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Question:
Pain after Crown: Six months ago I had a crown put on my upper-right front incisor for cosmetic reasons. It's part zirconia, to avoid the visible metal undercoating. It looks terrific.

However, after six months, it doesn't feel that way. It actually is very painful and annoying. There has been some recession of the gum on the inside of my mouth (nothing noticable from the front). I should note that the crown isn't loose. At first it was just annoying running my tongue over the distinct rough spot between crown and tooth. Over the last week, however, the gum/tooth is painful.

The sensation changes from feeling like an irritation from something like aggressive flossing or even from having burned myself with hot food (not a possibility) -- and other times it feels like an aching of the tooth. I do seem predisposed to gum recession.

However, as preventive measures I brush with a soft tooth brush (and sensodyne)taking care to be gentle and massage the gum line, floss daily, and use a floride rinse. It always feels better after brushing -- and when I rinse with warm or cold water (so there's no temperature sensativity). Any ideas on what could be wrong / what treatment is needed? ...Visitor from NY

Answer:
From the description that you give it could be possible that there is some cement left between the crown and the gum tissue. Also the length of the crown needs to be looked at for if it is too deep into the gum tissue then the gums will pull away and there will be recession along with inflammation.

One other possibility is that the tooth is dying from the trauma from having the crown placed.

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