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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat An Infected Crowned Tooth And Gum?

I have had a problem with aa crowned tooth which became infected about a year ago, I went to the dentist had an xray which shoed some bone loss and was put on antibiotics then referred to a hygenist. I have since had trouble again and went back to the same dentist, he said wanted me to go back to the hygenist, I went to a different hygenist who said I had to change way way I brished to get rid of the bacteria. I tried his way but still have a problem, it has also been quite sensitive at times. I isn't as red although not pink like the rest of my gums and I notice a small red spot above the tooth, just want it to come right

posted on Sat, 11 Oct 2014
Twitter Tue, 14 Oct 2014 Answered on
Twitter Tue, 14 Oct 2014 Last reviewed on
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The infected tooth which has a crown can be treated with root canal treatment and root planing with bone grafting. The red spot over the gums can be a pus discharging sinus tract. Consult a oral physician and get a radiograph done to confirm the diagnosis. Get the root canal treatment done by endodontist, followed by root planing and grafting by periodontist.
I hope my answer will help you, take care.
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Dentist,  Dr. M M Shekar's  Response
Heloo pt-
A very infected crown may require the crown on tooth to be removed and replaced. It can be removed by:

Using ultrasonic scalers to break the luting cement between the tooth and the crown.
Using a crown remover, a device that has a spring loaded system that delivers a mechanical shock in an attempt to break the luting cement seal.
Cutting a vertical groove on the crown, across the biting surface and wedging open the crown. However this is a crude method as the old crown would be destroyed and it is only used as a last resort.
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How To Treat An Infected Crowned Tooth And Gum?

Thanks for your query, I have gone through your query. The infected tooth which has a crown can be treated with root canal treatment and root planing with bone grafting. The red spot over the gums can be a pus discharging sinus tract. Consult a oral physician and get a radiograph done to confirm the diagnosis. Get the root canal treatment done by endodontist, followed by root planing and grafting by periodontist. I hope my answer will help you, take care.