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Winnipeg North Dental
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Your crown looks shorter than its neighbour.

Gum Contouring for Shaughnessy Park Residents

Existing dental work can draw attention to where the gum meets the tooth. If you are in Shaughnessy Park and an older crown or filling near the gumline bothers you, the gum may or may not be the piece to change.

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When dental work meets the gum

Existing Restorations and the Gumline in Shaughnessy Park

A restored tooth is judged against the teeth beside it. If its gum sits lower, or the restoration looks stubby next to the natural tooth, your eye reads the whole area as uneven, even when nothing about the work itself has failed.

Sorting that out takes more than a glance. At Winnipeg North Dental, on McPhillips Street in Winnipeg, the tissue, the bone and the tooth under the restoration can all be assessed, so any suggested change fits what is really going on around that tooth.

Explore gum contouring
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A dental chair under a white light arm in a treatment room at our clinic.

Look at both

Your restoration and the gum around it are considered together, instead of as separate problems.

Mention its age

Even an approximate date for the work adds helpful background for the assessment.

Sequence matters

New restorations may need to wait until reshaped gum has had time to mature.

If the gum is part of it

Exposing more tooth around a restoration.

Sometimes contouring is about appearance, and sometimes it supports the restorative plan. Either way, these are the two levels of gum treatment your dentist would be choosing between.

Reshaping the soft tissue

If the distance to the bone is already suitable, selected gum tissue can be reshaped with a laser or a comparable precise tool.

  • Works for limited changes at the margin.
  • Stable healing has to be realistic.
  • May support later cosmetic or restorative care.

Adjusting the bone as well

Should bone lie too near the line you need, crown lengthening gives surgical access for adjusting it, and then the gum is secured where it was planned.

  • Can expose more of the natural tooth.
  • Preserves a tissue relationship you can maintain.
  • May affect when any new restoration is finalized.

Your dentist may suggest gum work, a change to the restoration, both or neither, depending on what the assessment finds.

How it gets worked out

Four steps around a restored tooth.

Because a crown or filling is already there, this assessment looks at what has been done as well as at the gum surrounding it.

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  1. 01

    Explain the history

    Share what you know about the tooth, when the work was done, and what it is about its appearance that bothers you.

  2. 02

    Examine the area

    Your dentist compares the margin with neighbouring teeth and assesses tissue thickness. If the bone position is in doubt, sounding or suitable imaging may be used.

  3. 03

    Weigh the options

    You hear whether the gum, the restoration or some combination seems to be behind the look, along with what each path would involve.

  4. 04

    Treat, then wait

    If gum is reshaped, the area is numbed and the bleeding controlled. A follow-up checks closure, and the margin matures before final restorative decisions are confirmed.

Background that helps

Whatever you know about the old work.

Do not worry if you cannot remember details. Even rough knowledge of when a restoration was placed and whether it has been replaced before gives your dentist a head start.

Gum work and restoration work each carry their own costs, so ask the clinic for estimates once you know what is being proposed.

Notes about the restored tooth

  • Which restored teeth bother you, and why.
  • Roughly when each piece of work was placed.
  • Any tenderness or bleeding around that tooth.
  • Medications and changes in your health.
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Winnipeg North Dental waiting area with two abstract blue paintings over a bench

Framed coastal art in a consultation room, and abstract paintings in our waiting area.

Around a sensitive spot

Tell us if that tooth has a past.

Teeth with a long dental history can make people cautious. Mention any tenderness or uneasiness about that area. Local anaesthetic numbs the site while the gum is treated, and you get specific guidance for afterward.

Point out sore spots

Show your dentist exactly where the tissue around the restoration feels different from elsewhere.

Ask what is involved

Have each step around your restored tooth explained before you agree to anything.

Soreness varies

Treating a single tooth and treating several can feel different, and so can adding bone work.

Living with the change

Keeping the edge of a restoration clean.

The place where a restoration meets the gum still needs daily attention. While healing, expect the tissue to look red, puffy or irregular, and hold off deciding how the final match looks until it has had time.

01

Gentle cleaning

Use the method you have been shown for cleaning next to the restored tooth during early healing.

02

A closer review

Your dentist checks tissue closure and plaque control around the area, and removes any sutures.

03

Decisions that wait

Replacing a crown or veneer may need to hold until the margin has settled.

If the tooth or gum feels wrong at any stage, get in touch with the clinic at (204) 338-3003.

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Winnipeg North Dental

Unit-5 2358 Mcphillips Street, Winnipeg, MB R2V 4J6
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Where to bring it

Have That Restored Tooth Checked on McPhillips Street

Shaughnessy Park is in Winnipeg. Assessment and care for residents happen at Winnipeg North Dental, Unit 5, 2358 McPhillips Street, Winnipeg.

Mention the restored tooth in your request. A time is arranged only after the clinic has responded to you.

Questions about coverage?

Talk with our team before your visit or learn about CDCP.

A little clarity before your visit

Your questions, answered.

Helpful details about gum contouring in Shaughnessy Park.

Ask our team
Is my crown the problem, or my gums?

Either could be involved, or both. A look at the restoration, the tissue and the underlying bone is what separates a gum issue from a restoration issue.

Can a gum be reshaped around a crown I already have?

That depends on the anatomy around that tooth and on how the existing crown relates to the gum. Your dentist can tell you whether it is workable once the area is measured.

Will I need the crown replaced afterward?

It is possible but not automatic. A shifted margin may change how an existing restoration looks, so ask about this before going ahead with any gum work.

Why wait before a new restoration goes on?

A reshaped margin can keep changing as it matures. Depending on the location and extent of contouring, final scans, impressions or bonding may be timed for after that settling.

Why is one crowned tooth harder to clean now?

Plenty of things can affect cleaning around a restoration, so have the spot examined. Keeping the margin practical to clean is also a goal of any gum plan.

Who can a Shaughnessy Park patient call about older dental work?

Phone (204) 338-3003 or complete the form, and explain which tooth concerns you. Your assessment takes place at the McPhillips Street clinic once a time has been confirmed.

That tooth keeps catching your eye

Find out whether it is the crown or the gum.

Ask for an assessment at Winnipeg North Dental in Winnipeg, and tell us which restored tooth you would like reviewed. You will hear back about a time.

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