A: Welcome to dental prosthetics 101; put your pencils down and hear me out. (Pay attention in case there is a quiz!) One possible cause is an unfavorable “emergence profile”; how the porcelain is contoured from the gum line all the way to the chewing edge of the tooth. If the contours are too drastic, or step-like, this can create a bulkiness that can trap more plaque than a hygienist’s spit sink, resulting in chronically inflamed, puffy red gums.
If left untreated this form of gum disease, called “iatrogenic (pronounced: eye-at-trow-gen-ick) gingivitis”, can lead to gum recession and even bone loss.
I recommend to first have the dentist who placed them try to bevel the contours with a fine diamond bur followed by porcelain polishing wheels. If this does not help; you must consider remaking the dental work.
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Dr. Josephs practices Implant Cosmetic and General Dentistry and hosts “Tooth Talk” on WBZT AM123.0 Dr. Josephs is on staff at West Palm Hospital (Formerly Columbia Hospital) and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.