Dental crowns are commonly placed over damaged teeth to restore appearance, functionality, and strength. While dental crowns can be highly effective, some people may experience gum recession around their crowns.
Gum recession occurs when the gum tissue surrounding the tooth pulls back, exposing the root surface. But why would your gums be receding under your dental crown? Let’s look at the potential causes of gum recession under dental crowns and discuss possible solutions to this problem.
Tooth Decay and Gum Disease
Tooth decay and gum disease are two factors that can both contribute to receding gums. If you don’t keep up with your oral hygiene—including brushing, flossing, and visiting your dentist every six months—plaque can accumulate around your dental crown. Plaque buildup can irritate and inflame gum tissue, causing it to pull away from the dental restoration [1].
Improperly Fitting Crown
Other patients may have an improperly fitting dental crown or a misaligned bite that can put uneven pressure on the crown, leading to excessive force placed on the surrounding gum tissue, resulting in gum recession. Patients with a misaligned bite or ill-fitting crown may also experience pain or discomfort around their restoration.
Teeth Grinding
Patients who grind their teeth are at higher risk for issues with their dental crowns, including crown fracture and gum recession [2]. Teeth grinding puts unusual pressure on the teeth, which can cause tooth pain, chips, and cracks. However, gum tissue can also become inflamed, contributing to gum recession.
Harsh Tooth Brushing
Another cause of gum recession is brushing your teeth too aggressively or with the wrong type of toothbrush. You should always use a soft-bristled toothbrush to brush your teeth, including your dental crowns. Using a firm-bristled toothbrush and applying too much pressure can irritate the gum tissue and cause it to pull away from the teeth, especially over time [3].
Solutions for Gum Recession Under Dental Crowns
Gum recession can cause tooth sensitivity and impact your appearance, so if you notice gum recession around your dental crowns, it’s essential to consult with your dentist to address the underlying causes and determine the best course of action.
Depending on what’s causing your gum recession, your treatment may vary. For example, if gum disease is causing the recession, you will need periodontal treatment. However, if your bite is misaligned, you may need a new dental crown or orthodontics to resolve the issue.
Your treatment may be as simple as adjusting the dental crown, or it may be more multi- faceted. Your dentist will let you know what to expect based on your symptoms, underlying causes, and oral health.
Do You Have Receding Gums Under Your Crowns?
If you have receding gums under your dental crowns, it’s imperative to follow up with yourdentist as soon as possible. Your dentist can help you address the underlying causes of your gum recession and repair your dental crown, if necessary, so you can get your smile back on track!
Sources;
1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944726/
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997850/
3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753713/
