Dental crowns are a fantastic solution for protecting damaged or decayed teeth, restoring their shape, and improving their appearance. However, a question many patients have after crown placement is: can a crown be adjusted after it's cemented? The short answer is: yes, in many cases. However, the extent of adjustments possible depends on several factors.
This article will explore the circumstances under which a crown can be adjusted post-cementing, what kinds of adjustments are feasible, and when further intervention might be necessary.
What Kinds of Adjustments Can Be Made to a Cemented Crown?
After a crown is cemented, minor adjustments are often possible. These usually involve addressing issues that cause discomfort or interfere with proper function. Common adjustments include:
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Height Adjustment: If the crown feels too high, causing a bite problem (occlusal interference) or discomfort, your dentist can often carefully grind down the crown to restore proper bite height. This is a relatively common adjustment.
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Shape Adjustment: Sometimes, the crown's shape might feel slightly off, rubbing against adjacent teeth or the tongue. A dentist can use specialized instruments to subtly reshape the crown to improve comfort and function.
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Removal of Excess Cement: Excess cement can sometimes be irritating or affect the bite. Your dentist can easily remove this excess cement to provide a smoother, more comfortable fit.
When Might a Crown Adjustment Not Be Possible?
While many minor adjustments are possible, some situations may necessitate more extensive work or even crown replacement:
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Extensive Damage: If the crown is significantly chipped or fractured, a simple adjustment may not be sufficient. Replacement might be necessary to ensure proper function and longevity.
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Poor Fit (Severe): If the crown's fit was initially poor, leading to significant discomfort or functional issues, a simple adjustment may not resolve the problem. Recreating the crown might be the best approach.
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Cement Failure: If the cement has failed entirely, allowing the crown to become loose or dislodged, simple adjustment isn't an option. The crown will likely need to be recemented or replaced.
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Severe Bite Problems: In cases of severe malocclusion (misalignment of teeth), a simple crown adjustment might not solve the underlying issue. Further orthodontic treatment or other restorative procedures may be needed.
How Long After Cementation Can a Crown Be Adjusted?
Ideally, any necessary adjustments should be addressed promptly after cementation. Many dentists will schedule a follow-up appointment to check the fit and comfort of the new crown shortly after placement. However, even weeks or months after placement, minor adjustments might still be possible, depending on the nature of the issue.
What Happens During a Crown Adjustment?
A crown adjustment is usually a quick, straightforward procedure. Your dentist will use specialized instruments to carefully grind down the crown material. The process is generally painless, although some sensitivity may be present. Your dentist can use topical anesthetic to ensure your comfort.
How Much Does a Crown Adjustment Cost?
The cost of a crown adjustment varies depending on several factors, including the extent of the adjustment, your location, and your dental insurance coverage. It's typically much less expensive than having a new crown made. It's always best to discuss the cost with your dentist before proceeding.
What if My Crown Needs Replacement Instead of Adjustment?
If your dentist determines that an adjustment isn't feasible, they will discuss replacement options with you. This will involve creating a new crown, which will usually require a second appointment and may have higher associated costs.
By understanding the possibilities and limitations of crown adjustments, you can better prepare for your dental care and ensure the long-term health and function of your restored teeth. Remember to always communicate any concerns or discomfort you experience with your dentist to ensure the best possible outcome.
