My gums around my crown hurt—What’s happening?

If you’ve noticed soreness or swelling in your gums around your dental crown, you’re not alone. 

While it might not always signal an emergency, this discomfort is definitely something you shouldn’t ignore. Gum pain around a crown can point to several underlying issues, some of which require dental attention.

Let’s explore the most common reasons this might be happening, and what you can do about it.

Why do my gums hurt around a crown?

Several factors could be contributing to the discomfort:

1. Gum inflammation (gingivitis)

Plaque buildup around the crown can irritate your gums, leading to redness, swelling, or bleeding. This is especially common if brushing and flossing are difficult around the crown.

2. Poor-fitting crown

If your crown is too tight, loose, or sits unevenly near the gumline, it can put pressure on the surrounding tissue or trap food, leading to irritation or infection.

3. Leftover cement

Sometimes dental cement used to secure the crown isn’t fully cleaned away. This residue can inflame the gums and cause localized pain.

4. Crown margin placement

If the edge of the crown extends too far beneath the gumline, it can create a trap for bacteria, making cleaning difficult and leading to chronic irritation.

5. Tooth infection or abscess

Throbbing pain, accompanied by swelling or a foul taste could mean there’s an infection beneath the crown or inside the root of the tooth.

6. Grinding or allergies

Nighttime grinding (bruxism) can stress the crown and surrounding tissue. In rare cases, you may have a sensitivity or allergy to the materials used.

Try these steps to alleviate gum pain and discomfort

  • Rinse with warm salt water to soothe mild irritation.

  • Use a soft-bristled toothbrush and floss gently around the crown.

  • Monitor your symptoms closely—if pain lasts more than a few days, worsens, or you notice swelling, schedule a dental visit promptly.

What your dentist might recommend

Depending on the cause, your dentist may:

  • Adjust or replace the crown

  • Remove cement residue

  • Treat any infection or gum disease

  • Recommend a night guard for grinding

Final considerations

While common, gum pain around a crown can point to a larger problem. Catching the issue early can save you from larger dental problems down the road.

Experiencing gum pain or discomfort right now? Don’t wait. Schedule a visit today with Peak Dental.

Joel Harding