Can You Get a Gum Infection Around Your Crown? (2022)

You most certainly can get a gum infection around a crown because crowns protect your teeth but they don't protect your gums. Basically, even if you got a crown on every tooth in your mouth, it would not prevent gum infections nor would it prevent gum disease. Therefore, having a crown offers no additional benefits for your gum health.

With that being said, there can be a variety of factors that may cause a gum infection near your crown. Some of them may be related while others are purely coincidental.

This is what a gum infection around some crowns look like:

Can You Get a Gum Infection Around Your Crown? (1)

The gum infection around crowns don't look any different from one not around any crowns. The only difference is that they're near some dental crowns. What it looks like is:

This article will explore what can possibly cause it, how to treat it, and what you can do to prevent it from happening again.

Table of Contents:

  • Causes

  • Treatment

  • Prevention

    (Video) What to do when a tooth decays under a crown? - Dr. Ranjani Rao

  • Takeaway

What can cause a gum infection around a crown?

Gum infections can happen around crowns which can be related to the crown but it could also be completely unrelated as well. Your gums could be swollen around just that one tooth or it could be multiple teeth.

Crown related causes

Here is a photo of a broken crown:

Can You Get a Gum Infection Around Your Crown? (2)
(Video) Why Is My Dental Crown Hurting? | Elite Dental Group Singapore | +65 6333 4456

Issues that are NOT related to the crown integrity

  • Lodged foreign object. Most commonly, popcorn kernels or small hard pieces of food can get lodged into the gums during means. If the patient is not able to remove it on their own, the gums will swell up over the next few days and turn into a gum abscess. If this happens near your crown, it wouldn't have been the crown that caused it but merely a coincidence!

  • Localized gum disease. If you have a lot of tartar that is stuck below the gums near the crown, it can result in severe swelling and bleeding. This would have had nothing to do with the crown itself but rather from the presence of tartar, which resulted in severe gingivitis. The body perceives the tartar as a foreign body and tries to get rid of it by activating inflammation.

  • Pregnancy tumor. Pregnant women can develop pregnancy tumors, which looks like a gum abscess. If the patient happens to develop this condition around a dental crown, it would seem as if the crown caused the gum infection. While in fact, the gum swelling is a result of the body overreacting to the plaque due to abnormal hormonal levels during pregnancy.

  • Gingival hyperplasia. Certain medications can cause the gums to grow and swell up, which look like an infection. This condition is called gingival hyperplasia, which may be commonly induced by phenytoin, cyclosporine, and calcium channel blockers. If you're taking one of those medications and your gums look swollen and infected, you may want to ask your doctor about the dosage.

  • Scurvy. People who don't get enough vitamin C in their diet can develop scurvy with ascorbic gums. Their gums will look red, poofy, swollen, and bleeds easily. If you happen to have crowns nearby, it may look like it was caused by it.

Treatment for a gum infection around crowns

For gum infections that are due to a defective crown, the treatment would be to replace it. Your dentist can make you a brand new one that is not broken and less bulky so that it is more friendly on the gums. They can change the shape of it to make it more hygienic so that it is more easily cleansable.

For gingival infections that are not related to the crown, replacing the restoration will do nothing to stop the problem. In this case, you would have to treat whatever is causing the gum swelling and inflammation.

  • For lodged foreign objects, your dentist will need to physically remove it and then debride the gums to reduce the swelling.

  • For any type of gum disease, you will most likely require a dental cleaning or even a deep cleaning to get the gum inflammation under control. This will usually cure the the gum disease as well as pregnancy tumors.

  • For a medication related issue, you will need to see the doctor who prescribed it for you to discuss possible alternatives. You may still need to see your dentist to have the gums flushed out and cleaned.

    (Video) Dentist Explains a Tooth Abscess | How to Cure an Abscess Tooth

  • For nutritional deficiencies all you need to do is to start getting in that nutrient that you're missing. It should resolve within a few weeks once you do.

How to prevent a gum infection

Even after getting rid of a gum infection, they can always return because there is no permanent cure. The best that you can do is manage your oral health as best as you can by keeping it clean. Here are some tips that you should follow to minimize gum infections around crowns:

  • Avoid hard foods. Foods with very hard textures are detrimental to your dentition and that includes dental crowns. They can not only break your teeth but also your porcelain crowns. If you like eating these types of foods you will run the risk of damaging the crowns and possibly end up with a gum infection.

  • Oral hygiene. The best way to prevent your gums from swelling up and ending up as an infection is by maintaining a strict oral hygiene routine. You don't want to give the tartar and plaque any opportunity to cause inflammation. Therefore you should brush for at least 2 minutes twice a day. You should also floss prior going to bed and use a mouthwash of your choice.

