Dentistry nhs crown issue and questions
Discussion
Hi.
i just had a metal crown fitted to 2nd from back lower tooth.
Howether, ten crown is huge in comparison to what was there.
in normal eating and closing of teeth, only the crown and the tooth above now touch.
I am going back in afew weeks.
Does the dentist send the moulds to the nfs to make the crowns?
it feels like a clump of metal on the tooth.
Have they just guessed at the shape of the tooth?
I presume the detest will be able to do a lot of shaping of the crown? Or is this going to need a completely new crown?
I am talking 1-2 mm to be filed off.
Should the crown be exactly the same same size as the original tooth?
Mine is wider, higher....not even close
i just had a metal crown fitted to 2nd from back lower tooth.
Howether, ten crown is huge in comparison to what was there.
in normal eating and closing of teeth, only the crown and the tooth above now touch.
I am going back in afew weeks.
Does the dentist send the moulds to the nfs to make the crowns?
it feels like a clump of metal on the tooth.
Have they just guessed at the shape of the tooth?
I presume the detest will be able to do a lot of shaping of the crown? Or is this going to need a completely new crown?
I am talking 1-2 mm to be filed off.
Should the crown be exactly the same same size as the original tooth?
Mine is wider, higher....not even close
Edited by philv on Friday 27th May 21:44
Hi Phil
All crowns NHS or private are made by dental laboratories. Its up to the dentist to decide which lab they want to use as they foot the bill.
Simply put crowns arent always the same size as the original tooth, but there has to be a reason as to why your changing it. Most commonly you change the shape for appearance, to make the crown touch the neighbouring teeth properly and if their was space in the bite.
Crowns CAN be high in your bite and be acceptable. The general rule is if the crown is 1mm or less too high then it is perfectly acceptable to cement the crown in and the bite will sort itself out. This is using the dahl effect (https://en.wikipedia.org/wiki/Dahl_effect). This usually can take up to 4 weeks but you always warn patients about this.
Otherwise the next job is likely to just adjust the crown itself, pretty straightforward. If its a full metal crown then unless you were to actually make a hole through the crown its probably acceptable.
All crowns NHS or private are made by dental laboratories. Its up to the dentist to decide which lab they want to use as they foot the bill.
Simply put crowns arent always the same size as the original tooth, but there has to be a reason as to why your changing it. Most commonly you change the shape for appearance, to make the crown touch the neighbouring teeth properly and if their was space in the bite.
Crowns CAN be high in your bite and be acceptable. The general rule is if the crown is 1mm or less too high then it is perfectly acceptable to cement the crown in and the bite will sort itself out. This is using the dahl effect (https://en.wikipedia.org/wiki/Dahl_effect). This usually can take up to 4 weeks but you always warn patients about this.
Otherwise the next job is likely to just adjust the crown itself, pretty straightforward. If its a full metal crown then unless you were to actually make a hole through the crown its probably acceptable.
Gassing Station | Health Matters | Top of Page | What's New | My Stuff