Gap between the crown and the gums

| May 16, 2014 | 2 Comments

by AJ
(Florida)

Just wondering that after the crown is adjusted for bite and contact between teeth and then cemented if there should be any gap between the crown and the gums or should it sit flush?

Currently, I can run a piece of floss under the crown much like in a bridge. So, will the gum tissue eventually grow around it or should it have been placed initially more snugly to gum line?
Thanks

Category: Problems After Restoration

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  1. sandydig says:

    Gap between the crown and the gums
    by: Stacey Norrell, RDH

    AJ,

    I have seen implants done both ways. My preference, as a dental hygienist, is that they are flush with the gum tissue. They are much easier for you to keep clean and will not trap food around the abutment. If the gap is small your gums may heal up around the crown and will seem more flush in a few months.

    If the gap is more than just a couple of millimeters then chances are that there will always be a space there. You will have to be very diligent about keeping the implant very clean and floss regularly in order to keep the tissue healthy around the implant.

  2. sandydig says:

    I have the same thing and worse
    by: David

    Yes this has just happened to me also on 1st molar. Abutment is quite far back so crown is like cantilever towards 2nd molar. The gap under the crown quite large and is trapping food. I think the problem came about because dentist did impressions immediately after exposing implant and fitting abutment, before the gum had healed. Wore still is the crown moves slightly, rocks and rotates and there is slight pain when chewing.

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