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FAQ:  Porcelain Veneers


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Veneers Ask The Periodontist Marie Schweinebraten Question:
Irritated Gums - Bleeding: I had 8 teeth done in the front. 5 veneers and 3 crowns.

It has been a year and a half and my gums never settled down. They remain red, irritated and bleed when brushing. I never had this issue before.

The doctor recommended re-treatment of the crown lengthening, assuming it was a biologic width issue. A week after that procedure was done my gums have swelled up huge to the point that it looks like gummy bears were inserted above each of the teeth.

The gums are red and bleeding after 3 weeks. The doctors now want to test for allergy to the cement or porcelain. I have gotten other opinions and nobody can figure out why the reaction. It is painful and uncomfortable to close my mouth. ... Visitor from VA

Answer:
It is unusual to have a gum problem around crowns and veneers that last as long as yours have.

The first step is always to make sure that the cement is entirely removed, which I assume has been done.

It is true that if the crowns and veneers are too close to the bone then this can cause the reaction you are describing. Since they have done the procedure to make sure the biologic width is okay, then I assume this is not the cause.

An "allergy" to the cement or porcelain would be rare but can happen. Sometimes a contributing factor is the contour of the crowns or veneers. If they are too bulky, the tissue can get inflamed.

I think at this point you have two options. Other than testing for allergies, the crowns and veneers could be taken off, temporaries made, and then let the gums heal for 6-8 weeks and evaluate the situation after some healing.

As a final note, it never hurts to get a second opinion. If you have not seen a periodontist, who specializes in gum problems, I would definitely see one.

Marie C. Schweinebraten, DMD
Atlanta Periodontist
2925 Premiere Parkway
Duluth, GA 30097
(770) 623-0930

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