Dealing with Gaps After Crown Placement: What You Need to Know - Dentistry

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Excessive spacing between teeth?


A few days ago, I had a crown placed, and after a few days, I noticed that the gap between the crown and the adjacent natural tooth has increased.
When I used dental floss to clean, I found that there is quite a large space, making it easy for food particles to get stuck.
What should I do? If I don't address this issue but continue to clean it thoroughly with dental floss every day, will it have any consequences?

Lin, 20~29 year old female. Ask Date: 2023/09/15

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to schedule a follow-up appointment with your dentist as soon as possible to discuss whether a new denture is necessary, which may help reduce the gap between the two teeth.

Reply Date: 2023/09/15

More Info


Dealing with gaps after crown placement can be a common concern for many patients. When you notice that the space between your new crown and adjacent teeth has increased, it is essential to address the issue promptly to avoid potential complications. Here’s what you need to know.


Understanding the Issue
After receiving a crown, it is not unusual for patients to experience changes in the spacing between their teeth. This can occur for several reasons:
1. Crown Fit: If the crown was not fitted properly, it might not sit flush against the adjacent teeth, leading to gaps. This can happen due to the crown being slightly too small or if the adjacent teeth have shifted since the crown was placed.

2. Gum Recession: Sometimes, the gums may recede after dental work, which can create the appearance of larger gaps. This is often due to periodontal issues or the natural aging process.

3. Tooth Movement: Teeth can shift over time, especially if there are underlying issues such as gum disease or if the teeth were not properly aligned before the crown was placed.


What to Do About It
1. Consult Your Dentist: The first step is to return to your dentist for a follow-up appointment. They can assess the fit of the crown and determine if it needs to be adjusted or replaced. If the gap is significant, it may require a new crown or additional treatment to ensure proper alignment.

2. Maintain Oral Hygiene: While using dental floss to clean the area is essential, it is crucial to ensure that you are doing it correctly. Flossing can help prevent food particles from getting stuck in the gaps, which can lead to decay or gum disease. However, if the gap is too large, flossing alone may not be sufficient to maintain oral health.

3. Consider Additional Treatments: If the gap is a result of gum recession, your dentist may recommend treatments such as gum grafting to restore the gum tissue. If the issue is related to tooth movement, orthodontic treatment may be necessary.


Long-Term Considerations
If you choose to ignore the gap and continue to clean the area with dental floss, there are some potential risks:
- Increased Risk of Decay: Larger gaps can trap food particles and plaque, increasing the risk of cavities in both the crown and adjacent teeth.

- Gum Disease: If food debris is not adequately removed, it can lead to inflammation and gum disease, which can further exacerbate gum recession and tooth mobility.

- Aesthetic Concerns: Over time, the appearance of the gap may become more pronounced, which could affect your confidence and smile.


Conclusion
In summary, it is crucial to address any gaps that appear after crown placement. While maintaining good oral hygiene is essential, it is equally important to consult your dentist to evaluate the fit of the crown and determine the best course of action. Ignoring the issue could lead to more significant dental problems down the line. Regular dental check-ups and open communication with your dentist will help ensure that your dental work remains in optimal condition and that your oral health is maintained.

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