Dental crowns are a significant investment in oral health, designed to restore damaged or decayed teeth. While the cementing process is permanent, the question of whether adjustments are possible after the crown is cemented frequently arises. The short answer is: yes, in many cases, a crown can be adjusted after it's cemented. However, the extent of possible adjustments and the method used depend on several factors.
What are the common reasons for needing a crown adjustment?
Several issues can necessitate a post-cement crown adjustment. These often arise from minor imperfections in the fit or unforeseen complications:
- High bite: This is a common problem where the crown sits too high, interfering with the opposing teeth and causing discomfort or pain. This is often the most frequent reason for post-cement adjustment.
- Irritation of surrounding gum tissue: If the crown's margins are too close to the gums, it can lead to irritation and inflammation.
- Interference with speech: In some cases, a crown might slightly affect speech patterns, requiring minor adjustments to improve pronunciation.
- Poor aesthetics: While the dentist strives for a perfect match, sometimes minor adjustments are necessary to ensure the crown blends seamlessly with the surrounding teeth.
- Food impaction: If the crown's shape prevents proper cleaning, food can get trapped, leading to discomfort and potentially further dental issues.
Can a dentist adjust a cemented crown?
Yes, a dentist possesses the tools and expertise to adjust a cemented crown. The process typically involves:
- Removing some of the cement: Depending on the nature of the adjustment, the dentist might need to carefully remove a small amount of the cement securing the crown. This is done precisely to avoid damaging the crown or the underlying tooth.
- Using specialized instruments: Fine-grained dental burs, polishing tools, and other specialized instruments are used to make the necessary adjustments to the crown's height, shape, or margins.
- Re-cementing (if necessary): Once the adjustment is complete, the dentist may re-cement the crown to ensure a secure and stable fit.
How long does a crown adjustment take?
The time required for a crown adjustment varies depending on the complexity of the issue. Minor adjustments, such as reducing a high bite, might take only a few minutes. More extensive modifications, however, could take longer, possibly requiring a second appointment.
What if the adjustment is too extensive?
If the necessary adjustment is too significant, re-making the crown entirely might be a more appropriate solution. This ensures a perfect fit and avoids potential long-term complications.
Is there a cost associated with crown adjustment?
Yes, there will likely be a charge for the adjustment, though it's often less than the cost of a new crown. The specific cost depends on the dentist's fees and the extent of the work required. It's always best to discuss potential costs with your dentist beforehand.
What should I do if I think my crown needs adjusting?
If you experience any discomfort, pain, difficulty speaking, or notice any problems with your crown after it's cemented, contact your dentist immediately. Early intervention can often prevent more extensive issues and ensure the longevity of your crown. Don't try to adjust the crown yourself; this could cause damage to the crown or your tooth.
By understanding the possibilities and limitations of post-cement crown adjustments, you can have a clearer expectation of the process and ensure the success of your crown restoration. Remember, proactive communication with your dentist is key to resolving any issues promptly and effectively.
