A dental crown is a tooth-shaped cap that restores a damaged, decayed, or weakened tooth by covering its entire visible portion above the gum line. This restoration aims to improve the tooth’s form, strength, and appearance. It is common for individuals to experience a sensation that their bite feels uneven or “off” after a crown has been placed. This post-procedure experience, while often unsettling, is a recognized occurrence in dental care.
Common Reasons for an Uneven Bite
Several factors contribute to a bite feeling uneven after a crown procedure. The crown itself might be slightly too high or its shape imperfect. Dentists meticulously craft crowns for a precise fit, but subtle adjustments are frequently necessary to achieve optimal alignment.
Local anesthesia administered during the procedure can temporarily alter a patient’s perception of their bite. Once the numbing effect dissipates, the actual bite sensation becomes apparent, sometimes revealing discrepancies.
Additionally, the tooth and surrounding gum tissues can experience temporary inflammation or swelling following the dental work. This temporary swelling can influence how the teeth meet, making the bite feel different.
The jaw naturally adapts to a new restoration, which might reveal minor discrepancies.
If a temporary crown was used, the permanent one may have slight differences. Temporary crowns are less precise and durable, so the transition can require a short adjustment period.
Immediate Steps to Take
If your bite feels uneven after a crown, promptly contact your dental office for assessment and adjustment. Avoid chewing directly on the affected side of your mouth to prevent discomfort and potential damage.
Do not attempt self-adjustment or try to “wear down” the crown, as this can lead to complications or damage to the crown or surrounding teeth. During a dental visit for adjustment, the dentist typically uses articulating paper, a thin colored paper, to identify specific high spots on the crown. They will then refine the crown’s surface until the bite feels balanced and comfortable.
Potential Consequences of an Unaddressed Issue
Ignoring an uneven bite can lead to several negative outcomes. An imbalanced bite can strain the temporomandibular joint (TMJ), which connects your jawbone to your skull. This strain can result in jaw pain, clicking sounds when moving the jaw, or difficulty opening and closing the mouth fully.
Excessive pressure on the crowned tooth or the opposing teeth can cause sensitivity or pain. This can manifest as discomfort when chewing or sensitivity to hot or cold. An uncorrected uneven bite can also lead to chronic tension headaches and soreness in the facial muscles. The muscles of the jaw, face, and neck can become overworked when trying to compensate for the misalignment.
Furthermore, an uneven bite can cause physical damage to the crown or to other natural teeth. Continued uneven pressure can lead to chipping, cracking, or premature wear of the crown. It can also cause excessive wear on the opposing natural teeth, potentially damaging their enamel.
Minimizing Future Issues
Open communication with your dentist during the crown placement and adjustment phases is beneficial. Clearly describe how your bite feels, providing specific feedback to aid in precise adjustments. Adhering to any post-procedure instructions given by your dentist is also important. This includes guidance on diet and care immediately following the crown placement.
Regular dental check-ups are important for monitoring the condition of your crown and overall oral health. These routine visits allow your dentist to assess the crown’s fit, check for any signs of wear or damage, and ensure the surrounding tissues remain healthy. Maintaining good overall oral hygiene, including consistent brushing and flossing, supports the longevity of your dental work and contributes to healthy teeth and gums.