Re: crown elongation and TMJ.

From: Joel M. Eichen, D.D.S. (joeleichen_at_yahoo.com)
Date: 06/03/04 

Date: Thu, 03 Jun 2004 06:58:58 -0400

On 2 Jun 2004 13:34:21 -0700, arbenz_54@yahoo.com (Justin) wrote:

>Hello. I'm 23 years old and have been having increasingly painful
>tmj-like symptoms ever since I had crowns placed on two of my teeth a
>little over a year ago. One of the crowns, which was applied to my #7
>tooth, has fallen out repeatedly since the surgery. I've had it
>reattached perhaps 10 times. My dentist has, up until this week,
>repeatedly said that my bite has been causing the crown to fall out.
>Now, however, he says that my actual tooth (which he grinded down to
>current size) is too small for the crown to properly grab onto.

It is possible the tooth was ground to that point, or the clinical
conditions only left that much tooth structure.

Crowns should styay ON!

JOEL

> He
>says I need to have a crown elongation procedure to expose more of the
>tooth so a new crown can be fitted and applied. I am, at this point,
>extremely skeptical of any dental procedure. I've yet to see an oral
>surgeon or speak with anyone other than my dentist about the TMJ
>symptoms. Up until now he has been adjusting my bite by shaving back
>the crowns, to see if that would alleviate the TMJ stuff. Today he
>finally said that the problem was the size of the original tooth and
>referred me to a periodontist for the elongation procedure. I'm very
>new to all this TMJ stuff, and as I said I'm skeptical about any
>dental procedure since the crowns seem to have triggered the tmj. But
>unless I want to just have a nub for one of my front teeth, I need to
>go through with the crown elongation thing. From what I've read about
>TMJ it seems difficult to predict how anything will affect the
>problem, adversely or otherwise. I'm just wondering if anyone here
>might be able to offer any input on my situation. Anything at all
>would be greatly appreciated. Thank you so much.
>
>-Justin

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