A 63-year-old female asked:
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explain a bite adjustment of a new crown, as in how's it done? also, can they do a root canal on a brand new crown? so much pain, yet he wants to wait

5 doctor answers
Dr. Jerry Brown
52 years experience Prosthodontics
Crown Ajustments: Good day; These days many crowns are constructed of ceramic materials. Root canal treatment can not be performed once these crowns are cemented. You need to speak with your dentist before cementation. Older metal/ porcelain crowns may be temporarily cemented, if the tooth remains painful, endodontic treatment can be initiated without destroying the crown. Communicate with your dentist !!
Answered on May 29, 2016
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2 thanks
Dr. Theodore Davantzis
39 years experience Dentistry
Bite adjustments: Using articulating paper, you dentist will determine where the opposing teeth contact first, and adjust your crown accordingly. What necessitated the crown? A fracture? a large restoration? Was there deep decay? Your dentist is best prepared to answer these questions.
Answered on Feb 9, 2016
Dr. Justin Nelson
15 years experience Pediatric Dentistry
Simple adjustment: simple adjustment with a high speed polishing diamond or white stone. yes, a root canal can be done through a new crown. you will NOT need a new crown unless there is a fracture in the crown.
Answered on Nov 28, 2017
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
Blue bite paper: The dentist will put the trusted blue bite paper in between the teeth and get you to tap your teeth together and any high spots will be adjusted. On rare occasions, the tooth may have symptoms of inflammation and the need for a root canal is warranted.
Answered on Feb 28, 2016
Dr. Gary Sandler
53 years experience Dentistry
Pain after crown: The surface of the crown can be carefully removed with a diamond stone or other material in the area of premature contact. Root Canal Therapy can usually be done through an opening in the crown (new or old) although it can affect the integrity of the crown. Whether to wait, adjust or do RCT is a clinical judgement. Trust your dentist or get a second opinion.
Answered on Mar 18, 2016

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