Q: I had an apicoectomy above tooth no.7. Then 6 months later, I had new crowns placed on teeth 7, 8, 9, and 10. Immediately afterwards, my gums flared up, especially above tooth no. 7. The gum there is very puffy and bleeds very easily. Another general dentist told me the new crown was placed too close to the bone – biologic width and whatnot. He said he would either change the crowns (which I cannot do because they’re new and cost a lot) or he would fix it for me, which will most likely recess my gums. I’m very upset. Are there other options? Thank you.
A: I’m so sorry that you are having this issue. If the crown violated the biologic width, then you might have to consider periodontal work and most likely new crowns. I would strongly suggest a consultation with a very experienced Periodontist to see what can be done. Unless you are willing to live with a very unaesthetic result – and most people are not – I would not risk gum recession as a side effect. Maybe you could speak to the dentist that did the original work and see what they suggest?
