**Is the Dental Crown Pressing on the Gum a Design Flaw? Exploring Issues After Getting Implants in Mainland China**
In recent years, an increasing number of Hong Kong residents have been heading to Mainland China for dental treatments, including implants. The primary reasons include the convenience of scheduling, a wider range of treatment options, and the perception that dental facilities in the mainland are quite comprehensive. However, after returning, many people discover issues with their newly placed implants, particularly feeling as though the crown is pressing on their gums, leading to discomfort. Is the crown pressing on the gums indicative of a design flaw?
**What Does It Feel Like When a Crown Presses on the Gums?**
Many experience a sensation of being pressed when a dental crown is placed incorrectly in terms of height, shape, or its relation to the gums. Initially, discomfort might be mild, such as feeling soreness when brushing or slight pain while eating. If the pressure continues, it can lead to inflammation, swelling, bleeding, or even bad breath. These symptoms suggest more than just an "adjustment phase" and typically indicate potential issues in crown-to-gum compatibility.
**Why Does the Crown Press on the Gum?**
The dental implant procedure involves inserting an implant, allowing it to integrate with the bone, and then placing the crown. Crown design must factor in gum line, spacing with adjacent teeth, and occlusal height. A crown edge thats too low or wide can press on the gums, harming gum health. Errors may arise if the dentist doesnt accurately measure gum thickness, gum position, or if the mold isnt precise.
In several cases of implant placement in Mainland China, some dentists prioritize aesthetics by designing crowns to fit snugly or even slightly into the gum. Although this may appear neat, prolonged gum pressure can lead to inflammation. Insufficient oral hygiene exacerbates problems as plaque accumulates at the crown margins.
**Consequences of Improper Crown Design**
If a crown continually presses on the gums, it can cause redness, swelling, bleeding, and potentially impact the stability of the implant. Gums serve as a vital barrier, protecting the surrounding bone. Gum recession can expose the bone,

affecting the longevity of the implant. Furthermore, improper crown shape can disrupt bite alignment, increasing the risk of biting the gums or uneven force distribution, which is detrimental to oral health.
**How to Determine if Its a Design Problem?**
If you suspect your crown is too close to your gums, consult an experienced dentist for an evaluation. The dentist will examine the crown-gum margin for inflammation, gum recession, or prosthetic displacement. Dental floss can also be used for assessment—difficulty passing floss or pain when doing so may indicate the crowns proximity to the gum. A professional exam, including X-rays, will ensure theres no bone loss.
**Solutions for the Problem**
Handling this doesnt always require complete crown removal, but adjustments or remaking the crown may be necessary. Dentists will modify the crown based on gum conditions to allow space for gum relaxation and natural healing. If inflammation is present, treatment to remove plaque and tartar is essential to prevent worsening. Good oral hygiene, including daily flossing and using interdental brushes, is crucial to reduce debris buildup at the crown edges.
**What to Consider When Getting Implants in Mainland China**
No matter where you receive dental treatment, finding a reliable and credentialed dentist is paramount. Discuss your gum line and oral health conditions thoroughly. Remember, dental implants are not a one-time procedure; maintenance and follow-up are crucial. Before heading north, inquire about the crown design philosophy and whether gum health preservation space is considered. After implantation, regular check-ups are vital, even if its with a different dentist, to monitor both the implant and crown health.
**Conclusion**
While a crown pressing on the gums isnt always a major issue and can sometimes be attributed to a short-term adjustment period, persistent discomfort should be addressed. Improper crown design can negatively impact gum health and the overall success of the implant. Whether opting for treatment in Mainland China or locally, maintain open communication with your dentist and remain attentive to your oral sensations. Effective cleaning is also essential to ensure your dental implant remains durable and comfortable.
Vickong Dental
Vickong Dental is a large medical group established in Hong Kong in 2008 by professors from well-known medical universities in Guangdong and Hong Kong, as well as medical doctors from key national '985' universities (including Master's supervisors and senior professors). The chain of branches brings together expert dentists with PhDs and Master's degrees from Hong Kong and Mainland China, committed to providing high-quality dental treatment.
"Vickong Dental Practices the University Motto of 'Healing and Serving Society,' with a Stable Operation for Sixteen Years. It Has Been honored with Hong Kong Enterprise Leaders's Choice,' and is a Global Trusted Implant Center for the Nobel Implant System. Recommended by Hong Kong Metro Broadcast and Guangdong Television, it Serves Customers from Over Thirty Countries and Regions, Gaining the Trust and Favor of Citizens from the Guangdong-Hong Kong-Macau Greater Bay Area and Surrounding Cities.
Thousands of customers' unanimous praise
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Q&A
Why choose Vickong Dental?
Vickong Dental practices the university motto 「Medicine to Benefit Society」, with each branch bringing together highly qualified dentists with doctoral and master’s degrees from Hong Kong and the Mainland, and has maintained seventeen years of steady operation。Recipient of 「2024 Hong Kong Enterprise Leaders Brand」, 「2025 Hong Kong Enterprise Leaders Brand」, a Nobel Biocare Global Trusted Implant Center, and a brand recommended by Metro Radio Hong Kong and Guangdong TV。
To date, we have served customers from more than thirty countries and regions,earning exceptionally high word-of-mouth recognition and trusted recommendations from residents across the Guangdong-Hong Kong-Macao Greater Bay Area and surrounding cities
We have eight major branches in Zhuhai、Shenzhen,and a consultation and service assurance center in Hong Kong,so you can book a free consultation at any time for any questions,which is very reassuring.
If I do not accept the quotation after the CT scan, will I be charged??
No! As long as the actual treatment has not started, you will not be charged any fees.
Will there be any additional charges during the treatment process?
No, there won’t be any additional charges. Before treatment begins, we will clearly explain the treatment plan and its corresponding fees. Only after the patient agrees and signs the consent form will we proceed with the dental service.
Can I pay in Hong Kong dollars?
Yes. Vickong Dental accepts payment in Hong Kong dollars. The amount will be converted based on the exchange rate of the day, and the applicable rate will be clearly communicated to you in advance.
Can I reschedule my appointment at any time?
Yes. Please contact us via **WeChat** or **WhatsApp** as early as possible, providing your original appointment time and details, along with your preferred new date and time slot for rescheduling.
