Is my dentist or the lab at fault if my front teeth stick out after getting new crowns? My crowns look thicker, higher, and more angled than the adjacent teeth. I’m concerned that my dentist may have ground on my teeth too much, and I’m stuck with this messed-up smile. – Thank you. Finnegan from CT
Finnegan,
Your concern is understandable when your front teeth protrude and detract from your smile after getting new crowns. Let’s clarify some points to help you understand the situation.
The Role of the Dentist and Lab
Lab’s Responsibilities: The dental lab creates restorations based on the dentist’s precise instructions. The lab follows the dentist’s guidelines if the crowns look correct in the mold.
Dentist’s Responsibilities: The dentist is responsible for the tooth preparation and the accuracy of the instructions sent to the lab. Any discrepancy in the final alignment is primarily the dentist’s responsibility.
Why Do Crowns Make Teeth Protrude?
A common reason for protruding crowns is inadequate removal of tooth structure during preparation. Ceramic crowns require a specific thickness; they can extend too far forward without sufficient tooth reduction.
Can a Dentist Correct Crowns That Make Teeth Protrude?
Knowing whether the crowns are already cemented is essential. If your dentist did not cement the crowns, they should be returned to the lab for correction. This may involve further tooth reduction and new impressions. Crowns that are already cemented must be removed and replaced with new crowns.
It’s essential to discuss your concerns openly with your dentist. Ask for a clear explanation of the cause of the misalignment and the proposed corrective measures. Don’t hesitate to seek a second opinion from another qualified dentist if your concerns are not adequately addressed.
Functional and Aesthetic Considerations: Proper front teeth alignment is vital for comfortable lip closure, eating, and speech. Expert cosmetic dentists understand this and prioritize achieving optimal alignment.
Understanding the process and your rights allows you to advocate for dental health and aesthetic outcomes.
David Finley, DDS, a Monroe, Louisiana, accredited cosmetic dentist and Academy of General Dentistry Fellow, sponsors this post. Read about what Dr. Finley and his team do to provide some of the best dental care in Monroe.