  • Replace defective crowns. If you do have a damaged dental crown, you should still have it replaced even if your gums are not infected nor swollen. You don't want to wait until it happens because then it becomes a bigger problem. It also requires additional treatment and could possibly cause you more discomfort.

  • Healthy diet. Make sure you eat a healthy and balanced diet so that you don't end up with nutritional deficiencies. As you can see, there are quite a few diseases that cause your gums to swell up because of a missing nutrient in your diet. It may be a good idea to check in with a dietitian to make sure you're in optimal health diet wise.

Takeaway

It is not unusual to get a gum infection around a crown. Some of the causes may be related to the dental crown itself while other times it may be completely unrelated but merely a coincidence.

Nonetheless, you should schedule an appointment with your dentist to have it evaluated. The treatments for it usually require a dentist and there isn't too much that you can do at home, especially if it is due to a defective crown. This is why it is important to go in for your 6 month dental check ups so that you can catch these problems before they result in a gum infection.

Author: Written by Dr David Chen, a general dentist in long island city.

FAQs

Why is my gum inflamed around my crown? ›

The swelling arises due to the collection of pus around the tooth crown or root. Trauma – swelling of the gums can also appear in case they become injured during contact sports, or when a sharp object gets stuck between the tooth and the gum.

How do you get rid of infection under a crown? ›

To do this, your dentist may:
  1. Open up (incise) and drain the abscess. The dentist makes a small cut into the abscess, allowing the pus to drain out. ...
  2. Do a root canal. This can help get rid of the infection and save your tooth. ...
  3. Pull the affected tooth. ...
  4. Prescribe antibiotics.
29 Jun 2022

What happens if you get an infection under a crown? ›

If you get decay under a crown issues may occur that affect your oral health. Issues such as bad breath and sore gums may develop or the decay may extend deeper into the tooth, causing dental infection and may even mean the tooth cannot be saved!

Can a crown be removed and put back on? ›

In some situations the original crown can be removed and re-cemented into place. New crowns might be required to meet your objectives for a healthy and beautiful smile. This new crowns are fabricated in the same way the as the original.

How do you get rid of gum infection without antibiotics? ›

Salt water is extremely effective in helping to heal gums affected by gum disease. Salt water can treat inflammation, ease pain, and reduce bacteria in the mouth and gums. Rinsing with salt water 2-3 times a day can be effective in battling a gum infection.

Can you get an abscess under a crown? ›

Anyone with a suspected abscess, jaw swelling, jaw pain or tooth pain who feels a hard lump in the mouth should see a dentist as soon as possible. Q: Can dental abscesses develop next to or underneath a crown, dentures, dental implant or a dental bridge? A: Yes.

What does it mean if my crown hurts? ›

If your dental crown is too high or improperly positioned, that may result in moderate to severe pain in your tooth when biting down. If your bite feels off after getting a crown and you feel pain when biting down, you may want to consider asking a dentist if the crown is loose or if it needs to be adjusted.

Can a crown cause gum pain? ›

If you're experiencing discomfort in the first few days after a new crown is placed, it may simply be a result of normal gum irritation, tenderness, and sensitivity. Try taking over-the-counter pain medications containing ibuprofen as directed to address any pain and discomfort.

Can a dental crown get infected? ›

Although dental crowns protect your tooth, problems can arise when the crown is damaged, loosened, or falls off. If a dental crown becomes compromised in any way, it may allow bacteria to become trapped underneath the crown which can lead to decay and another pulp infection.

Can a tooth rot under a crown? ›

Although the crown itself cannot develop decay, the underlying tooth and root structures are still vulnerable to cavities. Once decay forms, it can progress quickly and migrate under the crown, which compromises the function of your dental restoration.

What is the best antibiotic for gum infection? ›

Amoxicillin is usually the first choice for tooth infection treatment. If your tooth infection is more serious, your dentist may prescribe a combination of amoxicillin and another drug called Clavulanate.
...
Penicillins are a group of antibiotics including:
  • Penicillin.
  • Amoxicillin.
  • Amoxicillin/potassium clavulanate.
11 Jan 2022

Is crown removal painful? ›

Crown removal is not a painful procedure, and it doesn't take long for your dentist to remove it. Your dentist will not even use an anesthetic to remove and add in the permanent crown.

