What to Do When a Dental Crown is Too High

A dental crown is a common dental restoration that is used to repair or replace a damaged tooth. It is designed to fit precisely over the existing tooth structure, restoring its shape, size, and strength. However, there are instances when a dental crown may be placed too high, causing discomfort and potential complications for the patient. In this article, we will explore ten different aspects related to high dental crowns and provide guidance on what to do in such cases.

1. Understanding High Dental Crowns

When a dental crown is placed too high, it means that its biting surface does not align properly with the adjacent teeth. This misalignment can lead to bite issues, jaw pain, tooth sensitivity, and even damage to the underlying tooth structure. It is essential to address this problem promptly to prevent further complications.

In most cases, a high dental crown occurs due to improper fitting or adjustment during the installation process. Dentists use precise measurements and techniques to ensure a perfect fit, but occasionally, errors can happen. Other factors, such as a change in tooth alignment or gum recession, can also contribute to a high dental crown.

2. Signs and Symptoms of a High Dental Crown

Identifying a high dental crown is crucial for seeking appropriate treatment. The following signs and symptoms may indicate that your dental crown is too high:

1. Bite discomfort: You may experience pain or discomfort when biting down or chewing food.

2. Tooth sensitivity: High dental crowns can cause increased sensitivity to hot and cold substances.

3. Jaw pain and tension: Misaligned dental crowns can lead to temporomandibular joint (TMJ) issues, causing jaw pain and tension.

4. Uneven smile: If your dental crown appears higher than the surrounding teeth, it can affect the aesthetics of your smile.

3. The Importance of Prompt Action

Ignoring a high dental crown can result in further complications and discomfort. Immediate action is necessary to prevent long-term damage and restore proper oral function. It is advisable to contact your dentist as soon as you notice any signs or symptoms of a high dental crown.

Delaying treatment can lead to:

- Tooth decay: Misaligned dental crowns can create spaces where bacteria can accumulate, increasing the risk of tooth decay.

- Gum disease: Poorly fitting dental crowns can irritate the surrounding gum tissue, causing inflammation and gum disease.

- Shifting of adjacent teeth: A high dental crown can disrupt the natural alignment of your teeth, leading to shifting and spacing issues.

- Temporomandibular joint (TMJ) disorders: Bite problems caused by a high dental crown can strain the jaw joint, potentially leading to TMJ disorders.

4. Seeking Professional Assessment

When you suspect a high dental crown, schedule an appointment with your dentist for a thorough assessment. During the appointment, your dentist will examine the crown, perform bite tests, and conduct X-rays if necessary. This evaluation will help determine the exact cause and severity of the issue.

Based on the assessment, your dentist may suggest the following treatment options:

- Crown adjustment: In some cases, a simple adjustment can realign the dental crown and resolve the issue.

- Crown replacement: If the crown is severely misaligned or damaged, your dentist may recommend replacing it with a new crown.

- Orthodontic treatment: If the misalignment is significant and affects your overall bite, your dentist may refer you to an orthodontist for further treatment.

5. Recovery and Post-Treatment Care

Once the issue is addressed, proper recovery and post-treatment care are essential to ensure optimal healing and long-term success. Your dentist will provide specific instructions tailored to your situation, but here are some common post-treatment care tips:

- Maintain good oral hygiene: Brush and floss regularly to keep the crown and surrounding teeth clean.

- Avoid sticky or hard foods: Give your teeth time to adjust by avoiding foods that may put excessive pressure on the crown.

- Attend follow-up appointments: Regular check-ups with your dentist will ensure the crown is functioning correctly and monitor your oral health.

- Report any issues: If you experience discomfort, sensitivity, or any other concerns, contact your dentist promptly.

6. Average Cost and Price Range

The cost of addressing a high dental crown varies depending on the required treatment. On average, a crown adjustment can range from $100 to $500 per tooth, while crown replacement costs between $800 and $3,000 per tooth. Orthodontic treatment, if needed, will have additional costs, which can vary based on the complexity of the case.

7. Frequently Asked Questions

Q: Can a high dental crown fix itself over time?

A: No, a high dental crown will not correct itself over time. It requires professional intervention to realign or replace the crown.

Q: How long does it take to fix a high dental crown?

A: The duration depends on the severity of the misalignment and the chosen treatment option. Crown adjustments can be done in a single visit, while crown replacements may require multiple appointments.

Q: Can I adjust a high dental crown at home?

A: No, attempting to adjust a high dental crown at home can cause further damage. It is vital to seek professional dental care for proper diagnosis and treatment.

Q: Will insurance cover the cost of fixing a high dental crown?

A: Dental insurance coverage varies. Some plans may partially cover the cost of crown adjustments or replacements, but it is advisable to check with your insurance provider to understand your specific coverage.

Q: How can I prevent a high dental crown?

A: To minimize the risk of a high dental crown, choose a reputable and experienced dentist or prosthodontist for the crown placement. Regular dental check-ups can help identify and address any potential issues early on.