It’s been two months since I had a crown done. The dental assistant kind of warned me that my gums were very angry during the placement of the permanent crown. She encouraged me to use saltwater rinses after the treatment for several days. I don’t think they have healed properly because they still are extremely tender and bleed when I brush in the area around the crown. Any idea what’s up?
-Paul in Wisconsin
Any time there is pain or bleeding, infection is a possibility. But if you don’t have swelling or any abscess occurring, then it isn’t likely. Your gums should have healed by now. Do you have any other physical health issues? Most generally healthy individuals should have healed after a couple months.
Dental crowns can irritate the gums. Sometimes they are aggravated when an individual flosses around a new restoration. Bacteria can flourish in and around the crown if it is difficult to floss, which may cause some redness and inflammation which may cause bleeding. If this sounds like a possibility for you, try switching to a floss pick and brush a bit more carefully in the area that is bothering you.
The bleeding and redness should taper off in the coming weeks. Also, saltwater rinses will encourage healing. Keep this up until the tissue appears normal again.
If these steps do not improve your gum irritation, you need to be seen. It is possible that the margins on the porcelain crown may be bothering the soft tissue. The crown will likely need to be redone if this is indeed the issue. So, start with changing up your oral hygiene habits and if there is no improvement in a couple weeks, go back into your dentist to figure it out.
This post is sponsored by Cleveland dentist Hylan Dental Care.