A crown is placed over the entire visible surface of a tooth down to the gumline. This is essential to help prevent harmful bacteria from leaking underneath your restoration. If a gap forms between the gum tissue and the restoration, it's a sign your crown no longer fits.
When your dentist places a dental crown on your tooth, he or she will remove the majority of the original tooth to make new restoration. The chewing surface and some of the supporting structure remains after this process, which is why it's possible for your gum to grow back on crown.
Sensitivity or discomfort
If a person notices pain or sensitivity when biting down, it could mean that the dental crown is too high. If this happens, a patient should contact the dentist. A dentist can easily fix this problem.
Receding gums occur when then gum margin moves away from the white enamel crown of the tooth thereby exposing the yellower root. The cause of receding gums is most often due to gum disease, but it can also be because of forceful toothbrushing on naturally thin healthy gums or because of orthodontic treatment.
If only the gum is removed and not the bone, the gum tissue will grow right back after about 8 weeks, negating the purpose of the crown lengthening.
The margins for crowns should be placed supragingivally—that is to say, they should be placed at or above the gum line. If they're placed slightly below the gumline, they shouldn't go more than 0.5mm beneath the surface.
The recovery period after the placement of a dental crown is typically a few days. Patients may experience some inflammation, sensitivity and irritation following the procedure that should subside within a week or two. Warm salt water rinses a few times a day are recommended to help reduce swelling of the gums.
Another common crown problem involves the improper placement of the crown over the affected tooth. In some cases, if the crown has been poorly fitted, it will impact your bite. You may find that when you clench your teeth, your crown is uneven, causing a wonky bite, which can cause discomfort in the future.
Contrary to popular belief, flossing will not pull off your crown or dental bridges. In Dumont, we actually tell our patients that it's the lack of flossing that can cause your restorations to fail. If bacteria accumulate around the edges of your crown or bridge, it can create new cavities underneath them.
Small adjustments can be made to permanent crowns once on but, an attempt to avoid even these small adjustments is made in order to leave the crown in the best shape possible. This will ensure a long life for the crown as well as the best look overall.
The crown might look like a hat sitting on a hat rack, rather than a natural, secure fit. The crown is too tight between teeth, or doesn't make correct contact with surrounding teeth, causing food impaction and decay issues.
Even after a dental crown is placed on your tooth, the area underneath can still lead to pain. This occurs because there's live tissue underneath. When you chew food or drink, it starts rubbing against this sensitive area which causes discomfort in some people who have this happen post-operatively.
Causes of Gum Swelling after Crown or Bridge Fixing
One of the most common causes is the use of dental cement or adhesive to fix the crown or bridge in place. These materials can irritate the gum tissue, causing it to become inflamed and swollen.
An odor originating from your crown is usually a sign that there is bacteria growth or an infection related to your crown. This bacteria can spring up due to a failed root canal or a crown that doesn't fit properly whether it is loose, cracked or there is a gap between adjacent teeth.
The gray line around the edge of your old crowns is most probably caused by the metal edge of the crown showing through the gum.
For a filling or crown that is too high, your dentist can simply readjust the original work. Sometimes just after getting a filling/crown, when the dentist asks you to bite down and tell him if your bite feels normal, it is hard to tell due to the numbness from a local anesthetic.
Without the complete sealing of the margins, the metal crowns, porcelain crowns,or even zirconia crowns could break or fail. Even worse, they can cause more damage to your tooth root underneath. This could result in a root canal or even an extraction.
Dentists commonly adjust a new crown to your bite by grinding or filing it down. But the dentist must check your bite in intervals to ensure that not too much—or too little—of the crown is adjusted. But these are small adjustments. And your dentist will shape and smooth the crown to prevent it from feeling rough.
Before you worry, know that there is an adjustment period to any crown. It often takes two, maybe even three or four days to adjust to having this new crown in your mouth. If it feels uneven for the first two or three days, that's a normal part of having a new crown.
Crowns can either be cemented in place or screwed into the abutment. A cemented implant crown typically looks more appealing and natural because there is no screw hole, which can be visible at particular angles. When it comes to crowns, the dentist can help the patient to choose the most suitable type and option.
What causes tooth crown pain? Infection – patients who have dental crown procedures that have also not previously undergone a root canal, means that their tooth still has roots. If a crown is applied incorrectly or is the wrong size, it can put pressure on the nerve and roots of the tooth, which can lead to infection.
Some sensitivity of the surrounding gums is common following the placement of a dental crown, due to irritation from the dental cement. In most cases, a topical anesthetic gel readily available at most pharmacies is able to help relieve this, and is often more effective than oral medications such as ibuprofen.
In general, individuals can expect sensitivity to hot and cold food and drinks or sensitivity while eating for the first week or two after placement. There may also be a lingering sensation of tingling after dental crown placement. This sensation should also subside over time.