Suggest Treatment For Gum Infection And Painful Discomfort While Eating
improper contact between teeth, prosthodontist consultation
Detailed Answer:
Thanks for your query. I have gone through your query.
As far as the gap between the teeth is concerned, it can be because of the improper contacts created while preparing the artificial crowns. Whenever there is improper contacts between the teeth, the food gets lodged in between teeth and causes irritation and may result in gum infection.
For your kind information, ulcer cannot occur below the crown. The roughness what you felt is because of the cut surface of the tooth.
Nothing to be panic, Your problem can be solved by giving a proper contact between the crown and the adjacent teeth. So consult a good prosthodontist and get it evaluated.
These are the possible causes, diagnosis and treatment plan based on the description of the problem by yourself. If you can upload the images of the teeth which are in problem, i can give you exact diagnosis and treatment plan.
I hope i have answered your query. If any queries are there reply me back. Take care.
There have been three different crowns on this tooth over two years in attempt to fix this- two ceramic and now gold. The symptoms have remained the same.
Dentist saw an "ulcer" in this spot at last visit before putting crown on.
Now, there are tiny white spots under my tongue and in back of throat.
My tonsils have been out for many years.
Thank you
improper crowns, decayed adjacent teeth, radiograph
Detailed Answer:
Thanks for your reply.
Yes mouth ulcers that are benign usually resolves in a week or two. However recurrence is not uncommon. It occurs if the causes persists. In your case, the gap between the teeth which was probably created secondaryily to improperly prepared crown may be leading to food getting lodge and subsequent ulcers. It is very unusual for cancerous ulcer not to grow over the last 3 years. Therefore I wouldn't be worried about cancers yet.
Further sometimes in an attempt to remove these food debris with the help of finger or tooth pick or brush may result in trauma to gum and result in ulcer. Similarly the other possible cause of food lodgement can be a decay in the adjacent tooth or bone loss around the teeth where the crowns have been placed.
It would be a good idea to have radiograph done to check the status of the Crown and the bone support. This can be done at your dentist's office.
Lastly you might have visited many dentist but if the work has not been done properly then the problem will never solve. So consult a good prosthodontist and get it evaluated. If you have any of the radiograph's done recently, please upload it here.
I hope I have answered your query. Take care
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions