One crown, or many

Second Opinion: Crowns and Reconstructions

A single crown can be simple. A full mouth of crowns is one of the biggest decisions in dentistry. Whether you are deciding how to start, or you have had the work done and something is not right, this chapter sets out what to ask.

HomeSecond OpinionSecond Opinion: Crowns and Reconstructions
Dr. Mamaly Reshad
Dr. Mamaly Reshad · Prosthodontist
Former USC Chairman · 30+ years · The dentist that dentists trust
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Second opinion · Fixed reconstructions with teeth

Before you start, or after?

It may be one crown or a full mouth reconstruction. Both belong here.

Before treatment, the questions are what method to choose. After treatment, the question is whether what you are feeling is normal, can be improved with small changes, or means the work has to be redone. Choose what you are noticing.

What are you noticing?

My jaw is hurting

What it can mean

After many crowns, the bite may have been changed in a way the muscles and joints do not accept: too high, too locked in, or uneven.

Normal, or worth a look?

Mild tiredness for a few days can happen. Pain that continues is worth a look.

Bite & TMJ →
Before treatment

What method should I choose?

Do I need crowns, or not? Do I need crown lengthening, or not? Do I need my bite opened, or not? Do I need gum surgery, or not? There are many different things to consider, and the answers decide how much of your own teeth is kept.

A full mouth reconstruction is planned from the bite and the face, not tooth by tooth. A second opinion before you start checks the diagnosis and whether every proposed step is needed, including more conservative options.

After treatment

What is normal to expect, and what is not.

A few days of tiredness in the jaw, some sensitivity, a bite that feels new: these are normal and usually settle. Pain that grows, infection, a bite with nowhere to go, or teeth that keep breaking are not.

The outcome of a second opinion falls into three: something you can do better at home, minor changes that improve what you already have, or a whole reconstruction that really has to be redone.

If something is not right, ask.

Dentistry is always challenging, and most dentists do the best they can. Some things are part of settling in and are fixed with small tweaks. If something is worryingly off, if you want reassurance that you are on the right path, or if you want to change provider, Dr. Reshad is here for that.

See a prosthodontist. Contact us to get your second opinion.

FAQ

Frequently Asked Questions

A new bite can feel unfamiliar for a few days. Pain in the jaw, clicking, cheek biting that does not settle, or a feeling that there is nowhere for your teeth to go are not part of settling in and are worth a second opinion.

Sometimes. A retreatment can work when the root is sound. A cracked root, or too little tooth left, usually means removal, and then an implant or a bridge. A CT scan shows which.

Not always, but trapped food can lead to decay and gum inflammation. Often the crown can be reshaped, or replaced with one whose contact and contour stop food catching.

Medically reviewed by Dr. Mamaly Reshad, BDS (Lond), MSc (Lond), Cert Pros (USC), Prosthodontist — Last reviewed July 2026

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