In February, I had a full ceramic crown placed, and now I experience bleeding when using dental floss?
Dear Doctor, I had a dental crown placed in February, and since then, I've experienced bleeding only when using dental floss, while regular brushing does not cause any issues.
Occasionally, I also notice redness and swelling.
The interdental brush has an unpleasant odor.
I have returned for follow-up visits, but the dentist at the original clinic has assured me that everything is fine and that inflammation and bleeding are normal.
However, in the past couple of days, the swelling has increased, and the gum margins are very painful, with signs of cracking.
I would like to know if this crown is not compatible with me.
Honestly, I am considering having it redone, as I have encountered many problems since it was placed.
If the crown is indeed incompatible, would that be my fault? If I need to have it redone, will I have to pay again, or should the original dentist be responsible?
Cheng Xiaojie, 20~29 year old female. Ask Date: 2023/07/05
Dr. Zeng Guanghui reply Dentistry
Hello Ms.
Cheng: After getting braces, if you experience bleeding while using dental floss, it may be due to the floss irritating the gums between your teeth, or it could be that the fit of the braces is not optimal.
It is recommended to return for a follow-up appointment for a thorough examination by your dentist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2023/07/05
More Info
Bleeding gums after getting a dental crown can be concerning, and it’s understandable that you’re seeking clarity on whether this is normal or indicative of a more serious issue. Based on your description, it appears that you are experiencing symptoms that could suggest underlying problems related to your dental crown or your gum health.
Firstly, it’s important to note that some bleeding and inflammation in the gums can occur after dental procedures, especially if the gums have been manipulated or if there is irritation from the dental crown or surrounding dental work. However, persistent bleeding, swelling, and pain are not typical and warrant further investigation.
The bleeding you experience when using dental floss could indicate that your gums are inflamed, possibly due to plaque buildup or gum disease (gingivitis or periodontitis). The fact that you mentioned an unpleasant odor could also suggest that there is an infection or that food particles are getting trapped around the crown, leading to irritation and inflammation. It’s crucial to maintain good oral hygiene, especially around the crown, to prevent these issues.
The swelling and pain you describe, along with the cracks in the gum tissue, are concerning signs. These symptoms may indicate that the crown is not fitting properly, which can lead to irritation of the gums. A poorly fitting crown can cause food impaction, which can exacerbate gum inflammation and lead to more serious issues, such as gum disease or even abscess formation.
Regarding your question about whether the crown is incompatible with your mouth, it is possible. Dental crowns should fit snugly and comfortably without causing irritation to the surrounding tissues. If the crown is too high or not contoured correctly, it can lead to trauma to the gums. If you feel that the crown is causing ongoing issues, it is reasonable to consider having it evaluated by a different dentist for a second opinion.
As for the financial aspect of potentially needing a new crown, this can vary based on the circumstances. If the crown was placed incorrectly or if there was a failure in the dental work that can be attributed to the dentist's oversight, they may be responsible for the costs associated with remaking the crown. However, if the issues arise from your individual dental anatomy or hygiene practices, you may be responsible for the costs. It’s best to discuss this openly with your dentist or seek a consultation with another dental professional to assess the situation and provide guidance.
In summary, while some bleeding and inflammation can occur after dental procedures, persistent symptoms like yours should not be ignored. It is advisable to seek a thorough examination from a dental professional who can assess the fit of your crown, check for any underlying gum disease, and determine the best course of action. Maintaining good oral hygiene and addressing any issues promptly can help prevent further complications. If necessary, don’t hesitate to advocate for your dental health and seek a second opinion if you feel your concerns are not being adequately addressed.
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