Will restoring the vertical dimension of the teeth cause pain?
Patient: Hello. The last time that I was at the dentist office, a dentist polished down the enamel in the center of my premolar tooth a bit too low. I feel regret now because I asked her to do it. It was fine when I left the office. Now, a month has passed and I m having trouble speaking properly and smiling around that tooth. It feels too low in the center and I feel stress and pressure when the teeth come together while saying words and smiling. Some words, I can not say properly. It is not comfortable. Sometimes, a very small twinge occurs when the teeth come together. I was reading online and noticed something about not having enough vertical dimension, and it affecting phonetics. This is what I think is going on here. Is there any way to restore the vertical dimension in the center of the tooth where she removed the enamel and make it feel natural, so that I feel more comfortable smiling and speaking again? The location is on a biting surface of a premolar. There is no cavity where she removed the enamel and oddly, as of now, I do not have trouble eating. Will restoring the vertical dimension cause pain here? How can this be done that will not cause new pain or problems eating? or should I leave the tooth alone so that matters don t become worse? I am very sad because I just want my normal functions back (smiling and speaking properly) and am afraid to file anything else down. Hopefully, I won’t have to choose between living with this forever or ending up in pain. Unfortunately, my dentist is booked for a month, so I have to wait before seeing her. I pray that you and she will be able to help me. ): Age:29 Gender: Female No medical problems (don’t smoke or drink) Only had fillings done in my teeth Doctor: Hi,Thanks for posting the query,  I would suggest you to take an X-ray of the tooth that was trimmed and see if the pulp horn is close to the occlussion, as you cannot see the Dentist right now take tab aceclofenac BD to relief pain.....Hope you find this as helpful,Take care!