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Dental crowns

Dental crowns are permanent tooth covers that are cemented to chipped, cracked or broken teeth to improve their appearance and function.

What happens when dental cement remains around the gumline following a new dental crown ?

Ramin Tabib (New York, NY) on Oct 25, 2011
It is not a desirable outcome when there is extra cement remaining around the gum line. Imagine walking in shoes that has a small pebble inside it and pressing on the sole of your foot. Now imagine hiking in them for the next several hours. How long will it take before your foot gets sore, inflamed and red where it rubs against this pebble? My guess would be, not long. The same is true with excess cement. It will accumulate plaque and tartar, get irritated and inflame the gums. Not a happy situation.
Michael Apa (New York, NY) on Oct 25, 2011
It can inflame the gum and if left long enough, it can create an infection. The best thing is to go back to the dentist and make sure the cement is fully removed.
Aziza Askari (Farmington Hills, MI) on Oct 25, 2011
Sounds like you need to see a dentist who can take care of the problem. Without seeing you, it sounds like the cement simply needs to be removed, but there's always a possibility that the crown may not be seated properly, which could affect your occlusion and lead to other problems. If you live near Farmington Hills, Comfort Dental Spa’s Dr. Askari does great work. She’ll repair what’s not functioning properly and answer all of your questions along the way.
Debra Glassman (New York, NY) on Oct 25, 2011
When dental cement remains around a crown it can be irritating to the gum, food and bacteria will build up easier in the area because it's a much more difficult area to keep clean....cement needs to be cleaned off thoroughly during cementation of any restoration.
Christopher Baer (Aurora, CO) on Oct 25, 2011
This can cause gum irritation and redness. It could also potentially cause gum problems, i.e bleeding, pocketing, pain, tenderness. I would recommend going back and having it removed.
Les Latner (Los Angeles, CA) on Oct 25, 2011
That cement will irritate the gums. If your gums remain inflammed, red, bleed more than a few days after a crown is cemented, you should return to your dentist so they may look and see why that is happening. The dentist has instruments that can remove that dried cement if that is necessary. Les Latner, DDS
Steven Bader (Newton Centre, MA) on Oct 25, 2011
Generally all cement should be removed by the dentist when a crown is cemented. If there is an edge that catches floss it may be possible to polish it to make it smoother. However this could be an indication that the fit of the crown is not precise. I recommend you return to the dentist that placed the crown first to address your concerns. If you are not satisfied, seek a second opinion. I hope that helps. Best of luck.
Amanda Seay (Mount Pleasant, SC) on Oct 25, 2011
A lot of things can happen when cement is left around the gumline following a new dental crown. The excess cement can cause localized gum irritation, bleeding, swelling and in some cases an abscess. If it is just some "flash" of cement then it is usually just removed with regular brushing. However, certain resin cements have such high sealing and bonding strengths that it would require the dentist to remove the excess with proper armentarium to ensure tissue health.
Leonard Tau (Philadelphia, PA) on Oct 25, 2011
The gum can severely be irritated and can bleed very easily. The cement needs to be removed
Brian Gray (Washington, DC) on Oct 25, 2011
Remaining dental cement may cause minor gum irritation and should be easily removed. Once removed the tissue should respond back to normal within a couple days. If dental floss catches or shreds on a crown edge the crown has a ledge or overhang and almost certainly is not sealed. (Note that remaining cement can cause this too, but the shredding will completely resolve once the excess cement is removed.) Shredding of floss can mean that the margin is open or not sealed. This is usually verified with a bite wing xray that will show where the crown does not match the tooth.
Kamini Talati (Port Saint Lucie, FL) on Oct 25, 2011
The gum tissue becomes irritated and sore. Return to the dental office and have it removed.