About Mark Bornfeld DDS Expertise I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.
Experience
Past/Present Clients Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com 29 years practicing general dentistry partnered with brother Steve as one-half of the DentalTwins®
Question I had an old crown replaced recently and everything was fine before the treatment. My gum started inflamed after the temp was put in. Then the permanent one was put in and the problem still exists. I was told by my dentist that my gum did not like the plastic and it will heal up soon. one week has passed and it bleeds when I floss down. What should I do?Thanks
Answer Dear James,
Gum inflammation is common after the placement of a new crown-- it may be partially due to the unavoidable physical injury to the gum that occurs during the preparation of the tooth and the making of the impression, and it could also be partially due to the irritant effects of the resin in the temporary cement. It sometimes takes a few weeks for gum inflammation to resolve after placement of a new crown, so at only one week, it may be premature to make any judgments.
However, it would definitely be best for you to return to your dentist if that gum bleeding persists more than another two weeks, because that would suggest that there is something wrong with the crown-- either there is some excess cement that remains under the gum, or the crown margins were placed too far under the gum, or the crown does not properly block off the space between the crowned tooth and the two adjacent teeth, or the contours of the crown are excessive. Your dentist will need to ascertain the reason for the persistent inflammation and take remedial action. If he cannot critically assess the quality of his own crown and the way it may be contributing to the problem, you might consider requesting a referral to a periodontist (gum specialist) for a second opinion.
Hope this helps...
Mark Bornfeld DDS
www.dentaltwins.com
Brooklyn, NY
