Have you been bothered by moderate to severe pain under a recently crowned tooth by the Dentist? Is the pain under the new dental crown or restoration noticeable when biting down on something ordinary like a piece of cake? There might be several points where your bite might not feel right. You might feel the difference where the dental crown is, either as pressure on opposite teeth or as the teeth are not feeling like they come or close together properly. You might also feel that something has changed on the Antagonist or other side of jaw, even though the new crown is the problem.
Finally, you might feel the difference in your jaw joints or muscles. You might notice that your jaw joint feels a little off, stiff, as well as tired or you might notice that you are getting soreness in your jaw muscles. You might be feeling confused and frustrated right now because the new crown/restoration is high and the pain was supposed to go away when you got a crown — right? Plus, you want answers.
Well one of the possible reasons could be that you might have missed your Occlusal Adjustment Visit after a New Crown or Restoration.
What is Occlusal Adjustment Visit?
The pain under a newly crowned tooth when biting down or chewing could be due to the presence of High Points or high occlusal pressure due to undesirable contact between the teeth or slight interferences in the design. Surface imperfections, such as grooves and scratches, can act as stress initiators.
Occlusal adjustment visit to Dentist involves finishing, polishing and selective grinding of tooth surfaces with the goal of improving tooth contact patterns and the associated masticatory muscle response. This is required to minimize the tooth enamel wear and prevents the ceramic fracture or failure. An Excellent clinical performance in dental crowns/restorations depends more on surface finish of the Dental Crown during Occlusal adjustment Visit.
Myth: Adjustment is done for a High Crown or ill designed crowns.
How is Occlusal or Bite adjustment done?
An Occlusal or bite adjustment procedure is usually a quick and painless in-office procedure. Your dentist will ask you to bite down on a piece of special paper called Articulating Paper. We use two colors of paper for the different types of movements.
What if you miss the Occlusal Adjustment Visit?
You might experience some discomfort or unusualness after having a crown placed, but patients should not miss the Occlusal Adjustment Visit to their Dentists.