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To be Honest, Its not uncommon of doing some adjustment of the opposing tooth with care. In a lot of situations, the opposing tooth is too over-erupted, Too pointy, too sharp, and interfere with the occlusion, we will need to take a balance view and do some minor adjustment in order to get a long term stable occlusion. For example, if you have lost a lower filling for a long time and one of the cusp of top opposing tooth might over erupted into the that missing filling space..... We will only have 2 options, either fill the hole with a super low filling, or we adjust the over erupted cusp and therefore we can restore the bottom tooth back into its original shape. I wish reader to understand, all teeth are subject to a lot of wears and tears, whether its artificially or naturally. A careful calculated adjustment is much better than having a super shallow and underfilled filling in long run. Please think about it in this way, Taichi, is about Yin, Yang, which means balance..... Same as Teeth Occulsion. If you have one over erupted tooth n u make the opposing one too low, it will affect the stability of the bite and occlusion and in severe cases, it can cause TMJ, and Jaw Problem. Therefore, if its only a slight adjustment in order to get a good balance, opposing tooth can be adjusted. But obviously, its need to be minimum preparation and also inform the patient at the time. For this particular case, When a dentist doing a crown preparation, a careful design is very important in order to ensure enough room for the crown and avoid adjustment of opposing tooth later on. That's why Smile Dental use Cerec and computer scanning technique so we can get the very accurate crown and occlusion as well. I hope dear readers can try to understand from the dentist point of view. I think at the end, communication is the key of avoiding misunderstanding. |
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