I got eight new upper dental crowns in August 2022. However, the crowns caused gum bleeding and swelling, so my dentist replaced them in January 2024. The new crowns were causing the same problem, so I saw a periodontist who recommended wearing temporary crowns before allowing my dentist to cement the new crowns.
I also saw a dentist who said that the crowns are too bulky. A hygienist at the office scraped off excess cement around my gums and said that was likely the problem.
I can’t afford to keep getting new crowns, so I scheduled an online consult with a dentist in Columbia. The cost is half that of the US. I sent my X-rays to the dentist, who agreed that the cement was the problem. I’m just concerned about what to do if something other than excess cement is causing gum inflammation. What else should I consider? Thanks. Josef from Seattle
Josef,
Over-contoured dental crowns can cause gum irritation and inflammation. Healthy teeth have natural contours that promote optimal gum health, and a properly designed crown should replicate these contours.
How Do Over-Contoured Crowns Affect Teeth?
Over-contoured crowns pressure teeth and trap food.
- Gum Pressure: Excessive pressure on the gum tissue leads to irritation and inflammation.
- Food Impaction: Over-contouring creates bulges that can trap food particles under the crown. This accumulation of food debris promotes bacterial growth and gum inflammation.
These factors can collectively lead to gingivitis (the first stage of gum disease), characterized by redness, swelling, and bleeding of the gums.
What Are the Results of Excess Cement Around Dental Crowns?
While a hygienist may remove excess cement during cleaning, the dentist placing the crown is responsible for thoroughly removing all excess cement around a dental crown. Failure to remove the cement is negligence.
What About Dental Tourism for New Crowns?
Your frustration with your dental experience is understandable. However, seeking further care in a foreign country with potentially less stringent quality control measures is risky. We recommend consulting with a qualified dentist in your local area for evaluation and potential correction of the existing crowns. If you need new crowns, ask the dentist about financing or payment plans to help make treatment more affordable.
David Finley, DDS, a Monroe, Louisiana, accredited cosmetic dentist and Academy of General Dentistry Fellow, sponsors this post. Read about what Dr. Finley and his team do to provide some of the best dental care in Monroe.