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After crowns done on lower teeth, cannot chew, bite problems

 
After crowns done on lower teeth, cannot chew, bite problems
Added: September 20, 2007 - 12:04 PM
By: Patient Email Withheld, San Diego, CA
Need Dentist / Specialist: Yes  
Provide Cost Estimate: Yes  
X-rays Available: No  
Case Summary
Crown Dentures / Partials Porcelain Veneers / Crowns TMJ / Bite Problems Full Mouth Reconstruction
Teeth: 17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32 
Last Full Mouth X-Ray: 2007
Last Cleaning: 2007
Case Description
Previously, my father had a full mouth reconstruction done. He had crowns, dentures/partials and bridges in his upper and lower teeth. However, he experienced grinding and it caused his front lower teeth to wear out and caused him pain and sensitivity. He then saw a new dentist who redid his front lower teeth and said that raising his back lower teeth (the molars) would ease the pressure on the front teeth, thus preventing grinding. This is what he tried to do. After my father had all his lower teeth done, he does not feel the pain in the lower front teeth anymore, however, unlike before when he could eat, he now has been having problems chewing and grinding food. He says that whenever he bites down, the upper teeth and the lower teeth do not align and rest face to face with one another, but instead, are in different angles, and only a portion of one of the teeth touches a portion of one of the bottom teeth. This makes him only able to "cut" food, but not to chew the food, and it has been very difficult for him to eat for the past month or so. The dentist that my father sees does not seem to know how to fix this problem, perhaps due to lack of experience. He has made my father go back and forth repeatedly to his office due to problems occurring during the reconstruction, including the crowns not staying in place, and that of not being able to eat. Now, my father really wants to find a new dentist whom he can trust will do a good job on his teeth and allow him both functional teeth and painless treatment. But I really don't want him to have to go through the painful and timely procedures all over again! We also have a concern about the cost. My father had paid this dentist out-of-pocket money, but now we want to request this or a large part of this amount back for the poorly-done crowns in the teeth in the back (the molars). Any help on this matter or advice would be greatly appreciated. Thank you. (Note: my apologies for not having the technical names (crowns, dentures, teeth names...) down so well)




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Reply: After crowns done on lower teeth, cannot chew, bite problems
added: September 24, 2007 - 3:21 PM

Cost Estimate: $ No Estimate at this time. Additional information required.
It seems that your father went through extensive treatment. Full mouth reconstruction is quite a challenging task for any dentist at any expertise level. It sounds as though the occlusion (how the teeth come together) is not quite where it needs to be. Also the joints (the TMJ''''''''s) need to be considered seriously. It is hard to say exactly what the source of the problem is without examining the patient. Depending on how far off the bite is, we may need to either repeat the process with a more scientific approach, or we may be able to correct it with bite adjustment. The examination is the key. The solution may be a conservative one, i.e. we may not need to do full reconstruction, however it can only be determined after a thorough examination. I hope this is helpful.
   

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