My Grinding Is Causing My Crown To Come Loose, What Kind Of Treatments Should I Consider?
Q.
I have previously had two replacement crowns in both front teeth from a young age. I later replaced one of them with a screw in crown. I have a problem with grinding my teeth as well. My dentist has suggested I have short teeth and should use a guard but I grind my teeth in the daytime so not sure how this would help? The other and main problem is my screwed in crown is receding due to the grinding apparently. It feels loose and is painful. There is no infection but I would like this replaced and have asked about a bridge, my dentist has said no because it would take to long to heal and I would need my healthy teeth removed. I am confused, do I need to wait until it falls out or can I seek alternative treatments?
I have previously had two replacement crowns in both front teeth from a young age. I later replaced one of them with a screw in crown. I have a problem with grinding my teeth as well. My dentist has suggested I have short teeth and should use a guard but I grind my teeth in the daytime so not sure how this would help? The other and main problem is my screwed in crown is receding due to the grinding apparently. It feels loose and is painful. There is no infection but I would like this replaced and have asked about a bridge, my dentist has said no because it would take to long to heal and I would need my healthy teeth removed. I am confused, do I need to wait until it falls out or can I seek alternative treatments?
A.
Hello and and thanks getting in touch with me. Obviously it is difficult to comment specifically on your situation without seeing you in person, however I would suggest a couple of things. Firstly, if you are grinding your teeth and it is impacting on the length of your existing teeth, this needs to be addressed and managed as a priority. Usually this can easily be resolved with a soft or hard splint that is worn at night. This is when most of your grinding is probably taking place and you will be unaware of it. Secondly, it is quite possible that it is your grinding that is making your crown feel loose and painful, rather than an infection. This can also be resolved fairly simply. Once you have resolved your grinding then it should be possible to replace your crown without any further issues. I hope this helps and I wish you the best of luck. Dr Marcus Gambroudes.
Hello and and thanks getting in touch with me. Obviously it is difficult to comment specifically on your situation without seeing you in person, however I would suggest a couple of things. Firstly, if you are grinding your teeth and it is impacting on the length of your existing teeth, this needs to be addressed and managed as a priority. Usually this can easily be resolved with a soft or hard splint that is worn at night. This is when most of your grinding is probably taking place and you will be unaware of it. Secondly, it is quite possible that it is your grinding that is making your crown feel loose and painful, rather than an infection. This can also be resolved fairly simply. Once you have resolved your grinding then it should be possible to replace your crown without any further issues. I hope this helps and I wish you the best of luck. Dr Marcus Gambroudes.
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