What are the symptoms of a tooth infection spreading? ›

Signs and Symptoms of a Tooth Infection Spreading to The Body
  • Nausea and vomiting.
  • High fever.
  • Confusion.
  • Shortness of breath.
  • Drooping eyelids.
  • Pain in the tongue or mouth.
  • Swelling in the face or cheeks.
  • Severe, persistent headache.
7 Sept 2021

When Should a dental crown be replaced? ›

Although today's dental crown are strong and durable, they are not likely to last the rest of your life. Most crowns last between five and 15 years before needing to be replaced (or at least repaired).

Is dentist responsible for failed crown? ›

Sometimes, other circumstances cause a post and crown to breath. Although your dentist might not be at fault, if the post and crown only lasted a few months, he may be willing to take responsibility for some of the cost. But your dentist is not legally responsible unless he did something wrong.

Should my tooth be black under a crown? ›

Is it normal for my tooth to look black under my crown? It's not supposed to darken. Most of the time, tooth discoloration is caused by bacteria getting in the dental crown. It can also be the result of an inadequate seal on the crown.

How many times can you get crowns replaced? ›

You can replace the crown as many times as you want if there is nothing wrong with it. What we mean by that is that there is no tooth decay underneath the cap. In this case, your dentist can simply remove it and just remake a new one without harming the underlying tooth structure.

Can salt water rinse heal gum infection? ›

Reduces Inflammation – The warm salt water rinse is an effective way to reduce the inflammation and swelling associated with gum disease. Saltwater rinses can help with the treatment for gum disease, but it cannot fix the problems on its own.

How long does it take for a gum infection to go away? ›

You can expect to see improvements after a few days of treatment, but it may take a while for symptoms to go away completely. In most cases, gingivitis usually clears up within 10 to 14 days. If your gingivitis is more serious, it could take longer to treat.

Does salt draw out infection in tooth? ›

Saltwater rinse

Not only does salt help to reduce bacteria, but rinsing with warm salt water can also remove debris from your mouth, break up pus around the tooth, and help ensure proper wound healing. To create a saltwater rinse for a tooth infection, simply mix a half teaspoon of salt with a half cup of warm water.

What does an abscess on your gum look like? ›

It looks like a small red ball pushing out of the swollen gum. An abscess can occur with serious gum disease (periodontitis), which causes the gums to pull away from the teeth. This leaves deep pockets where bacteria can grow.

Can a gum abscess heal on its own? ›

A dental abscess is a build-up of pus in the teeth or gums caused by an infection. It needs urgent treatment by a dentist. A dental abscess will not go away on its own.

How do you treat a swollen gum crown? ›

Treatment for a gum infection around crowns
  1. For lodged foreign objects, your dentist will need to physically remove it and then debride the gums to reduce the swelling.
  2. For any type of gum disease, you will most likely require a dental cleaning or even a deep cleaning to get the gum inflammation under control.
24 Jul 2022

Does Sensodyne work on crowns? ›

Long Term Care of Your New Crown or Bridge

Sensitivity toothpaste (Pronamel by Sensodyne or Crest for Sensitive teeth) generally helps. Also, if after a couple of days your “bite” seems off, or it just doesn't feel normal, please call our office for a slight adjustment.

How long do dental crowns last? ›

The average lifespan for a well-maintained dental crown is typically around 15 years. However, when taken care of properly, it is common to see them last upwards of 25-30 years.

Can a root canal be done on a tooth with a crown? ›

How is a root canal performed on a tooth with a crown? At Knight Dental Care, Dr. Knight can either remove the crown before drilling into the tooth to create an access hole or drill this access hole through the crown. If this happens, then the crown will need to be replaced as it will be weakened.

Why do gums go black with crowns? ›

This blackline surrounding your gum occurs because light, which can pass through natural teeth, is unable to pass through the crown's metal, makes the crown's porcelain fusion look darker, and restricts the amount of light in the root and gum areas.

Should a crown touch the gum line? ›

A crown is placed over the entire visible surface of a tooth down to the gumline. This is essential to help prevent harmful bacteria from leaking underneath your restoration. If a gap forms between the gum tissue and the restoration, it's a sign your crown no longer fits.

What causes toothache under a crown? ›

Tooth decay under the crown

Because the tooth under the dental crown is still alive, tooth decay or a new cavity can form at the border of the tooth and the crown. This can lead to persistent pain in the area. If a tooth cavity grows large enough and affects the nerve, you might need a root canal procedure.

