6 week post op, I got 8 top front veneers and now my gums are red, swollen and bleeding. What are my options for treatment?

Question

The teeth were built out because my top jaw was small and gum recontouring was done with a laser. 4 wks later after 2 tries + lots of pain I got the permanent set. Ever since my gums are very inflamed + red. I went for a 2nd opinion and now I need crown lengthening then new veneers. 1. Is this a dentist error? Did he shave off too much of my teeth? Are the margins pushed too far into my gums? 2. Any alternative to getting another expensive and painful gum surgery and then veneers again? Thanksporcelain veneer

Sarah Thompson, DMD · Answer

Sounds like your best bet is to return to the dentist that placed the original veneers.  He/she would be likely to remedy the problem.  If in-fact, your veneers need to be redone, which may not be the case, your original dentist can likely remedy this situation as well.  It's unfortunate that you've had to go through this, but hopefully your original dentist can take of this for you; it will likely save you a lot of money and frustration.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

Fadi Yassmin, BDS, MSc · Answer

Well firstly, before you look at your options for treatment you should find out why your gums are red, swollen and bleeding.  It sounds like the margins are poorly constructed.  It could be that they went too far below the gum and violated what is known as the biological width.  This is a zone that needs to be respected where any porcelain should not go past this particular point.  Usually you should go just into the crevice of the gum.  You could be swollen also if there was glue that’s gone below the gum line and if it wasn’t cemented in a tidy and delicate manner.  So, these are the scenarios that it would pertain to red, swollen, and bleeding gums.  Once that diagnosis is realized then the treatment options obviously, will have to redo the veneers, at the right and correct margins.  Before you do that, you’d have to put possibly some temporary veneers, while the gum settles and the bleeding stops.  Then have a look at where the new veneers will sit and make sure that you use the appropriate materials and have the margins in junction of the tooth and the porcelain quite accurate.

Tim Huckabee, DDS · Answer

Get a second opinion from a Periodontist This sounds like a "biological width violation"  Google it. It means the veneer material is too close to the supporting bone causing chronic inflammation.  If that is the case it will have to be corrected by a periodontal specialist

6 week post op, I got 8 top front veneers and now my gums are red, swollen and bleeding. What are my options for treatment?

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​6 week post op, I got 8 top front veneers and now my gums are red, swollen and bleeding. What are my options for treatment?

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Everything you need to know about Porcelain Veneers

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6 week post op, I got 8 top front veneers and now my gums are red, swollen and bleeding. What are my options for treatment?