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Question:
Crowns causing swollen gum tissue: I recently had new upper front crowns put in about 4-5 months ago although I had porcelain crowns for over 20 years this is my 3rd set.
The upper right front crown is swollen around the gum line causing pain and throbbing, making my lip swollen and numb. This situation extends up through to the inside of my nose and is very sensitive to touch.
The pain has generated the whole front area of my face which now makes my lower jaw and other teeth hurt. Is this absessed, dead or what?
Remind you they have all had root canals completed many years ago with posts. There are no roots that would cause this kind of throbbing pain constantly. ...Visitor from MO
Answer:
The first possibility is fracture.
The trauma of functioning on teeth for 20 years, having them replaced three times is very suspicious for fracture. The dentist can diagnose this or you need to find an endodontist for an evaluation.
Another possibility is that skin got trapped between the crown and the tooth. This can happen if the crown didn't fit properly or if the temporary allowed for tissue ingrowth around the margin of the tooth preparation and this was pinched during pressing the crowns on.
If this is the case, the crown will need to be removed and replaced. If the tooth was fractured, it will need to be removed and either a bridge or implant will need to be done.
Either way, this is a serious problem that needs evaluation now before the swelling and pain gets worse.
If your dentist can't localize the problem then go to an endodontist - root canal specialist and or a periodontist - gum specialist and I am sure they will solve the source of your problems.
As far as your question about abcess, it is possible a root canal failed, developed an abcess due to leakage or irritation or bacteria that set up shop in the bone, but it is highly unlikely a crown procedure would set this off with such acute severity.
Again, I can only comment as I don't have x-rays or the ability to do a clinical exam but I bet its
fractured
Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021
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