I’m beginning to think I need to see a TMJ specialist about my crown. I got the crown in late June and I’ve had problems ever since. My dentist has made “adjustments” 5 times but my bite is off and I have jaw and neck pain. I didn’t have these problems in the past, so I know it must be the pain. My dentist said he did everything that he could and that the bite paper looks like everything is even. So why am I still having pain? I’m beginning to think my dentist is in over his head. Should I see a TMJ specialist even though I know the crown is really the problem? Thanks. Amanda


It takes skill and training to ensure your bite is properly aligned. A dentist needs to understand jaw anatomy and how your bite impacts it. A poor-fitting crown can definitely cause TMJ issues or worsen them. A dentist who is trained to diagnose and treat TMJ can help.

It sounds as if your dentist might not have the additional training required to ensure your bite is correctly aligned. Repeated adjustments sometimes work, but they can also make things worse. If your crown is adjusted too much, it won’t connect with the opposite tooth at all.

Why See a TMJ Dentist?

  • After five attempts to adjust your bite, if your dentist still hasn’t resolved the problem, it’s time to move on. A TMJ dentist will examine your crown and your jaw joint for optimum crown position.
  • Your TMJ problems will continue to progress until your crown is corrected. It’s not something you can get used to. You are probably biting incorrectly or moving your mouth in a way that compensates for the poor bite. This will put stress on your jaw muscles and joints.
  • Depending on what your dentist has done to make the adjustment, you might need a new crown. But a correctly aligned bite will save you discomfort, pain, and money for the long term. It’s best to get the issue addressed as quickly as possible.

Schedule an appointment for a consultation with a least two different TMJ dentists. Check their training and credentials before you make the appointments.

This post is sponsored by Colorado Springs dentist Dr. Joseph Rota.