CEREC Crowns Make It Hard to Speak
I had four CEREC crowns done on my top teeth and two on the bottom. Since then, it has been harder for me to speak properly. Is that because I used CEREC instead of regular crowns? My front teeth feel pushed too far forward by the teeth.
Humphrey
Dear Humphrey,
I’m sorry this happened to you. I don’t think the problem is the CEREC crowns. In fact, when properly used, CEREC crowns are more accurately fit. But that only works if your dentist inputs the right information. That should have been easy because it would just need scans of your teeth.
However, something went wrong, if you are having trouble speaking. It sounds like your dentist threw off your bite. This can lead to other serious problems like TMJ Disorder.
These need to be redone. When you do have them replaced, you need to make sure that your dentist uses a temporary try in paste. This way you can make sure that you both like they way they look as well as they way they function. If your dentist won’t agree to that I would ask for a refund.
If your dentist refuses even that, then I would go see a dentist who has extensive post-doctoral training in TMJ training. They can examine what the crowns are doing to. your bite. Look for someone w ho has studied at the Spear Education Center, the Dawson Academy, or the Piper Institute. There are some other good institutions as well, but these three are among the best and you want to establish their expertise.
Every once in a while, when a dentist doesn’t care what a patient thinks, they will care what a peer thinks. Because of that, finding an expert will help you get some leverage.
This blog is brought to you by a gentle dentist in Moline Dr. Thomas Goebel.
Dentist Messed Up His Root Canal
I was in a car accident which led to some medical problems, including a concussion. The part relating to my question today is with my two fractured front teeth. My dentist said it would be best to wait a couple of weeks before doing any work. By the second week, my tooth 8 starting turning dark. I went in to see the dentist. There was no pain at that time and he only felt dried blood. He didn’t feel any treatment was necessary except to fit the fractured teeth for temp crowns. The permanent ones came in three weeks later. A couple of months later I ended up in severe pain. My dentist started an emergency root canal treatment and gave me five days worth of amoxicillin. I had some relief of pain the next day. But then it returned. The root canal was completed a week later, even though the pain was still there. Two weeks later when I was still in pain, I went back in. He saw no reason for the pain but then thought maybe the other injured tooth needed a root canal treatment so he did that. I’m still in pain and do not know what to do. Help.
Sam
Dear Sam,
I am so sorry that you’ve been through all of that. I am going to suggest that you find a different dentist. Preferably a dentist who cares and who understands how to treat a tooth infection, which is sort of a basic when it comes to dental care. Here are some of the things that he did wrong:
First, as soon as the tooth had started to discolor, it was clear that it was in need of a root canal treatment. Second, when when he felt dried blood in the tooth, that was another clear sign. If he’d taken care of it then, it would have been easy. Clear out the dead tissue and fill everything up and close it. Yet, he waited until you were in terrible pain and needed urgent dental care.
Third, when he did do the root canal treatment he went about it completely wrong. Amoxicillin would not be my first choice for an infected tooth, but that isn’t the real problem here. He only gave you enough for five days, but didn’t complete the treatment until after that. Fourth, he closed it up while you were still in pain. That is a clear sign the tooth is still infected. What he should have done is give you enough antibiotic to last until after the treatment is done. If there was any pain he needed to give you a different antibiotic to make sure everything is good to go before he sealed things up. Finally, when you were still in pain, he was unsure why and just decided to root canal a different tooth. Really? That makes no sense.
Here’s what I want you to do. Call a root canal specialist (an endodontist) and tell them everything you told me. They should be able to get you in for an emergency appointment. If they can’t they should give you some strong antibiotics to hold you over until treatment is completed. If the pain returns at all, let them know.
This blog is brought to you by a careful dentist in Moline, Dr. Thomas Goebel.