Dentist Questions Dentist

Why does the gum around my crown hurt?

I am a 32 year old male. My gum around my crown hurts. What could be the cause?

12 Answers

A crown that does not fit well can cause food to trap between the crown and the tooth next to it, or the crown can be too big around the gum line and irritate it. You may need a new better fitting crown.
Usually it should not. Have it checked out by a dentist.
Brushing habits, flossing habits are commonly a cause of irritation around a crown. Visit your dentist for an X-ray to see if there is an underlying issue with the crown, like a cavity.
It could be due to the contour of the crown. Over contoured or under contoured crowns could cause irritation to the gum. Also, having open contact between the crowned tooth and the adjacent tooth causes the tissue/papilla to be inflamed due to food trapping and difficulty to floss. Also, it could be the crown has a defect like open margin and bacteria is leaking underneath and causing soft tissue and hard tissue irritation.
The crown may be impinging the gum, decay could be present with food impacting or it may be as simple as not flossing. Best to see a dentist for evaluation
If the crown was recently placed , it might be a problem called biological width pressure. If the crown has been there for some time, you may need to get your teeth cleaned, if it has not been done recently.
Best to have check up
This requires an actual dental exam to accurately answer.
it may be periodontal disease
There can be several reasons why the gums may hurt. There may be a build-up of plaque around the tooth causing the sensitivity if you haven't had your teeth cleaned lately. There may be traces of excess cement if you just had the crown placed irritating the gums. You may have bone loss around the tooth (periodontal disease). The only way to find out for sure is to go and see your dentist so he/she can examine it.
If it is a natural tooth it could be one of three things:
-Decay
-Bite problem with the crown
-Heavy margins collecting food and causing inflammation

Alan B. Steiner DMD

Aesthetic Family Dentistry PA
35 West Main Street Suite 208
Denville, N.J. 07834

973 627 3617 Office
973 214 7565 Cell
973 586 9293 Fax
Your gum should NOT hurt around your new crown. You may be sore for a day or so if your dentist needed to go below your gum in order to remove extra cement, but everything should feel like it is natural and belongs in place.
Placement of a crown should not cause any pain on the gum tissue. If after a week you still have pain see your dentist.