My PFM crown had to be filed down to fit, now you can see metal, does it have to be redone?
Q.
I have just had a PFM crown fitted on a large molar and it sat very high. So much had to be filed away to correct the bite that metal was revealed through in one very small spot (0.5mm) in the front area of the grinding surface. I believe my dentist would redo the crown for me but the pain during prep was intense (even after 3 injections) and I would honestly rather have the tooth removed than have the crown redone. I am not worried by how it looks but am worrried I may have to have a crown redone very soon if it is not sound. Should I leave it and see how long it lasts as it is or would a composite resin patch maintain the integrity of the crown better? (I understand this involves a diamond burr taking more surface away?) so I’m worried even this could thin it further. Any advice greatly appreciated.
I have just had a PFM crown fitted on a large molar and it sat very high. So much had to be filed away to correct the bite that metal was revealed through in one very small spot (0.5mm) in the front area of the grinding surface. I believe my dentist would redo the crown for me but the pain during prep was intense (even after 3 injections) and I would honestly rather have the tooth removed than have the crown redone. I am not worried by how it looks but am worrried I may have to have a crown redone very soon if it is not sound. Should I leave it and see how long it lasts as it is or would a composite resin patch maintain the integrity of the crown better? (I understand this involves a diamond burr taking more surface away?) so I’m worried even this could thin it further. Any advice greatly appreciated.
A.
Thank you for your enquiry.
Thank you for your enquiry.
Just because some of the porcelain has been taken off, doesn’t mean you need a new crown. If you are not bother with how it looks and your dentist is confident that it is structurally sound I would recommend leaving it. You may find you get many good years out of this tooth.
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