously enough. I know exactly what is going on, I know it looks as if the fillings are "fine" but prior to this, for the last 15 years, they were very shallow, that is just how my upper teeth connected with them, or so I have come to believe.

I believe I have a clenching issue that never was a problem until this, and now it has caused a noticeable alteration of my bite which in turn allowed the clenching issue to make it even worse and more painful than if I did not clench.

One more thing- when I "tap" my teeth on each side, the side that is "high" in my opinion makes a drastically lower, more muted sound. It sounds like I am barely touching them, whereas you could hear me tapping the now normal side from across the room. It's at least three times as loud, and I feel no resistance. The high(left) side I can barely make any noise as I tap my teeth together. I have uploaded a recording to show you what I am describing. The first 3 taps are on the "normal side" of my mouth, the second 3 on the one I believe is high. Same pressure and force used on both. https://vocaroo.com/i/s1ORfnqTNAt0

Thanks for everyones input, I appreciate it. Any more would be also greatly appreciated.
 
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Gin11

Junior member
Joined
Sep 11, 2019
Messages
2
Location
Georgia
I hope the issue gets resolved for you. I am in a very similar situation after having dental work in May and June. I have seen several dentists who can’t seem to find the problem with bite papers. I actually had one dentist tell me to “ try not to think about it” They say everything looks good but I tell them it doesn’t feel good. This has been the worst couple of months. For the past month, I have cried about it at least once a day. I had two old amalgam fillings removed on bottom molars and one had to have a crown bc of a crack in it. I also had 2 new fillings on the opposite side in molars. Two of the second opinion dentists I’ve seen have said they think the issue started with one of the bottom back molars being worked on that took away my home bite. Oh, and the opposing top teeth for both of those were adjusted at time of getting the dental work. I didn’t even realize that one of my healthy teeth was adjusted until recently when another dentist saw it I thought a tooth with a filling was adjusted.
When the work was done I realized right away that something was off and I went in the next day bc the crown was so uncomfortable. This dentist actually shrugged her shoulders and said she didn’t know what to tell me!! This was the day after all this happened. I can’t even believe that this is going on with me. I have never had issues with my teeth before and I was completely fine before this. Didn’t even have issues with the small cavities I needed filled or the old ones that needed replaced. I’ve never had braces even though I am always asked ( even by the dentists I’ve seen and I constantly I have to remind them that I never had braces)
Things became worse than just a few spots feeling off about a month ago when I woke up to all of my upper teeth hurting and a horrible headache and my teeth felt rough. I figured I must be grinding my teeth in my sleep now and so I just got a nightguard/ splint to wear after waiting on it for a month from the dentist.
I have an appointment next week with a dentist who uses a t-scan though other dentists don’t seem to believe in the t-scan
I never feared the dentist and now I have lost trust and faith in them. I am very afraid of an occlusal adjustment and not sure if that is what I need but the dentist I have been going to says not to let anyone adjust/ grind on your teeth. So, why did his associate dentist grind on ( at least 2 of) my healthy teeth?
 
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onibasu

Junior member
Joined
Jul 28, 2019
Messages
5
Location
California
Update:

So, saw the dentist again today. He believes it is actually my wisdom teeth and not the tooth in question. Both of my bottom wisdom teeth have been in for years. My top left(the problem side) wisdom tooth is about half erupted, and erupting more over the last few months. The right side wisdom tooth is about 5% erupted.

He sees lots of biting pressure on the wisdom tooth in question, with virtually none on the molar in question. I now wonder if all of this time it has been my wisdom teeth hitting each other prematurely, before the remainder of my molars, causing the issue? What's strange is that I never had this whatsoever prior to the first dentist messing with the fillings. It seems like too much of a coincidence to have happened at the exact same time. Also, the right side felt high until it was filed down quite a bit. I suppose it could have been a combination of these factors, the initial dental work being too high, then adjusted, but the problem remaining due to the wisdom teeth coming in around the same exact time.

Does this sound like something that could happen due to erupting wisdom teeth? The whole theory makes a lot of sense, I am very glad the dentist brought this up today. He wants to consider an occlusal adjustment of the enamel on the wisdom tooth to try and bring about relief from the excessive biting pressure. Thoughts?
 
Gordon

Gordon

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Oct 25, 2005
Messages
6,194
It's an easy adjustment and does no harm, so I guess the "suck it and see" rule applies :)
 
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