My gums have been burning since I got new temporary crowns. After I complained, my dentist took the first set of temps off. After removing the crowns, my dentist recommended a fluoride treatment and prescribed an antibiotic.
When I got the temporary crowns, my bite was off. My dentist did so much filing on the crowns that when I drank anything, I could feel the fluid rushing beneath the crown. I got new temporaries, but my teeth are sensitive, and my gums burn. My dentist made drastic changes to my teeth, making them uncomfortable with crowns. Can I expect major rework to resolve my concerns? I’m exhausted. Thanks. Joan from AZ
Joan,
We understand our exhaustion and frustration.
Before your dentist permanently cements your new crowns, please ensure you are entirely satisfied with their fit and feel.
Confirming the specific metal alloy used is crucial if these are porcelain-fused-to-metal crowns. A potential metal allergy, particularly to nickel, could be causing the burning sensation. Request a copy of the dental laboratory’s alloy certificate for detailed composition information. Even if they are all ceramic crowns, a dentist must determine the underlying cause of the discomfort.
Several aspects of your treatment raise concerns about the dentist’s experience and judgment. A smile reconstruction is a complex procedure that often requires specialized expertise in cosmetic dentistry. Bite discrepancies and the need for significant post-treatment adjustments are red flags. Additionally, fluoride treatment on prepared teeth seems inappropriate because it cannot address bacterial infection. A more suitable approach would involve an antibacterial agent like peroxide or chlorhexidine.
We recommend seeking a second opinion from a dentist with extensive cosmetic dentistry experience and training. This will allow you to ensure optimal comfort and quality of care. A well-placed crown should feel like a healthy, natural tooth.
Dr. Miranda Lacy, a Plano, Texas dentist, sponsors this post.