How do you know if you have tooth decay under a crown? ›

Here are a few signs that may indicate you have decay underneath your crown:
  1. Increased tooth sensitivity.
  2. Pain or toothaches.
  3. Swollen, inflamed gums.
  4. Bleeding when brushing or flossing.
  5. Visible brown or grey spots on the tooth material around the crown.
15 Jan 2020

How do I know if my crown is leaking? ›

Loose crown

Bacteria can also leak in and cause decay to the remaining tooth. If the crown seems loose when a person chews or if there is an unusual odor around the tooth, a patient should contact a dentist.

What happens if tooth infection spreads to jaw? ›

Leaving an infection to spread to your facial bones may eventually necessitate surgical removal to stop it. Even in minor cases, a tooth infection can cause the bone structures of your jaw to weaken, making it hard to support your teeth.

Does amoxicillin cure gum infection? ›

One way dentists treat a tooth infection is with antibiotics, a type of medication that stops bacterial growth. Amoxicillin, a penicillin class antibiotic, treats many types of bacterial infections, including tooth infections.

Can I buy antibiotics for tooth infection over the counter? ›

Antibiotics aren't available without a prescription, but there are a few things you can do at home for relief before your appointment, such as: taking over-the-counter pain relievers, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol)

Can a cemented crown be removed? ›

The safest and least traumatic means of removing a cemented restoration is to cut a slot and pry the crown or retainer loose, sacrificing the restoration. However, various techniques and instruments for intact removal of permanently cemented cast restorations have been described in the literature.

Is it hard to remove a cemented crown? ›

Removal of a permanently cemented crown or fixed partial denture is a cumbersome procedure for a prosthodontist, especially when there is no purchase point available to remove it.

What can you not eat with a permanent crown? ›

Foods and Drinks to Avoid with Permanent Crowns
  • Hard or crunchy foods like pretzels, seeds, or nuts. ...
  • Sticky foods like steak and candies. ...
  • Popcorn and nuts. ...
  • If you're the type that likes chewing on ice, it is important that you stop as this can cause damage to your dental crown.
  • Raw vegetables.

How do you know if you have a bacterial infection in your mouth? ›

For bacterial mouth infections, including periodontitis, look out for symptoms including:
  1. Bad breath.
  2. Bitter taste.
  3. Persistent pain.
  4. Sensitive or loose teeth.
  5. Swollen and inflamed gums, neck glands or jaw.
  6. Receding gums or new spaces between your teeth.
  7. Headache.
  8. Fever.

Can antibiotics cure tooth infection? ›

When you are suffering from a tooth infection, you may want an easy solution, such as a course of antibiotics. However, antibiotics won't cure your tooth infection. Oral bacterial infections cause abscesses, which are small pockets of pus and dead tissue in the mouth.

Will a tooth infection go away on its own? ›

A tooth infection will not go away on its own. Your toothache may stop if an infection causes the pulp inside your tooth to die. The pain stops because the nerve isn't functioning anymore, so you may not be able to feel it. However, the bacteria will continue to spread and destroy surrounding tissue.

Can a crown be removed and put back on? ›

In some situations the original crown can be removed and re-cemented into place. New crowns might be required to meet your objectives for a healthy and beautiful smile. This new crowns are fabricated in the same way the as the original.

How can you tell if a crown is failing? ›

Signs that Your Dental Crown Needs to be Replaced
  • Your Gum Line Is Recedin.
  • You Experience Pain or Swelling.
  • You Notice Wear and Tear on Your Crown.
  • Your Crown is Damaged.
  • Your Crown is No Longer Aesthetically Pleasing.
  • Your Crown Is Ten Years Old (or Older)
28 Jul 2019

How much does it cost to replace a dental crown? ›

In general, a regular dental crown will cost between $1100 and $1500. However, prices will vary depending on the type of crown chosen. Fees will vary according to the treatment you need before the final crown is cemented, so if you need bone grafting, a root canal or gum surgery, the price of a crown will go up.

Can a dental crown get infected? ›

Although dental crowns protect your tooth, problems can arise when the crown is damaged, loosened, or falls off. If a dental crown becomes compromised in any way, it may allow bacteria to become trapped underneath the crown which can lead to decay and another pulp infection.

What are the symptoms of a tooth infection spreading? ›

Signs and Symptoms of a Tooth Infection Spreading to The Body
  • Nausea and vomiting.
  • High fever.
  • Confusion.
  • Shortness of breath.
  • Drooping eyelids.
  • Pain in the tongue or mouth.
  • Swelling in the face or cheeks.
  • Severe, persistent headache.
7 Sept 2021

Why does my tooth hurt under my crown? ›

Because the tooth under the dental crown is still alive, tooth decay or a new cavity can form at the border of the tooth and the crown. This can lead to persistent pain in the area. If a tooth cavity grows large enough and affects the nerve, you might need a root canal procedure.

