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Bite problems

 
Bite problems
Added: November 15, 2007 - 7:27 AM
By: Patient Email Withheld, Manassas, Va, DC
Need Dentist / Specialist: Yes  
Provide Cost Estimate: No  
X-rays Available: No  
Case Summary
TMJ / Bite Problems
Teeth:  
Last Full Mouth X-Ray: April of 07
Last Cleaning: Oct. 07
Case Description
I went to a new dentist, he redid a filling on a tooth upper back, ever since then I have had bite problems and grinding. I went to a different dentist after no resolution to my problem. This has been going on since April of 07. I've tried everything and spent a lot of money that insurance is not covering. I'm 40 years old female with no history of TMJ or grinding. Very few cavities and no braces. Please what can I do to get back to normal.




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Reply: Bite problems
added: November 15, 2007 - 8:00 AM

Hello,

Sorry to hear about your 7 months of problems. Although you don''''t have any history of TMJ problems, it is entirely possible that you had an underlying problem that the replacement filling brought to the surface. So, first you should make sure the filling is the correct height and shape. Even if it is only slightly off, it can affect your entire bite. Second, have your jaw joint evaluated by someone familiar with TMJ treatment to rule out TMJ disorders. FInally, if the grinding has become a habit, have a night appliance made to break the habit and protect your other teeth from damage.

Best of luck to you,

Dr. Michael Rogers

 
Reply: Bite problems
added: November 15, 2007 - 8:05 AM

From your description, in all likelihood the problem is a high point in the restoration that was placed in April. My guess is that the jaw is being defleced from normal closing. If that is what is happening, reshaping of the restoration would remedy the problem.

 
Reply: Bite problems
added: November 15, 2007 - 8:19 AM

I''''m just speculating here, but it seems that either the filling is too high/tall or there is a crack inside the tooth somewhere that can''''t be observed directly but is adding to your symptoms. You might want to replace the filling w/ something temporary (IRM, ask your dentist) and observe for a while or proceed to a crown.

Good luck

 
Reply: Bite problems
added: November 15, 2007 - 8:42 AM

This can be so frustrating! Luckily, the other replies are right on target, although I would definitely have your bite and jaw joint assessed before proceeding to any sort of permanent restoration like a crown.

It may be that there was an underlying condition with the joint that has been triggered by this filling, or it may be that the filling itself is simply too high. Either way, I''''d recommend a full evaluation by a doctor with training and experience in this type of bite work.

Both Dr. Locklear and Dr. Michael Rogers are qualified to address this for you. Best wishes!

 
Reply: Bite problems
added: November 15, 2007 - 9:17 AM

Dear Bite Problems,

We would be happy to check the tooth out for you if you like at our office. Have you had the filling removed and replaced? Are you under any recent stress that could be causing you to start grinding your teeth? Most people don''''t grind their whole life, something usually stimulates the occurence and at times, people tend to grind more. Are you having any pain with the tooth other than bite? Have you had the nerve evaluated by an endodontist to see if the nerve is vital or inflamed or non-vital?

I am a pediatric dentist and my husband, Dr. Granat, is a cosmetic dentist. Please call us if you like at 703-368-1000. As far as an endodontist for an eval we might recommend Dr. Dollard in Manassas.

   

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