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Ongoing crown issues

T

T81

Member
Joined
Apr 15, 2020
Messages
21
Location
New York
Hi,

I’ve posted here before but since it was my first time, not sure I posted in the correct section. I apologize in advance for the long post.

I got a crown on my very last molar on the upper left side on February 29th. I
don’t have issues with the crown itself but ever since then, it just seems that it threw my entire mouth/jaw off balance. Since early March, I’ve been experiencing awful facial pain on the right side, opposite side of crown. A second opinion dentist confirmed its muscular pain.

Not only am I experiencing facial pain, but it’s as if my mouth is confused every time I try to speak. It’s hard for me to put into words exactly what I am feeling, but it’s as if my bottom jaw and top jaw don’t fit the way they used to, so I have to maneuver my mouth in a way that doesn’t feel comfortable. It is as if my mouth on the crown side doesn’t fit around my teeth the way it used to. I saw a prosthodontist for a third opinion a little over a month ago. He said what I was describing is a bite issue. He did an adjustment which to be honest I don’t think helped much. He said it might need another adjustment and as a last resort, a new crown.

I feel like this has taken over my life for the past three months (so much so I had to go on anxiety meds). I am constantly thinking about my mouth, and deathly afraid of making the wrong decision. If I go the new crown route, what if it’s worse? If not, will this be my life forever? Will my bite feel off for the rest of my life, or will everything eventually settle?

My main concern is that it feels uncomfortable to speak. The prosthodontist says that in the majority of people, the muscles adapt after dental work. In rare cases like mine, they don’t, in which case a new crown is in order. I’ve also read that dental work on the last molar can throw off how the jaw has learned to move causing these type of issues if the crown was not placed in a way to account for total bite balance. Does this all sound right? If so, will a new crown resolve the issue or just make me start all over again?

I follow many of your journeys on here and see how you all support each other. Perhaps I’m looking for that same encouragement and support myself. It would be great to hear if anyone on here has experienced anything similar or if you just have some advice to give, it would be greatly appreciated.
 
Gordon

Gordon

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Sounds like the prosthodontist knows what they're talking about and will get to the bottom of things eventually. Occlusion issues can take a lot of time and skill to resolve, we're just lucky that they only severely affect a small percentage of patients.
DaphneM has been going through the same issues as you, her thread is just above this one...
 
T

T81

Member
Joined
Apr 15, 2020
Messages
21
Location
New York
@Gordon thank you so much for taking the time to reply. I do trust the prosthondodist and I’m hopeful. I will update once I see him and decide on the best course of action.
 
letsconnect

letsconnect

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Hi T81, even a few microns can make a huge difference when it comes to your bite (speaking from personal experience here). So another adjustment (or two) by the prosthodontist may well solve the issue - you never know your luck. Please keep us updated! Good luck :clover:
 
krlovesherkids777

krlovesherkids777

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Minneapolis, MN
Hi T81,

Just wanted to ring in with the support , sounds like wise good advice from the prosthodontist. I think they are really wise . I know when I got a free consult from one a few years ago he made the most sense any dentist had in years . I hope he can really help!! we are here to support you!!
Keep us up to date! :)
 
T

T81

Member
Joined
Apr 15, 2020
Messages
21
Location
New York
Hi @krlovesherkids777 and thank you f or the support! Interesting story about how I found the prosthodontist. I actually used to be a patient of his when I first moved to NYC and was in my early 20’s. Had no issues with my teeth back then and stopped going to him simply because the commute was out of my way. Fast forward to this crown debacle, and doing a google search for prosthodontists in the area, his name was the first to come up. Checked the reviews and all were great, with lots of long term patients which speaks volumes. It was all very serendipitous!
 
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DaphneM

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Feb 14, 2020
Messages
119
Location
Netherlands
Hi @T81! Sorry to hear you still have so much trouble with your crown. It’s a good thing you’ve opened your own thread so you can get some support. It helps me a lot 😊

I think what your prosthodontist is telling you makes sense, about the muscles not adjusting. I fully understand your fear about changing your crown. I’m having the same worries. What if it gets worse? But try to trust the dentist. It sounds like he knows what he’s doing. For what it’s worth, I’m also getting treated by a prosthodontist and I’m doing a bit better. Not there, but better :)

You are nowhere near of just getting used to it. There are so many other things you can try if this doesn’t work. All dentist have different opinions and if this doesn’t work, search another one who has a different point of view. You can also try a physiotherapist or chiropractor. There are so many different things to try. And last but not least, it might take a lot of time, but in time, it can still go away on it’s own.

Good luck🍀
Let us know how your appointment in July went!
 
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letsconnect

letsconnect

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Beginning of July sounds a long way off for an adjustment - is there any chance you can get in earlier? Interesting story about how you found him :)!!
 
T

T81

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Apr 15, 2020
Messages
21
Location
New York
Hi @DaphneM :)

Yes, unfortunately like you said, I’m nowhere near used to it. I’m really glad I found this specialist who I had actually seen more than 10 years ago for routine check ups. Had no idea back then what a prosthodontist was, let alone that he was one. All in all I think it’s a sign that I was led back to him. I have to trust that he’ll be able to help. At the very least, he was able to validate what I was feeling. The dentist who actually did the crown at a different practice said she had never heard of what I was describing and made me feel crazy. Can you believe that? It’s so important to find a dentist who listens.

I’m trying to take things day by day because I also want to take time making informed decisions.

I sometimes wonder why these changes affect some so severely and don’t phase others? I wish it didn’t impact my life so much, but finding hard to open my mouth to speak is so disheartening. I thought about doing physiotherapy but leaning toward perhaps trying acupuncture. We shall see what happens.

Last but not least, like you said, these things might eventually settle on their own. Only time will tell.

As always, thank you so much for your encouraging words. We will get through this!

@letsconnect I am currently working from home and can’t take time off at the moment due to busy season. I chose the 3rd since it’s a day before a holiday here and I am off. I’m also due for a cleaning, so this appointment will be a full check up as well. I’m always so anxious before appointments, so much so that my mom usually goes with me. She can’t this time because it’s only one person at a time per appointment. It’s not fear of what they do, but mainly fear of them telling me something is wrong and I need work done. I’ll have to get through it somehow but I know I will!
 
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DaphneM

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Feb 14, 2020
Messages
119
Location
Netherlands
Hi @T81 ! Sorry for my late response. Haven’t feeling well last few days.

Anyway, I think this man knows what he’s talking about. Funny story you have seen him before, some things are just meant to be 😊 I know how frustrating it can be when your dentist doesn’t listen. My dentist also didn’t listen to me when I told him my bridge was loose. I think they just don’t know, so they tell you they’ve never heard of it. I was so mad at him. But my mom made me realize, he never did this on purpose, he just didn’t know. But he made me feel like a fool when he laughed right at me in my face when I told him it was loose. But I know how you are feeling. I thought I was going crazy too! It’s great when you find someone who can validate what you feel and can help you.

Yeah it’s sad. I’ve been so depressed over this. Crying and screaming; why me?! Why does it always have to be so hard. All I wanted was beautiful teeth and replace my old Maryland bridge. Looking back, I think I had mild symptoms before. Last year I had one year of tinnitus and ocular migraines due to stress, and I always had a lot of neck and shoulder problems, also due to stress. Sometimes my teeth felt sensitive for no reason (maybe clenching? I knew it was muscle related, so maybe I had minor TMJ issues back then).

When the bridge got cemented with permanent cement I quitted smoking and started chewing gum instead (very bad for your jaw muscles). I think all of the stress from quitting smoking, lots of chewing gum and the bridge being not cemented well threw my muscles into chaos. Also, I became very stressed because of the flossing feeling I felt back then, which added more stress. Because my dentist did not know what was going on, he adjusted my bridge multiple times, leading to the canines not supporting the teeth anymore. Leading to more pain. So for me it’s a big circle of stress, my dentist not knowing what was going on, no treatment due to covid and lots and lots of anxiety. And now I’m stuck in this circle. The pain gives me anxiety; which adds to more pain. Looking back, I should never ever let my dentist adjust the bridge. I should have gone to a physiotherapist, sleep with my night guard and let them recement again when thing felt better. But I didn’t know anything about it back then.

I’ve been reading for months about this whole jaw problems and I found not many people having luck with acupuncture. I’ve tried acupuncture in the past with little result (for other issues). I don’t want you to spend more money on anything useless, so I just want to share with you 😊 I really think you should go to a physiotherapist, they are trained for everything that has to do with muscles. And since your jaw is one big muscle.... I’m seeing one next week again 😊

How are you doing these days? 🍀
(Sorry for this extremely long post 😂)
 
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T

T81

Member
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Apr 15, 2020
Messages
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Location
New York
Hi @DaphneM, it’s good to hear from you! I’m sorry to the hear that you haven’t been feeling well the last couple of days though 😞

I have always clenched and had issues because of it. I also think, like you, I’ve had some form of mild TMJ issues and this dental work woke up the beast. That said, I’m also starting to think it’s better to not go crazy making adjustments and give things time to settle.

