Essential Care Tips for Your New Dental Bridge and Crown - Dentistry

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Just got dentures?


Hello, doctor.
I just had two connected crowns (the penultimate one and three others) placed last week.
One of the crowns was made this way because the dentist indicated that the tooth structure was not ideal.
I would like to ask if I need to use a floss threader to clean around the dental bridge every day.
Also, why is there a black line at the edges of the newly placed precious metal crown? Isn’t that usually a sign of gum recession after a long time? My crowns are shorter, and I had a crown lengthening procedure done before the crowns were placed; is this the reason? Additionally, when the dentist placed the temporary crown, I noticed a slight bluish discoloration in the gum area, which was also present after the permanent crown was placed.
Could this be due to the crowns putting too much pressure on the gums? Currently, I have no discomfort after the crowns were placed, and when I followed up with the dentist, he said the fit of the crowns is excellent and there are no issues with gum discoloration...
but I still feel like there is a problem.

No content, 20~29 year old female. Ask Date: 2018/01/24

Dr. Zeng Guanghui reply Dentistry


1.
For two adjacent dentures, it is recommended to use a dental bridge flosser daily to clean the gaps between the dentures.

2.
If there is a black line at the edge of a newly placed precious metal crown, it may be due to thin gingival margins allowing the metal edge to show through.
If there are still concerns about dark discoloration of the gums, it is advisable to consult a dentist for further examination.

Reply Date: 2018/01/24

More Info


When it comes to caring for your new dental bridge and crowns, there are several essential tips to keep in mind to ensure their longevity and maintain your oral health.
First and foremost, daily oral hygiene is crucial. Even though your dentist may have advised that your new bridge is well-fitted and does not require immediate use of floss or interdental cleaners, it is generally recommended to incorporate these tools into your daily routine. Using a dental bridge threader or super floss can help you clean the areas around and beneath the bridge effectively. This is important because plaque can accumulate in these areas, leading to gum inflammation, cavities, or even the failure of the bridge over time. Regular brushing with a soft-bristled toothbrush and fluoride toothpaste is also essential. Make sure to brush not only the bridge but also the surrounding teeth and gums to keep your entire mouth healthy.

Regarding the black lines you mentioned at the edges of your gold crown, this is a common concern. These lines can occur due to the natural translucency of the gums and the metal base of the crown. Over time, as gums recede or if there is any slight gap between the crown and the tooth, the metal may become visible, leading to the appearance of a dark line. This is not necessarily a sign of poor fit or quality; rather, it can be a natural consequence of the materials used and the biological changes in your mouth. If the black line is bothersome, you may want to discuss alternative materials with your dentist, such as all-ceramic crowns, which can provide a more aesthetic appearance without the risk of visible metal.

As for the slight discoloration or bluish tint you observed around the gum line, this can sometimes occur due to the pressure exerted by the new crown on the gum tissue. If the crown is too tight or if there is inflammation in the gums, it can lead to temporary changes in color. However, if your dentist has confirmed that the fit is good and there are no signs of gum disease, this discoloration may resolve itself as your gums adjust to the new crown. It’s important to monitor this area and maintain good oral hygiene to prevent any potential issues.

Lastly, if you experience any discomfort, changes in bite, or persistent discoloration, it is crucial to follow up with your dentist. They can assess the fit of your bridge and crowns and make any necessary adjustments. Regular dental check-ups are essential, especially after receiving new restorations, to ensure everything is functioning as it should.

In summary, maintaining a diligent oral hygiene routine, being aware of the materials used in your dental work, and communicating openly with your dentist about any concerns will help you care for your new dental bridge and crowns effectively.

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