Have you ever been suffering of red gum, inflamed tissues, bad breath around a crown or veneer? What caused them and what can be done about it?. The problem may be caused by bacterial plaque accumulation, margin integrity, crown contour, metal sensitivity, or margin location. According to Dr.Miski, a Gum specialist, the problem is most of the time caused by :location, location, location!
Your dentist may cover your tooth with a crown or veneer, if you have had a cavity treated that is too large for a filling or for an esthetic reason. By having the tooth completely or partially covered with a crown or veneer, it will look like a normal tooth. More importantly, the tooth will continue to be fully functioning. While a dental crowns or veneers are helpful in preserving your teeth and your smile, you may still run into problems. One of the most common issues that trouble patients is red gums around the tooth with a crown or veneer. If this happens to you, you need to understand the underlying cause of the redness so that the problem can be resolved. The last thing you want is a replacement of these restorations. In some cases, your dentist may use materials that are not of the best quality, resulting in irritation. A porcelain work that is not properly placed over the tooth may rub against your gums and cause bleeding or discomfort. When you have issues with your crowns or veneers, your dentist can help you to find a solution. First, you need to find out why you are experiencing redness.
Plaque Could Be Building Up
In some cases, your red gums could be the result of poor oral hygiene. If plaque is allowed to accumulate at the base of the crown, it will rub against your gums. This can be really irritating. Your dentist can help you by thoroughly cleaning your teeth to eliminate plaque. A review of the best brushing techniques can be helpful. Try using a rotary toothbrush and check with your Periodontist “ Gum Specialist” to resolve the problem.
There May be a Problem with Margin Integrity
Bacteria measure only one to five micro-millimeters each, so a margin opening between tooth margin and crown or veneer of 200 micro-millimeters allows plenty of room for bacterial accumulation.
The margin between your crown and your prepared tooth may be an issue. If there is too much space between your crown and your original tooth s, it can allow bacteria to build up in the gap. This can lead to irritation, redness, and bleeding. The actual location of the margin can also be a factor. If it is not correct, a new crown without a gap may be the best way to find a solution.
This is the important one. The margin of the crown should not violate the biologic width. This means that crown margin should not be placed so deep into the gum. If crown or veneer margins remain slightly above the gum, there is no problem. However, for esthetic reasons, placement of the margin deeper is often required. Just how far below the gingival (gum) margin, the crown margin extends, is the critical issue.
Dentist who places crowns or veneers, must have a sound knowledge about the health impact of placing a restoration far deep into the gum tissue and its consequences. Dr. Miski is restorative Dentist and Gum Specialist who is keen to replace the restorations in an esthetic fashion while preserving the health of your gum.
The Contour of the Crown May be Incorrect
If your crown does not mirror the natural contours of your original tooth, you may find yourself dealing with gum problems. Your dentist will need to go in and create a new crown that matches the original tooth as well as the surrounding teeth. The material used in your crown may also be the cause of discomfort. If this is the case, your dentist may need to look for an alternate material when creating a new crown.
Turn to an Expert When You Have Gum Problems with Your Existing Crowns
If you are dealing with gum redness, swelling or bleeding around your crowns or veneers and you’re not happy with them, Contact us to book your appointment with Periodontist Dr.Miski, to tackle this problem.