Dental crowns are a common restorative treatment, providing strength and protection to damaged or weakened teeth. But what happens if, after your crown is cemented, you experience discomfort or notice an issue? The question many patients have is: can a crown be adjusted after it's cemented? The short answer is yes, but the specifics depend on the nature of the adjustment needed.
What Adjustments Can Be Made to a Cemented Crown?
While a cemented crown is a permanent restoration, your dentist can perform several adjustments. These commonly include:
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Height Adjustment: If the crown feels too high, causing a bite problem or discomfort, your dentist can carefully grind down the crown to achieve a more comfortable bite. This is a relatively common adjustment.
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Contour Adjustment: Sometimes, the crown's shape might not perfectly match the surrounding teeth. This can lead to unevenness or discomfort. In such cases, your dentist can reshape the crown to improve its contour and fit seamlessly with your other teeth.
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Occlusal Adjustment: This involves altering the chewing surface of the crown to improve the way your teeth meet. It's crucial for proper bite function and prevents excessive wear on other teeth.
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Removing Excess Cement: Sometimes, excess cement is left after the crown is placed. This can cause irritation or discomfort. Your dentist can easily remove this excess cement.
Can a Crown Be Removed and Re-Cemented?
In some cases, a more significant adjustment may require the crown to be removed and re-cemented. This isn't the standard procedure for minor adjustments, but it might be necessary if:
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The crown is loose or ill-fitting: A loose crown might need to be recemented with a stronger adhesive or replaced entirely.
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Significant adjustments are needed: Extensive modifications might necessitate removal for accuracy and prevent damaging the crown.
What Happens If My Crown Needs Significant Adjustment?
If the necessary adjustment is beyond simple grinding or reshaping, your dentist will need to evaluate the situation carefully. They might consider these options:
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Re-cementing: If the crown is well-made and only needs better adhesion, your dentist might remove it and re-cement it using a different technique or adhesive.
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Relining: In some instances, the crown might be relined, meaning adding a thin layer of material to improve the fit.
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Replacement: If the crown is severely damaged, or if the adjustments needed are too extensive, it may need to be replaced entirely.
How Long Does a Crown Adjustment Take?
The time it takes to adjust a cemented crown depends on the complexity of the adjustment. Minor adjustments, like removing excess cement or minor height adjustments, can often be done in a single visit. More extensive adjustments may require multiple visits.
When Should I Contact My Dentist About My Crown?
It's important to contact your dentist if you experience any discomfort, pain, sensitivity, or notice any problems with your crown. Early intervention can prevent more serious issues and ensures your crown continues to function correctly.
What are the Costs Involved in Adjusting a Crown?
The cost of adjusting a cemented crown varies depending on the extent of the adjustment, your location, and your dental insurance coverage. It's best to discuss costs directly with your dentist.
This information is for general knowledge and shouldn't replace professional dental advice. Always consult your dentist for any concerns about your dental crown. Remember, regular check-ups are essential for maintaining optimal oral health and ensuring your crown continues to function properly.
