The bleeding around your crown when you brush is most likely due to gum inflammation or infection (gingivitis or periodontitis) in the area surrounding the crown.
Possible Causes of Bleeding Gums Around a Crown:
- Gum Infection (Gingivitis or Periodontitis): This is the most common reason. Bacteria can accumulate around the crown margins, leading to inflammation, redness, and bleeding.
- Poorly Fitted Crown: If the crown doesn't fit perfectly, it can create areas where plaque and bacteria accumulate, irritating the gums. Overhanging margins or gaps can harbor bacteria and make cleaning difficult.
- Aggressive Brushing: While cleaning is essential, brushing too hard or using a hard-bristled toothbrush can injure the gums, especially around a crown.
- Underlying Medical Conditions: In rare cases, systemic conditions or medications can contribute to gum bleeding.
- Food Impaction: Food particles can get trapped between the crown and the gumline, leading to inflammation and bleeding.
- Crown Age & Cement Washout: Over time, the cement holding the crown in place can weaken or dissolve, creating space for bacteria to enter and inflame the gums.
What to Do:
- Improve Oral Hygiene: Gently brush your teeth twice a day with a soft-bristled toothbrush and floss daily, paying close attention to the area around the crown. Use a fluoride toothpaste.
- Rinse with Antibacterial Mouthwash: An antibacterial mouthwash can help reduce the bacteria in your mouth.
- Schedule a Dental Appointment: It is crucial to see your dentist or periodontist. They can examine the crown, evaluate the gums, and determine the underlying cause of the bleeding. They might recommend:
- Professional Cleaning: To remove plaque and tartar buildup.
- Crown Adjustment or Replacement: If the crown is poorly fitted, it might need adjustment or replacement.
- Treatment for Gum Disease: This may involve scaling and root planing (deep cleaning) or other periodontal therapies.
- Dietary Changes: Reduce your intake of sugary and processed foods, as they contribute to plaque formation.
Prevention:
- Maintain excellent oral hygiene.
- Visit your dentist regularly for checkups and cleanings.
- Use a soft-bristled toothbrush.
- Floss daily.
- Consider using an interdental brush to clean around the crown margins.
It's important to address bleeding gums promptly to prevent further complications, such as gum recession, bone loss, and even tooth loss.
