Dealing with Bad Odor from Gum Recession Around Dental Crown

What should I do?

Doctor, I have a molar on the lower right side that has a crown, but my gum has receded, exposing some dark areas.
To prevent food from getting stuck and worsening the situation, I always clean it thoroughly with a toothpick after each meal.
However, I recently noticed that the toothpick has a foul smell, like fermentation.
What can I do to reduce the odor? I have previously sought treatment, but the dentist made it sound very alarming, saying that to fully address the issue, the crown would need to be cut open, and in severe cases, the natural tooth might need to be extracted, which would cost me the equivalent of three dental implants.
Is this really necessary?

winnie, 20~29 year old female. Ask Date: 2003/08/07

Dr. Liu Tiancai reply Dentistry

Hello! The basic requirement for braces is that they must fit snugly against the teeth; any gaps can increase the risk of cavities.
If you notice a foul smell after using a toothpick, it indicates that new cavities may have developed, and the braces should be removed.
Whether or not to extract the natural teeth will depend on the extent of the decay.
Please visit a reputable hospital for further examination.
Best wishes for your health, Dr.
Liu Tian-Cai, Director of Dentistry, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2003/08/07

More Info

Dealing with bad odor from gum recession around a dental crown can be quite distressing, and it’s important to address both the symptoms and the underlying causes. The situation you described, where you have gum recession exposing dark areas around a dental crown, suggests that there may be underlying issues such as periodontal disease or decay that need to be addressed.

First, let's discuss the potential reasons for the bad odor. The foul smell you notice after using a toothpick could be due to food particles getting trapped in the gum recession area, which can lead to bacterial growth. This bacterial buildup can produce sulfur compounds, resulting in a bad odor. Additionally, if there is any decay or infection present, that could also contribute to the unpleasant smell.

Here are some steps you can take to manage the odor and improve your oral health:
1. Maintain Excellent Oral Hygiene: Continue to brush your teeth at least twice a day and floss daily. Consider using an antibacterial mouthwash to help reduce bacteria in your mouth. Make sure to gently clean around the crown and the gum line to remove any plaque buildup.

2. Regular Dental Check-ups: It’s crucial to visit your dentist regularly for check-ups and professional cleanings. Your dentist can assess the condition of your crown and the surrounding gums, and they can provide treatments to address any issues, such as deep cleaning or scaling if gum disease is present.

3. Consider a Periodontal Evaluation: If you have gum recession, it may be beneficial to see a periodontist, a specialist in gum disease. They can evaluate the extent of the recession and recommend treatments, which may include gum grafting to cover exposed roots and improve gum health.

4. Discuss Treatment Options: If your dentist has suggested that the crown needs to be removed or that more invasive procedures are necessary, it’s important to discuss all your options. Sometimes, a second opinion from another dentist can provide clarity and alternative solutions. If the crown is causing issues, it may need to be replaced, but this doesn’t always mean that you will need to undergo extensive procedures.

5. Dietary Considerations: Pay attention to your diet. Avoiding sugary foods and drinks can help reduce the risk of further decay and bacterial growth. Drinking plenty of water can also help wash away food particles and bacteria.

6. Addressing Anxiety About Dental Procedures: It’s understandable to feel anxious about dental treatments, especially if they sound invasive. Communicate your concerns with your dentist. They can explain the procedures in detail, discuss the necessity of each step, and possibly offer sedation options to make the experience more comfortable.

In summary, while the bad odor from your gum recession around the dental crown is concerning, it can often be managed with improved oral hygiene, regular dental visits, and possibly additional treatments to address the underlying issues. It’s essential to have open communication with your dental care provider about your symptoms and treatment options. If you feel uncertain about the suggested treatment, seeking a second opinion can provide peace of mind and help you make an informed decision about your dental health.

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