Monday, April 27, 2009

Dental Crown doesn't fit - twice! Should I go to another dentist?

I'm in the process of having a crwon put on one of my molars. The dentist has made two impressions and had two crowns come back from the lab that don't fit. She didn't take another impression today, saying that the fault is and has been the labs, not hers, and she's not spending more time/money taking another impression. I'm a little disturbed by this. I have had one crown done by her before that is good. Does this sound like it might be the fault of the dentist taking the impression, or is it really the lab?

Dental Crown doesn't fit - twice! Should I go to another dentist?
If the dentist doesn't seat a crown - that is the dentist you DO want to go to. It is very, very frustrating when a crown doesn't seat for both the patient and the dentist. Each time that a dentist has to take an impression, it costs the dentist about $50 - not to mention the lab bill.


If the dentist doesn't seat the crown, it's because he cares more about your oral health more than money. This dentist sounds like a great dentist to me.





but then again... i didn't pass wreb
Reply:Your dentist drilled your tooth. Once she did that, she is obligated to finish the job. Your dentist is obligated to either take as many impressions as necessary and finish the job, or refer you to a prosthodontic specialist and refund whatever you already paid toward the crown.





If she left you hanging without finishing the crown or a referral, that would be considered abandonment, which would be professional misconduct in the eyes of most state dental boards.





EDITED TO ADD: Those are the rules by which state dental boards evaluate cases, whether the ignorant person who gave the low rating likes it or not.
Reply:Its hard to say but it very well could be the lab. Did she tell you what the problem is? It could have a open contact or a short margin, possibly metal show through, any number of things when you have to depend on someone elses work. I say 3 strikes and your out, so give her the benefit of the doubt and try one more time. Remember the third time is a charm!
Reply:it sounds like it is probably the lab. the lab fabricates the crown from the impression the dentist takes. I am a dental assistant (10 years) and my experience is that if the impression is not good the lab will call the dentist and have them redo the impression, not just make a crown on a bad impression. So in my opinion it is the lab. If she is having this problem with other patients too she should find a new lab.





Another reason it makes me think it is the lab is because they are charging her lab fees every time she has the crown redone. They shouldn't do that, it it doesn't fit they should remake it. And if they think the impression is bad they shouldn't go ahead with the crown





I agree with the first answer, regardless of who's fault it is the dentist or the lab, he is 100% correct the dentist should finish the job she started





If it was short on the buckle that means that on the cheek side of the crown it did not go all the way to the gum line. That could result from an impression not showing a good margin, or an airbubble in the impression at the margin.


No comments:

Post a Comment

Note: Only a member of this blog may post a comment.

 
vc .net