The gum above the tooth is now a "purplish" color

I recently had a cap installed on one of my two front teeth.

The gum above the tooth is now a "purplish" color, and looks different from all my other gums. Also, right above the tooth there is a small gap before my gum, which is dark in color. Thus, when I smile the area around the top of my tooth looks very dark and is sort of unattractive.

It has only been a week since the actual cap was put on, and 3 weeks after the tooth was shaved down in preparation for the cap.

Will my gum go back to normal, or will I be stuck with the way it looks? Is there anything I can do to make it better? I am on Vitamin C to speed up gum healing, but I am concerned it's already as good as it's going to get.

Thanks.

Comments for The gum above the tooth is now a "purplish" color

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Color of Gum NEW
by: Sharon B., RDH

Hi,

The dark spot that you are seeing above the gum is most likely the metal that the porcelain is fused to. Unless you have a completely ceramic crown then all other porcelain crowns will have this fused metal showing at the gumlines.

The purplish tint to your gums is a signal that either your oral hygiene needs to be more efficient or else the crown may be placed too far under the gums. If the crown is too close to the connective tissue then it can cause this swelling. However, since you stated you see the metal at the gumline I am thinking it may be more of an oral hygiene issue. Be sure to gently brush angled toward the gumlines, and I recommend using a water flosser and listerine.

Gums most likely never come back down to cover part of a tooth that it has receeded away from in the past.

Metal biocompatibility issue NEW
by: Dr Vipul G Shukla Mississauga, ON

Unfortunately, the answer to your question is No, most likely the gums will remain a dark tint or worse, get darker and ultimately recede to show the metal 'collar' around what appears to be a metal-ceramic crown, an obviously poor choice in the 'aesthetic smile zone'.
This is because the gums do not adjust well to a metal collar (especially a non-gold metal collar) and depending on how well the crown and tissues meet at the margin, a thin layer of plaque and corrosion products will accumulate over time and make appearances worse.
Occasionally, a root-canal treated tooth may be dark to begin with and you cannot do much in these cases anyways.
Hence, an all-ceramic crown is the way to go for these cosmetic cases. Unless it is pure gold or Titanium alloy, metals are not accepted by the gum tissues, especially at junction sites.
You can wait a few weeks to see if it gets well, else approach a dentist who does 'metal-free dentistry' and see if it can be replaced by a cosmetic all-ceramic, preferably with a zirconia backing, crown with the correct margin placement. Good Luck!

PL REMOVE NEW
by: DR FARHAN DURRANI

PLEASE REMOVE THE CROWN GO FOR FULL CERAMIC CROWNS,TISSUE ONCE RECEDED WILL NOT HEAL ,,OR YOU CAN GO TO PERIODONTIST ,CONNECTIVE TISSUE GRAFT SURGERY CAN BE TRIED ,BUT FINAL ADVISE REMOVE THE CROWN GET A NEW ONE WITHOUT METAL BASE

discoloration NEW
by: Vergia

I had the same thing done (Crown lengthening, and then a crown/cap put on) That being said, the discoloration went away after a week. The discoloration is not a sign of bad gum hygience, it is from the 'glue' that is used to press your cap onto the remaining tooth. The gum line will remain slightly lower in that area but shouldn't be a HUGE difference when it is finished healing completely.

reply NEW
by: Anoy

I think the color change is due to the reaction between the new implanted tooth crown and the gum. I had the same problem and I have solved it by removing the ordinary cap. Instead of that now I have been using ceramic crown. So you just try to use ceramic crowns. EHR solutions

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