My bite feels wrong since a new crown. Is that fixable?

Usually straightforwardly, and it is worth raising promptly. A restoration meeting even slightly too heavily can produce tooth tenderness, muscle pain and headache. Adjusting it is a small, quick intervention — the mistake is enduring it for months on the assumption you will adapt.

Will adjusting my bite cure my jaw pain?

It should not be presented that way. Current evidence does not support irreversible occlusal adjustment as a treatment for temporomandibular disorders, which is why reversible appliance therapy comes first. Where a specific interference is genuinely implicated, correcting it can help.

My bite has changed on its own. What does that mean?

A bite changing without dental treatment is a meaningful finding and worth assessing promptly. Causes include joint changes such as [condylar resorption](/tmj/conditions/disc-degeneration), tooth movement or drifting, and progressive wear. A gradual open bite where the front teeth no longer meet is a particular pattern warranting proper investigation.

Bite Correction

Bite correction covers the range of treatments that change how the teeth meet — from reversible appliance therapy through orthodontic movement to selective adjustment of the biting surfaces. It is worth separating them clearly, because they differ enormously in how reversible they are.

Reversible options come first

An orthotic or splint changes how the teeth meet without altering the teeth themselves. It can be adjusted repeatedly, refined as symptoms change, and removed entirely if it turns out not to help. That is a substantial advantage: a reversible trial establishes whether changing the bite actually improves your symptoms before anything permanent is done. Where an appliance produces clear benefit, that is useful evidence; where it does not, irreversible adjustment is unlikely to succeed either.

Occlusal adjustment, and why it is used sparingly

Selective adjustment reshapes small amounts of enamel so the teeth meet more evenly. It is genuinely useful for a specific high spot — a new restoration meeting too heavily, or a single interference causing a clear problem. What it is not is a general treatment for temporomandibular disorders. Enamel does not grow back, the historical practice of extensive occlusal equilibration for TMJ is not supported by current evidence, and it has left people with bites that are worse and irreversibly so. It is used here conservatively and for defined reasons.

When the answer is orthodontic

Where teeth are genuinely malpositioned, moving them is often more appropriate than reshaping or restoring them, and it preserves tooth structure. Orthodontic treatment can correct crossbites, deep bites, open bites and crowding that make a bite unstable. It takes longer than restorative work and, where the case involves the joint, needs planning that accounts for joint position — moving teeth to meet in a position an unstable joint cannot maintain is a well-recognised way to create a new problem.

How the right approach is decided

By what is actually wrong. A bite that feels off because a joint has changed position needs the joint addressed rather than the teeth reshaped. A bite disturbed by a recent restoration needs that restoration adjusted. Teeth in the wrong place need moving. Teeth destroyed by wear need rebuilding. The common error is applying one favoured technique to all four, and the assessment exists to distinguish them.

Common questions

My bite feels wrong since a new crown. Is that fixable?: Usually straightforwardly, and it is worth raising promptly. A restoration meeting even slightly too heavily can produce tooth tenderness, muscle pain and headache. Adjusting it is a small, quick intervention — the mistake is enduring it for months on the assumption you will adapt.
Will adjusting my bite cure my jaw pain?: It should not be presented that way. Current evidence does not support irreversible occlusal adjustment as a treatment for temporomandibular disorders, which is why reversible appliance therapy comes first. Where a specific interference is genuinely implicated, correcting it can help.
My bite has changed on its own. What does that mean?: A bite changing without dental treatment is a meaningful finding and worth assessing promptly. Causes include joint changes such as condylar resorption, tooth movement or drifting, and progressive wear. A gradual open bite where the front teeth no longer meet is a particular pattern warranting proper investigation.

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Patients of Dr. Samadian

Written by patients treated across the Dion Health practices.

“I found myself dealing with a number of medical issues that I had no idea were so directly tied to my sense of oral wellbeing. The professionals at Dion Health helped me resolve my clenching and grinding, leading to better sleep and a more enjoyable lifestyle.”
Dianne M.

“When I'm dealing with a run-of-the-mill dental issue—or need something more serious like an implant, bridge, or crown—I know I can trust the Dion Health network to provide me with the most advanced techniques, for results that last.”
Kesha W.

“Showing off a glowing smile has me feeling more confident than I've ever felt in my life. Dion Health has fully rehabilitated my smile, resolving all my cosmetic issues with long-term solutions and helping me enjoy the self-esteem I deserve.”
Justin A.

Real patient stories

Patients Dr. Samadian has treated describe their experience in their own words.

Lindsay — TMJ patient
Olivia — TMJ patient
Chihiro — TMJ patient

Testimonials reflect the experiences of individual patients. Individual results vary.

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