Dr. Naveen Thomas
Dentistry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
Last month, I had a crown placed on my upper right canine in another country following the RCT treatment. I am currently in my native country. However, two days ago, I had my teeth cleaned using an ultrasonic scaler in a clinic. Following that, I experienced some discomfort and mild pain around the margins of the crown. I can feel the edges with my tongue. I wanted to know whether my crown had been displaced? And also, I would like to know if using the ultrasonic scaler on the crown is safe?
Hello,
Welcome to icliniq.com.
I understand your concern.
The use of an ultrasonic scaler may have caused cement material to be dislodged from the margins, or maybe calculus deposits were removed around the crown. There is no need to be concerned because the gums will grow around it if the gap is minimal. Otherwise, you might request that restorative material be placed in the space between the crown and the tooth to cover the edges.
Patient's Query
Thank you, doctor,
Did you intend to imply the crown has shifted from its original location? And the cement is dislodged from the edges as well?
Hello,
Welcome back to icliniq.com.
I understand your concern.
No, the crown has not been displaced. However, there is a possibility that some calculus deposits or cement around the edge have been dislodged, allowing you to feel the sharp edges. There is no need to be concerned because the gums will normally grow around it, and you will no longer feel it after a few weeks. If possible, please attach a clear zoomed-in image for better assessment. Meanwhile, if you are experiencing discomfort, you should visit your dentist for a direct examination.
Patient's Query
Hi doctor,
Thank you for the reply.
Please review the photos I have attached.
Hello,
Welcome back to icliniq.com.
I understand your concern.
I looked over the image (attachment removed to protect the patient's identity). It appears that the gums receded slightly, causing calculus to deposit around the space on the edge of the crown, and when the scaling was done, the calculus was removed, resulting in the gap. There is no reason to be concerned. Brushing too hard can cause gum recession, so always use a soft bristles brush.
Patient's Query
Hi doctor,
Thank you for the reply.
However, after cleaning, I can still feel the edge of the crown. What causes gum recession after cleaning? Is it dangerous to use an ultrasonic scaler on crowns?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Since crowned teeth are completely covered, we rarely need to use a scaler around them. The gum recession did not occur after cleaning but rather gradually over the past time, and the edge of the crown may have had calculus or irregular restorative material.
Patient's Query
Hi doctor,
Thank you for the reply.
The gums around the crown were a little inflamed before scaling. And I doubt calculus would have been present. So now, how to replace the cement around the crown? And why have I been experiencing pinching pain for the last two days?
Hello,
Welcome back to icliniq.com.
I understand your concern.
You may ask your dentist to fill the crown with composite or glass ionomer filling. If the gums were swollen before scaling, it indicated infection in that area. Is the pain severe and continuous, or do you experience pain or sensitivity when you consume anything hot or cold?
Patient's Query
Hi doctor,
Thank you for the reply.
No, the gums were not swollen, although some redness was on the sides and around the edges. However, since I will be returning, I am only considering getting it inspected there. In terms of pain, it is mild, continuous pain, as if something is pressing against the edges. I do not have any sensitivity. But I am concerned about the crown and teeth. Could you please tell me why I am experiencing pain? Will this result in other infections?
Hello,
Welcome back to icliniq.com.
I understand your concern.
No, it will not affect the crown or teeth. You can get a check-up done for restorations when you go back. The pain will go away as the gums around it heal. Gargle with warm salt water twice a day to relieve mild discomfort.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dentistry
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
