Can ceramic crowns be built up? I suffer from TMJ in the worst way

Q. Can ceramic crowns be built up? I hope that’s not a dumb question. I suffer from TMJ in the worst way. My dentist put crowns on all my molars to correct my TMJ. Now it’s worse than ever. I think the top crowns are too short. i think he did this to get my bite in line. the pressure on my joint is constant now not to mention everything else. my front teeth are now banging against each other when i talk. i really believe they are too short. I’m in debt because of this dental work. I cant afford to have them taken off and redone. I’m hoping they can just be built up.

A. They cant be built up but this is will cost as much as having them replaced and unfortunately if you don’t have this problem sorted out it can result in worse problems with your tmj and eventually your teeth will start to break or it will begin to affect your gums.
There is some good news, if you have some splint therapy and your bite is equilibrated your jaw problems may subside and you may only have to have 1 or 2 replaced. Don’t go back to your dentist, it doesn’t seem like he knows what he is doing.
There are 2 options to go for, one is a Dawson trained dentist and the other is a Kois trained dentist. These are 2 schools of occlusion in the USA, and these dentists will beable to help you.
You may find this information out on dentists websites or by asking them. If you live within commuting distance of my practice I can offer advice and splint therapy, I am Kois Trained. In the north of England there is Dr Ken Harris in Sunderland at Riveredge dental practice, he is also Kois trained and in the Wyrell there is Dr Ian Buckell, he is Dawson trained. You can find their details on the website
Kind regards

Dr Komal Suri

Dr Komal Suri

Smile Design Dental
33 High Street, Wendover, Buckinghamshire HP22 6DU
Web:  Tel: 01932 223 479

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June 29th, 2011 at 08:47 PM
Wilson Says :

it is highly unlikely that ceramic crowns can be built up in the mouth and tolerate the sort of forces generated by the human jaw. you need to discuss these symptoms with your dentist so he can address them or reassure you that they are transient.

June 29th, 2011 at 08:47 PM
Bailey Says :

Ceramic crowns can’t be built up long term as they are a porcelain that is fired in the laboratory. However you TMJ pain can be treated with ‘splint therapy’ (like a custom-made hard plastic mouthguard that allows your TMJ to settle into it’s correct position) and minor adjustments on your crowns to stop them ‘banging into’ each other.

June 29th, 2011 at 08:47 PM
Alexzander Says :

unfortunately ceramic crowns can not be added on to. i feel that if this treatment has been carried out recently i would advise you go back to your dentist and discuss the discomfort your feeling an give him an oportunity to correct this for you.

June 29th, 2011 at 08:47 PM
Byron Says :

It is possible to bond to porcelain to build up the crowns but this is unlikely to improve your TMJ problems. TMJ problems are usually made worse by interferences form the back teeth and it sounds like, as these seem too short, that this is not the case. As an interim measure a full cover splint to even out the pressure may eleviate some of your pain. You may have an internal problem of the joint. Your dentist might decide to refer you to an oral surgeon who has experience in treating TMJ for an assessment, to get a second opinion.

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