I have veneer overlays in my front four teeth. And my gums are bleeding day and night. Is this normal?

Question

Procedure done In Quito Ecuador over a year ago. Started bleeding and swelling In the gums 2 months ago. Sometimes wake up with blood stains on my teeth In the morning . I am 22 years old. Had gotten procedure done to just cover my white spots on the front four teeth. Always had straight teeth due to braces .

Steven Davidowitz, DDS · Answer

It's difficult to fully assess the situation without a proper exam. However, in my experience, patients who present unhappy with veneers recently placed at other offices with a chief complaint of bleeding puffy gums even with proper at home oral hygiene, usually present with bully margins at the gum line.  A veneer or crown should be flush with the tooth so that it looks flat and natural coming out of the gum tissue.  When left bulky a ledge is created that is a good and plaque trap.  Get them checked out ASAP.

Sarah Thompson, DMD · Answer

If your gums are bleeding, it could be due to a few reasons.  My first assumption, is that there is some food trapping in the area of the margin (this is where the veneer border meets the gum-line).  This can usually be corrected with bonding.  It is very important to floss a couple times a day, brush a few times a day and use an alcohol free mouthwash once a day.  (Refrain from drinking or eating just before bed or in bed at night after brushing.  If you try this routine for the next 7 days, I suspect that the bleeding will cease.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

John F. Calvert, DDS · Answer

The most common reason for bleeding gums around veneers or crowns that I have seen is due to margins that are not flush. What I mean is that the edge of the veneer closest to the gums should be flush and hardly perceptible if probed; even with your fingernail. Often, they are left with a ledge that allows bacteria to collect and cause the gums to bleed. As the other doctor suggested, violation of the biologic space is another possibility. Proper flossing and brushing will help, but getting them looked at by a qualified cosmetic dentist is a must. Good luck.

Albert Kurpis, DDS · Answer

Bleeding gums after porcelain veneers can be the result of several factors.  There could be cement stuck below the gumline and should be removed if so.  The veneers could be over contoured and pressing against the tissue violating the biologic width space.  Finally, the bite could be off and you may be clenching at night as a result.  Whatever the cause, don't delay in getting it fixed.

I have veneer overlays in my front four teeth. And my gums are bleeding day and night. Is this normal?

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