Hello and welcome to hcm forum,

Usually,oral hygiene maintenance is very important regarding the crown placed tooth,since chances of plaque getting accumulated is high in such cases.
The gums of tooth has inflamed resulting in abscess formation.
Black discolouration of crown may be due to stains occurred on it.
I would suggest you to get a thorough scaling and root planning done.
The pus has to be drained and curetted.
Use soft interdental toothbrush to clean your teeth.
Rinse your mouth after every meals.
To improve gum health,iron ,vitamin-c rich foods has to be taken.
Take care.

Hi,

Thanks for asking the query,

According to your clinical history i suspect that there is abscess formation in the region this can be due to poor oral hygiene, food accumulation between the crown and the tooth surface.
Black discolouration of the crown can be due to stains, bleeding gums is due to inflammation of the gums known as Gingivitis.
I would suggest you to go for thorough scaling and polishing.
Curettage of the area is required.
Maintain a good oral hygiene, use antiseptic mouthwash rinses twice daily.

Hope this helps out.

Regards..

Hello there ,

Thanks for writing your query,


According to your history i can suspect your upper front teeth are treated with root canal procedure followed by crown coverage .

i suspect some remnant of the infected pulp tissue has left unexplored during the root canal procedure or there is a missed canal due to which the infection has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.

This type of periodontal abscess drains in the oral cavity and may lead to nausea ,vomiting and fowl odor.

once the abscess is drained the infected tooth needs to be explored again for root canal procedure.

you need to get an x ray done the affected area to confirm the presence of infection, approach a dentist for the treatment.



i hope this helps ,

take care.