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Hi:The first thing that should be checked is bite and clenching and grinding pressure on the crown. If the crown contains any metal there could be metal allergy.Best,Dr. Maddahi
Depending on many factors, at the gum line where the crown meets the tooth there can be a slight ledge or a large ledge. There will always be an area that is not as smooth as your tooth is without a crown. This area must be cleaned better than you clean around your natural teeth. The gum must have floss run underneath it daily, be brushed aggressively and also stimulated with a rubber tip. Also be sure to have your teeth cleaned in a dental office every 4 to 6 months. This routine will keep the inflammation down around your crown.
It is best to discuss your wants, regarding the front teeth crowns already permanently cemented with your treating dentist. Usually we do not mix zerconia porcelain with emax porcelains to restore the smile line cosmetically, since the optical properties on each porcelain is different. Me...
Completely agree with your periodontist about the need to remove the wisdom tooth and re-do the crown. Though you may consult with the dentist who made this crown in the first place I would go to someone else since the issues with the crown and the wisdom tooth could have been identified BEFORE...
Your dentist did a beautiful job. You might consider shortening the left lateral and left canine by a fraction or two but overall a beautiful result. Two thumbs up to your dentist.Good luck!