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FAQ:  Dental Crowns


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Question:
I have four crowns on my front teeth and cannot stop my front gums from bleeding profusely.

They do it when I floss, if I hit them accidently, or even for no reason at all. None of my other teeth bleed. ...Visitor from MA

Answer:
Gums bleed as a result of truama. This can be blunt one-time trauma or chronic irritants that cause inflamation. Your gums are probably bleeding as a result of irritation. This irritation is either a reaction to the specific materials used on your crowns, the specific external anatomy of the crowns or the level of precision in the fit.

Porcelain is not the most user friendly material in terms of bio-compatability. Additionally, if the crowns have metal substructures, you could have a mild allergy to this metal.

There is a delicate and very specific relationship between hard and soft tissues almost everywhere in the body and the mouth is not exception. If teeth came in sizes, and they do not, and you started with a size 7 tooth before your crowns, basically the new crowns should mimic the functional contours of that original size 7 tooth. any significant modification of the external anatomy, alters the food deflection patterns and generally aggravates the marginal gum tissue resulting in irritation and bleeding.

Finally, and probably the most common cause of bleeding is slight irregularities at the junction of the crown and the natural tooth. What sometimes is found is either excessive cement or poor adaptation of the crown to the original tooth. If there is not a precise fit then food and bacteria will accumulate, again causing irritation and bleeding. Poor adaptaion comes from either an error in the fabrication process or in the final cementing of the restorations.

My suggestion would be to bring this issue to your dentist. He may wish to take a x-ray to double check the fit or get under the gum line and check things. Good luck!

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