What does it mean if my crown hurts? ›

If your dental crown is too high or improperly positioned, that may result in moderate to severe pain in your tooth when biting down. If your bite feels off after getting a crown and you feel pain when biting down, you may want to consider asking a dentist if the crown is loose or if it needs to be adjusted.

Can you have an abscess under a crown? ›

Anyone with a suspected abscess, jaw swelling, jaw pain or tooth pain who feels a hard lump in the mouth should see a dentist as soon as possible. Q: Can dental abscesses develop next to or underneath a crown, dentures, dental implant or a dental bridge? A: Yes.

What causes an abscess under a crown? ›

A periapical tooth abscess usually occurs as a result of an untreated dental cavity, an injury or prior dental work. The resulting infection with irritation and swelling (inflammation) can cause an abscess at the tip of the root. Dentists will treat a tooth abscess by draining it and getting rid of the infection.

How does bacteria get under a crown? ›

Bacteria go after what's left of a tooth by converting sugars into acid, which eats through the enamel and results in rot and a cavity or infection underneath the crown. Saliva also cannot reach below the crown, so this pattern continues without resistance or interruption.

What is the best antibiotic for gum infection? ›

Amoxicillin is usually the first choice for tooth infection treatment. If your tooth infection is more serious, your dentist may prescribe a combination of amoxicillin and another drug called Clavulanate.
...
Penicillins are a group of antibiotics including:
  • Penicillin.
  • Amoxicillin.
  • Amoxicillin/potassium clavulanate.
11 Jan 2022

How do you know if you have a bacterial infection in your mouth? ›

For bacterial mouth infections, including periodontitis, look out for symptoms including:
  1. Bad breath.
  2. Bitter taste.
  3. Persistent pain.
  4. Sensitive or loose teeth.
  5. Swollen and inflamed gums, neck glands or jaw.
  6. Receding gums or new spaces between your teeth.
  7. Headache.
  8. Fever.

Can antibiotics cure tooth infection? ›

When you are suffering from a tooth infection, you may want an easy solution, such as a course of antibiotics. However, antibiotics won't cure your tooth infection. Oral bacterial infections cause abscesses, which are small pockets of pus and dead tissue in the mouth.

Is crown removal painful? ›

Crown removal is not a painful procedure, and it doesn't take long for your dentist to remove it. Your dentist will not even use an anesthetic to remove and add in the permanent crown.

Why does my crown hurt when I bite down years later? ›

Your tooth's nerve may be inflamed

Advanced tooth infections can cause the pulp (nerve) of a tooth to become damaged and inflamed. The symptoms of an advanced infection that may require a root canal to resolve can include: Severe pain while chewing. Long-lasting tooth pain in reaction to hot and cold temperatures.

How do you treat a swollen gum crown? ›

Treatment for a gum infection around crowns
  1. For lodged foreign objects, your dentist will need to physically remove it and then debride the gums to reduce the swelling.
  2. For any type of gum disease, you will most likely require a dental cleaning or even a deep cleaning to get the gum inflammation under control.
24 Jul 2022

Does Sensodyne work on crowns? ›

Long Term Care of Your New Crown or Bridge

Sensitivity toothpaste (Pronamel by Sensodyne or Crest for Sensitive teeth) generally helps. Also, if after a couple of days your “bite” seems off, or it just doesn't feel normal, please call our office for a slight adjustment.

Is dentist responsible for failed crown? ›

Sometimes, other circumstances cause a post and crown to breath. Although your dentist might not be at fault, if the post and crown only lasted a few months, he may be willing to take responsibility for some of the cost. But your dentist is not legally responsible unless he did something wrong.

How long do dental crowns last? ›

The average lifespan for a well-maintained dental crown is typically around 15 years. However, when taken care of properly, it is common to see them last upwards of 25-30 years.

Videos

1. A Tooth Infection Can Be Deadly ☠️Dental Abscess Pus Drainage
(Joseph R Nemeth DDS & Associates)
2. What to expect after having crown put in
(The Smile Place Mt Eliza)
3. 10 Tips To Reduce Swollen Gums At Home
(Joseph R Nemeth DDS & Associates)
4. Do Crowns Get Cavities?
(Innovative Dental - Cosmetic & Implant Center)
5. Dentist says DO NOT CROWN YOUR TEETH! - Proves it with a Clinical example!
(Innovative Dental - Cosmetic & Implant Center)
6. Do NOT crown your teeth! - Must watch before dental work!
(Innovative Dental - Cosmetic & Implant Center)

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