I agreed to let my former dentist replace my old amalgam fillings with composite fillings or crowns, depending on the size of the cavities and tooth structure. We started the work in late July, and my dentist placed two filling and three crowns. The crowns are uncomfortable because they are bulky and press on my gums. My bite is off too. I was stressed because family issues came up. Things calmed down in August, but the crowns were still so uncomfortable. One day, the pain was so intense that I decided to call around for a cosmetic dentist who could see me right away. Although the dentist could not do anything at that time, she offered to do free x-rays and a paid exam. I canceled treatment with my former dentist.
The new dentist says that my nerves are irritated, and she does not want to replace the crowns until the nerves heal. I do not understand this. And I am concerned that I need to switch dentists again. Is nerve irritation related to when I can get crowns replaced—especially if they hurt? Thanks for your help. Savannah from Delaware
Thank you for your question. We are concerned about your new dentist’s hesitation to replace your crowns.
If a dentist cuts deeply into teeth when preparing them for crowns, it can irritate tooth nerves. In contrast, removing a crown may be mildly irritating—if at all. After a week or two, tooth nerves should calm down. But the irritation could not linger.
Crowns that press on your gums, feel bulky, and disturb your bite are poorly made or placed. It seems that both dentists are uncomfortable with the process. Dental crowns should fit so comfortably that they feel like natural teeth.
Unfortunately, it is best to switch dentists again. This time, instead of looking for an emergency appointment, select an accredited cosmetic dentist or one with post-graduate cosmetic dentistry training. If you prefer, schedule consultations with two cosmetic dentists to increase your comfort in choosing a provider for your new crowns.
Midtown Manhattan dentist Dr. Marianna Farber sponsors this post.