Regarding the acupuncture, I’ve also done it for other things and loved it! Everyone’s experience is different I guess. Besides, have nothing to lose and at the very least it will help to relax me 🤷🏻‍♀️

Are you still planning on getting the bridge replaced? Maybe after you do, just try being patient (easier said that done) and give your body some time to heal. I don’t know, just throwing ideas out there

Hoping things improve for both of us real soon. In the meantime, we’ll motivate each other to stay strong along the way!

Sending positive, healing vibes your way!
 
D

DaphneM

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Messages
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Location
Netherlands
Hi @T81!

The occlusion guy/neuromuscular dentist told me that this was my problem. I probably had some neck/shoulder issues before and the change in my mouth was what made me clench more and pushed things over the edge. Do you clench much at the moment? I’ve noticed I’m clenching a lot more then I did! There are soooo much theories about all this TMJ stuff.

I’m starting to think the same. Especially now that things got worse after this adjustment. But I’m still positive about a new bridge. I just can’t explain the hate I feel towards this one, after all the pain it has cost me. It even changed the way I feel about the way it looks. At first I was okay with it, but now I feel the teeth are too big for my face and they don’t match with the rest of my teeth. So yes, I’m gonna get it replaced anyway. I still trust the dentist who treats me. He seems very passionate about his job and I think he knows what he’s doing. He has probably seen a lot more people with the same issues so I’ll just put my faith in his hands. Also Gordon reassured me it can take some time to find the right fit for me and it’s gonna be a proces of trial and error. So yes, I’m gonna go for new bridges 😊 I’ll trust this dentist when he says things are fine and I’ll just let it settle, maybe a little physiotherapy to help 😊

How do you feel about a new crown? Is your dentist sure it’s gonna help you get rid of your problems? I’m wondering how they will make the new crown, because they don’t have the real tooth as an example anymore. How do they make sure the new one will fit better? Has your dentist told you anything about it? Does he also work with a T-scan?

If acupuncture helped you in the past, than you should definitely go for it! Let me know if it helps 😊 How are things going with your anxiety? Do you feel a bit more calm? Do you take still take meds?

Sending you many healing vibes back ✨
 
T

T81

Member
Joined
Apr 15, 2020
Messages
21
Location
New York
@DaphneM yup definitely clenching more! TMJ issues are so complicated!

I think in your case, new bridges are definitely a good a idea. Bridges are more complex and involve multiple teeth. I could see how that would exasperate any underlying issues you already had. Add to that the fact that you’ve had so many problems with them, and I can totally see why you would want them out. On the bright side, it’s great that you finally found a dentist you trust, that’s so important! Follow your gut instinct and all will be ok.

To be honest with you, I haven’t yet even contemplated the thought of a new crown. I think it would simply mean starting all over again and gettig used to another new sensation in my mouth. I’ll have to ask my dentist when I see him, but thinking this might not be the way to go. Things are slightly improving, so I’m leaning more towards giving this a bit more time. We’ll see if I still feel like that next week, next month, but it’s how I feel right now.

Trying to keep a positive outlook and hoping things return to normal at some point. In the meantime, all I can do is live my life and not let this hold me back!
 
D

DaphneM

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@T81 It’s great to hear things are slightly improving for you. I hope it will settle in a short time and you’ll be fine again 😊 I can see why you don’t want another crown. I’m also not looking forward to go through the whole proces again, but I have to.

It’s weird, cause I don’t really find the bridges themself giving a weird feeling in my mouth. They feel quite okay in my mouth. I had to get used to the feeling of some bigger front teeth, but that took me one week. I really don’t feel like there is something wrong with my bite. It’s my muscles who tell me something is not right 😅 Tomorrow I’ll have my appointment, let’s hope they can take my pain away.

Let me know if things keep improving for you. 🍀
 
T

T81

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Location
New York
@DaphneM thank you for the good vibes! Some days are better than others, and I’m nowhere near ok. I’ll talk to the prosthodontist about options and take it from there. In the meantime, one day at a time. It’s all I can do.
 
D

DaphneM

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Hi @T81! I’m wondering how are you doing? Did all my sending you good vibes help you? 🙂 Hope things keep improving for you.
 
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