Today, probably, there is no such person who would not seek the services of a dentist. The reasons can be very diverse: someone needs to fill out a tooth or remove it, someone wants to remove stones or bleach incisors. After installing crowns, inflammatory processes often develop. Similar complications are usually called secondary. Such a reaction can only signal that something is going wrong in the body. Very often, gum inflammation under the crown can be caused by improper imprinting during manufacture. However, there may be other reasons. In this review, we will examine why the gums under the crown can become inflamed, how to deal with this problem and what measures can be taken to prevent it.
Causes of gum disease
This is the first place to start. Many people have gum disease after setting crowns. What is the reason for this complication. After all, for some, after this dental procedure, everything ends perfectly, without any swelling, inflammation and bleeding.
How to understand why the gum inflamed under the crown? Here, everything largely depends on the individual characteristics of the body. Perhaps the gum was injured during tooth processing. The reason may also be the incorrectly selected crown height. If they are too high, then the pressure on the edge of the gums will be quite large.
Damage to the tooth by the crown itself
For some time after the installation of prostheses, patients feel discomfort. The mucous just adapts to a foreign object. Pain in this case, as a rule, passes quite quickly and is easily stopped with the help of analgesics. If, while chewing, the pain intensifies, at the same time, an odor from the oral cavity appears, then most likely it is time to visit the dentist's office. Symptoms such as swelling, bleeding, and proliferation of gingival tissue require immediate medical attention.
One of the determining parameters is the thickness of the dental crown. As a rule, the cutter during processing is made in the shape of a cone. It is necessary that between the root and the crown of the tooth a step forms, which in thickness would exactly correspond to the future nozzle. It is on it that the cap principle will be worn.
However, sometimes situations arise when the step cannot be made smooth. As a result, she begins to put pressure on the edge of the gums, causing circulatory disorders. For this reason, many complain of bleeding gums under the crown. In addition, the situation may worsen also because food remains accumulate near the step. Cleaning them with a toothbrush is almost impossible. Some time later, these residues under the influence of microbes can have a negative effect on the state of the gums. To avoid the occurrence of such a situation, it is necessary to make a special ledge when processing teeth. The artificial crown should be connected with the incisor butt. Only in this case, damage to the gingival margin can be avoided.
Many people think that if the crown was made incorrectly, then you can simply remove it and correct it, and then put it back on the cutter. However, in this case, the structure of the artificial tooth will be disrupted, and even an experienced dentist will not be able to restore it. In case of gum inflammation, it is best to remove the crown and put in a new one, which corresponds to the parameters of the patient’s oral cavity.
Gum damage during tooth processing
What is worth knowing about this? Before installing the crown, the tooth must be pre-treated. For this operation, special drills coated with diamond chips are used. With the help of such devices it is possible to easily remove hard tooth tissues without any damage. They will feel slightly rough to the touch. The rotation speed of the burs reaches 400 rpm. Therefore, when treating teeth, the doctor may well touch the edge of the gums. Controlling fast movements is not always possible. Such damage can lead to a serious inflammatory process. Therefore, experienced dentists know that it is better to reduce the speed of rotation of boron or even carry out the preparation under the rubber dam. However, its use can also have a negative effect on the gingival margin, leading to more serious inflammation. If the doctor does everything right, then everything will be in order. In any case, gum inflammation under the crown for no reason does not occur.
Gingivitis
So what is it? Gingivitis, or gum disease, may appear for several reasons:
- Low body resistance caused by overwork, malnutrition, infectious diseases.
- Vitamin deficiency and lack of nutrients and minerals.
- The consequences of cardiovascular disease and diabetes.
- Disorders of the hormonal background.
- The reaction to taking medications.
The main clinical manifestations of gingivitis are redness of the gums, their pain, increased sensitivity of teeth to cold and hot food, bleeding gums and bad breath. The most common cause of this disease is poor oral care. If the gum inflamed under the crown, the patient will need a comprehensive treatment. Therapy includes a procedure for cleaning the oral cavity using professional tools. You may need to use ultrasonic cleaning methods. They help to cope well with the removal of plaque, especially in areas near the gums.
Visual inspection
As a rule, an experienced doctor is able to assess the condition of the gums in appearance. Local damage to the pulp, dentin and enamel do not alter the condition of the gums. But diseases of the root membranes are quite capable of leading to their deformation. The presence of tartar and a thickening of the gingival margin may indicate gingivitis. To detect edema in this case, just press the gum with a tool. The result should be a bright print. In the presence of a subgingival abscess in the transition zone between the gum and cheek, an elongated region is formed. It is sometimes difficult to find it due to swelling of the gums. If pus is visible from under the gingival margin, then we are talking about chronic gum disease.
Treatment
Let's dwell on this in more detail. Today, many are faced with such an unpleasant problem as gum inflammation under the crown. How to treat this pathology? First of all, you need to correctly determine the cause of inflammation. If it consists in a poor-quality crown, then to eliminate unpleasant symptoms it will be enough just to replace it. However, even after removal, it is not always possible to quickly get rid of gum disease. Once the cause is identified and treated, the inflammation will begin to subside slowly. Systematic treatment is required to relieve symptoms. In the future, this will prevent the development of gingivitis.
Gum inflammation under the crown is treated with local antiseptic drugs. To reduce pain, agents such as Metrogil Denta and anesthetic ointment can be used. For a speedy recovery, it is also recommended to use an oral rinse solution called Rotokan. In addition, Furacilin, Chlorhexidine and hydrogen peroxide are excellent disinfectants. These substances are effective antiseptics and help to quickly get rid of inflammation.
To eliminate purulent formations on the gums, the doctor may prescribe a course of antibiotics. Doxycycline or Amoxicillin is best suited for this purpose. They are especially effective in combating fistula and cyst. Less severe cases can be treated by topical application of gentamicin ointment.
