Crowns and bridges are essential restorative dental solutions that help replace damaged or missing teeth, restore oral function, and improve aesthetics. However, many patients are surprised to learn that these restorations can also impact gum health if not cared for properly. At McLevin Dental Clinic in Scarborough, we emphasize preventive care for patients with crowns and bridges to help ensure these dental restorations do not contribute to gum disease.
In this blog, well explore how crowns and bridges can affect the gums, why specialized care is necessary, and what you can do to prevent gum disease when living with these common dental treatments.
How Crowns and Bridges Affect Gum Health
Crowns (tooth-shaped caps) and bridges (structures that fill gaps from missing teeth) are usually made from porcelain, ceramic, or metal and are securely bonded to natural teeth or implants. While these restorations restore bite and appearance, they also change how plaque accumulates in your mouth. Here’s how they influence gum health:
1. Hard-to-Clean Areas
Crowns and bridges can create tight or uneven spaces between teeth and gums, making it harder to remove food particles and plaque.
2. Gingival Irritation
Improperly fitted crowns or bridges may irritate the gumline, leading to redness, inflammation, or bleeding. This irritation can become chronic if not addressed.
3. Plaque Accumulation
The margins of crownswhere the crown meets the natural toothare common places for plaque buildup, which can lead to gingivitis and eventually periodontitis if not cleaned properly.
4. Bone and Tissue Loss
If a bridge spans a gap but the gum tissue underneath is not kept clean, bone and soft tissue can begin to deteriorate, compromising the long-term success of the restoration.
Tips to Prevent Gum Disease with Crowns and Bridges
1. Use a Soft-Bristled or Electric Toothbrush
Brush gently but thoroughly around the crown or bridge margins. Electric toothbrushes are ideal because they provide consistent motion and can clean around the gumline more effectively.
2. Floss Around and Under Bridges
Use floss threaders, super floss, or water flossers to clean underneath bridges and around abutment teeth. This step is crucial in removing plaque that toothbrushes cannot reach.
3. Clean Along the Gumline Daily
Focus on cleaning where the crown or bridge meets your natural gum tissue. Plaque buildup here is a common cause of inflammation, gum recession, and eventual crown failure.
4. Use Antibacterial Mouthwash
An alcohol-free antibacterial rinse can help reduce bacterial load in areas that are harder to reach mechanically. This supports overall gum health and reduces the risk of inflammation.
5. Get Regular Dental Cleanings
Professional dental cleanings at McLevin Dental Clinic every 6 monthsor more frequently if advisedare essential. We use special tools to clean under bridges and around crown margins to remove plaque and tartar buildup.
Signs of Gum Trouble Around Crowns and Bridges
Even with proper care, issues can sometimes arise. If you notice any of the following symptoms around your crown or bridge, schedule an evaluation promptly:
Red, swollen, or bleeding gums
Receding gumline near a crown
Bad breath or a bad taste in your mouth
Pain or sensitivity near the restoration
Looseness in the bridge or supporting teeth
Early treatment of these symptoms can prevent the development of advanced gum disease and protect the integrity of your restorations.
What to Expect During Dental Visits
At McLevin Dental Clinic, we perform a thorough examination of your restorations during every visit. This includes:
Checking the margins of crowns and bridges for decay
Inspecting gum health around and underneath restorations
Evaluating fit and bite alignment
Providing personalized hygiene tips for at-home care
If needed, we may polish the crown margins, adjust your bridge, or recommend deep cleaning to stop the progression of gum inflammation.
When Crowns or Bridges Contribute to Gum Disease
Sometimes, a crown or bridge may be poorly designed or fitted, leading to long-term irritation or infection. In such cases, your dentist may:
Re-contour the crown edges
Replace the crown or bridge with a better-fitting option
Perform gum therapy or laser treatment to reduce inflammation
Recommend grafting procedures if gum recession has occurred
With early diagnosis and the right treatment, gum disease associated with crowns and bridges can be halted and often reversed.
Final Thoughts
Crowns and bridges are long-lasting solutions for damaged or missing teeth, but they require vigilant oral hygiene to prevent gum disease. Regular brushing, flossing, professional care, and good communication with your dental team are the cornerstones of maintaining both your restorations and your gum health.
At McLevin Dental Clinic in Scarborough, were committed to helping you get the most from your dental restorations while protecting your smile from gum complications. If you have a crown or bridge and are unsure about your gum health, schedule a check-up with our experienced team today.
Frequently Needed Questions (FNQs)
Q1: Can gum disease occur under a bridge?
A: Yes, especially if food particles and plaque aren’t removed regularly from under the pontic (false tooth).
Q2: How do I floss around a dental bridge?
A: Use floss threaders, super floss, or a water flosser to reach underneath the bridge and around abutment teeth.
Q3: Do crowns need special cleaning?
A: Yes. Pay close attention to the margin where the crown meets the gum, as plaque can accumulate there.
Q4: Can a crown cause gum recession?
A: An ill-fitting crown can irritate the gums and lead to recession. Proper fit and hygiene are key.
Q5: How often should I visit the dentist if I have a crown or bridge?
A: At least twice a year, or more frequently if you’re at higher risk for gum disease.
Q6: Is mouthwash helpful for crown and bridge maintenance?
A: Yes, especially alcohol-free antibacterial mouthwash to control plaque in hard-to-reach areas.
Q7: Can I use a water flosser on my bridge?
A: Absolutely. Water flossers are highly effective for cleaning under and around bridges.
Q8: What are signs that a crown is affecting my gums?
A: Swelling, redness, bleeding, or a persistent bad taste may indicate a problem.
Q9: Will a loose bridge affect my gum health?
A: Yes. A loose bridge can trap bacteria and irritate the gums, increasing the risk of infection.
Q10: Should I replace old crowns or bridges if I have gum issues?
A: If restorations are contributing to gum problems, replacement may be necessary for better health outcomes.