A member asked:

I just got a dental implant crown and there is a gap in my gum. will the gums grow and fill in that gap?

18 doctors weighed in across 10 answers
Dr. Dominick Curalli answered

Specializes in Dentistry

No: In order to fill in the gap, the implant crown will need to be altered or you could have a gum graft. If the gap is not noticeable when you smile, you may not do anything. If it bothers you, go back to your dentist to see what they can do.

Answered 9/7/2017

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Dr. John Thaler answered

Specializes in Prosthodontics

Maybe: If it is a space between your gum and the underside of the crown -- probably not. If it is between the gum and the side of the crown -- it might. Keep everything clead and give it a few weeks. If not closed by then, it likely won't. Check with your dentist about options after that. Let them know now, however, than you notice it and are concerned.

Answered 4/28/2017

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Unlikely: The gap in the gum can occur with dental implants. Sometimes the gap can be eliminated by certain methods. Talk to your dentist about your concern.

Answered 7/2/2013

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Dependds: If the crown margin ( edge) is above your gum it may have been placed that way so you can clean the area easier. Ask your dentist why it was made that way. Maybe the implant was placed to high above the bone as a safety net , not to get close to your nerve or sinus.

Answered 7/2/2013

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Dr. Dinh Bui answered

Where is the contact: If the distance from the interproximal contact to the bone crest is less than 6mm, tissue will fill in. Otherwise, it will not.

Answered 3/27/2013

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Dr. Ronald Konig answered

Specializes in Cosmetic Dentistry

Usually not: Dental implants can be placed in a number of ways and there are also many kinds of implants. Bone level implants offer the best chance of not having this gap. However, if you were missing a tooth for sometime, the papilla, which is what tissue between the teeth is called may not be there. Sometimes a periodontist can graft some tissue to build up this area to close the gap or a new crown made.

Answered 6/24/2014

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Unlikely: Is the gap due to a soft tissue defect or to the crown shape? Sometimes the crown contours can be increased, sometimes the tissues needs to be augmented.

Answered 10/2/2016

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Possibly: Give the crown 2-3 weeks to have the gum tissue adjust to it. If after that time if there is still a gap go back to your dentist to have adjustments made by his/her dental lab.

Answered 8/18/2015

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Dr. Richard Winter answered

Specializes in Cosmetic Dentistry

Maybe: It depends on the bone levels of the adjacent teeth. Usually the bone of the adjacent teeth determine where the bone of the implant will settle. Then the gum follows the bone. The type of gum tissue, implant design and surface coating and groove pattern may influence gum levels and stability as well as oral hygiene. So ask your dentist if there is more you can do and what they anticipate.

Answered 1/14/2017

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Very unlikely: It seems that you are describing a complication of dental implants that is frequently seen, that being gum recession. If the gum tissue has receded, it is unlikely it will return to cover the 'gap'. The good news, is that you may be able to have a soft tissue procedure performed which can add bulk of tissue in that area which will frequently resolve your esthetic concerns.

Answered 12/10/2013

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