Q: I notice my gums are always inflamed around some recent upper veneer and crown work I had done. I floss and brush constantly. Why is this?… Terry in Pompano
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.
For free consumer info on veneers, contact us.
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.