I have been going to the same dentist for six years. In that time, I’ve had four dental crowns placed on front teeth that have the metal foundation. This has caused some ugly gray stains on my gums and the crowns keep chipping. She repairs them but charges me for every repair, which I am a bit sick of. So, I went to see another dentist Dr. P—- (name withheld) to get these done right. He told me I need a full mouth reconstruction because my bite is completely off. The temporary crowns look fine, but they hurt when I try to eat. I hope this changes with the permanent ones. My dentist feels it will. As far as the appearance, the one thing I am concerned about is the eye teeth. I would like them a little longer. Do you think it will be too late to fix that? Am I being too picky? I don’t want to upset my dentist because he is much better than the last dentist I went to see.
Asia
Dear Asia,
I am very glad you wrote. Not only are you not being too picky, you are not being picky enough. The first thing I want you to do is call your new dentist and ask for the lab order to be placed on hold until you have temporary crowns that fit properly. Then make sure your dentist knows you will not go forward with this until the temporaries are right. You should have no trouble with eating or anything else. They should feel perfectly natural. Putting the permanent ones in will not change how they feel because they are modeled after the temporaries. If the temps hurt, the permanent ones will too.
Another concern I have is the dentist you are using. When I looked him up, there is no advanced training listed that qualifies him for this procedure. Doing a full-mouth reconstruction is one of the most advanced procedures around. I am honestly not certain he is qualified to do this. In fact, I am going to recommend you get a second opinion by someone who does have the advanced training necessary.
I can’t stress enough how important this is. If this isn’t done correctly, he can completely mess up your bite, leaving you with a lifetime of pain and TMJ Disorder. When you are looking for that second opinion dentist, look for someone who has training at either the Pankey Institute in Florida or the Las Vegas Institute for Advanced Dental Studies.
I am going to suggest you get the second opinion before letting your dentist do anything else.
This blog is brought to you by Duluth, GA Dentist Dr. David Marion.