Swelling and abscess formation
What should be done to relieve gum inflammation under the crown? Treatment must be carried out under the strict supervision of a qualified specialist. However, many are afraid to see doctors and try to treat the disease on their own. This is especially dangerous, because the patient may not even know exactly the cause of the appearance of swelling and swelling in the gum.
Why did the gum become inflamed under the crown? What to do to remove puffiness? The tooth itself can also hurt when chewing and biting. Similar symptoms are observed because in the area of the root of the incisor there is a purulent focus of inflammation. If it is chronic, then the pain may not be felt so acutely.
In some cases, the gums near the crown may begin to darken. Most likely, the prosthesis is simply incorrectly installed. The tooth should have a special protrusion that reduces the load on the gum. Often also a fistulous opening is formed, through which pus that has accumulated earlier can flow out. If the fistulous passage is closed, then not only the gum can swell in the mouth. Edema affects the entire cheek. In this case, the general condition of the patient may worsen, there is an increase in temperature and malaise.
The last stage of the inflammatory process in the oral cavity is a cyst. In the region of the apex of the tooth root, a cavity filled with purulent fluid appears. The main signs of this disease are swelling and redness in the cheek area, severe headache and fever. In some cases, these symptoms are not observed, but edema gradually increases. In this case, only a radiograph will help to identify the disease.
What causes gum inflammation under the crown? How to treat this pathology? The main reasons for its development:
- poorly sealed channels;
- advanced pulpitis or caries.
Purulent inflammation in the first case is formed as a result of a medical error. Perhaps the dentist improperly sealed or poorly performed root perforation. Inflammation of the apex of the tooth root is also scientifically called periodontitis. In situations where timely treatment of caries or pulpitis is not carried out, an infection can get into the root canal, which as a result can lead to serious and rather painful inflammation.
How to reduce swelling?
What to do if after installing the crown in the mouth the mucous membranes are strongly swollen? The gum under the crown can also hurt. In no case do not try to relieve inflammation and discomfort at home. If the above symptoms occur, you should immediately consult a dentist. Most likely, the doctor will prescribe an X-ray examination. Gum disease in any case indicates a tooth problem. The doctor will analyze the x-rays and be able to make a diagnosis. After this, the patient will receive recommendations for the treatment of the affected area. In some cases, special rinses help to eliminate the inflammatory process.
What could be the causes of gum disease under the crown? The most common are poorly sealed root canals. To remove the inflammatory process, you must first remove the filling or crown from the tooth, unseal the canals, treat the affected area with antiseptics. After this, the patient is usually prescribed a course of antibiotics. During treatment, it may also be necessary to cut the gum.
With a slight inflammation, the channels must necessarily be sealed with high quality. If the focus of inflammation was quite extensive, then filling the canals will take some time. Somewhere after three months, the incisors will be ready for permanent dental material, and it will be possible to install a special nozzle on them.
Crown replacement
If the cause of the inflammatory process is poor-quality prosthetics, then you can stop it by removing the crown and aftercare of the tooth located under it. As a rule, they do not install it in place, since it is badly damaged. Most likely, the patient will need to reinstall the prosthesis. On single-channel teeth, sometimes it turns out to carry out treatment without removing the crown. However, this method significantly complicates the passage of the entire channel. It can be used only as a temporary measure, if it is impossible to conduct a full cycle of recovery procedures.
Folk remedies
How to relieve gum inflammation under the crown? Many people prefer to use folk remedies for this purpose. However, such methods will not help to completely get rid of the inflammatory process. They are only able for some time to relieve pain and limit the area of distribution of the affected area.
Sage and chamomile have a good anti-inflammatory effect. Eucalyptus will help relieve pain in the area of damage. However, do not abuse rinses from decoctions of medicinal herbs. Some of them have side effects, for example, affect the color of tooth enamel. Decoction of oak bark can lead to darkening of the incisors. Effectively fight inflammation helps applications with aloe juice. It is best to use for this purpose the leaves of the plant, from which the skin should first be removed.
What to do if the gum hurts under the crown? In no case should self-medicate. Folk remedies can relieve pain and remove the first signs of inflammation, but they can not eliminate the root cause. In any case, a visit to the doctor is required. Only a specialist can conduct all the necessary examinations and prescribe the appropriate treatment. Before starting treatment, it is necessary to remove tartar and other deposits in the affected area. Until the gums recover, a new crown cannot be worn.
Prevention
So that tooth inflammation under the crown does not bother you, you must follow the recommendations of your doctor. Like incisors, crowns require careful care. They need to be cleaned at least twice a day. It is necessary to ensure that plaque does not accumulate at the edges of the gums and between the teeth. When caring for the oral cavity, it is important to use not only toothpaste and brush, but also a special floss and rinse aid. A patient with crowns should not eat solid foods such as nuts and seeds. This can damage the dentures and gums. A dentist should be visited regularly, at least twice a year.
Conclusion
Quite often, patients after installing dentures face such a problem when the gum inflames under the crown. What to do in this case? At the first appearance of pain or swelling, you must immediately consult a dentist. The doctor will help prevent negative consequences. It is better if the specialist who performed the installation of the crowns will deal with the problem.
But what if the patient does not have the opportunity to consult a doctor at the moment? How to treat? The gum under the crowns with inflammation is likely to cause severe pain, so the first aid in this case will be taking analgesics. Decoctions of herbs will also help relieve symptoms. To rinse your mouth with such compounds is recommended several times a day. In the presence of mucosal injury, special regenerating ointments may be required.
Do not expect that you will be able to cure gum inflammation under the crown at home. Therapy should be carried out exclusively by a qualified dentist.