Re: Question for any dentist here

In article <opvbi.14194$RX.13122@xxxxxxxxxxxxxxxxxxxxxxxxxx>,
"Amatus Cremona" <Nicola@xxxxxxxxxxxxxx> wrote:

Perhaps your crowns are poorly made, no way I can tell from my desk.

If I hold my face up reeeeeeal close to the monitor ...

Not "poorly made" perhaps, but closer to "just barely adequately made."

My experience is that people who have trouble getting the occlusion "tuned"
properly, are clenchers. They may are often called grinders by dentists who
don't recognize what is underneath the grinding process. Clenchers often
get muscle spasms that they are not aware of and have trouble closing into
the same position repeatedly (especially after a longer dental appointment).

Grinding is a LIGHT force activity which takes many years to manifest any
wear on teeth. Clenching is the forceful squeezing of the jaws (much worse
during sleep--and not apparent to patients). Clenching with isometric
grinding is the forceful clenching while the body (subconsciously) tries to
move side to side and front to back. This bends teeth, causes recession and
sensitivity, and BREAKS teeth. These patients typically have 2+ RCT and 3+
crowns.

Well, I'm soon to join that crowd, with 3 RCT, 6 crowns and one
removeable bridge appliance. At my appointment today, I did ask if I
showed any evidence of clenching, and my dentist says that she doubts
that clenching caused the break of #3. She thinks it is more likely due
to #4 and #2 being absent and my using the right side more for chewing
anyway, since #12 (lingual caries) and #13 (deep decay, needing a crown
to restore) and #15 (composite blowout, extracted in November) hurt so
much.

#30 was abcessed when it had the RCT ... and now I can afford the crown;
#31 has "large mesial caries" and is so deeply decayed a RCT is
necessary. Most of my problems, I think, are due to a long period of
poverty and no insurance. Again - I'm not arguing; I've only seen my
teeth at any length, and I'm very interested in keeping the ones I have
left, even if it means wearing an appliance at night to keep from
snapping them off, and so far, knock wood, the two dentists working on
the wreckage don't think I clench. I'll be sure to ask them to
reappraise as the restoration goes on, because I'd love to keep them,
especially once they're fixed!

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

email: archaicnewelpeg at gmail dot com
.

Relevant Pages

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  • Re: Question for any dentist here
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