A: Apparently lunch did not go so well for your friend, I take it. (If you broke the news to her.)
The most common reason one would see black at the gumline would be gum recession above a PFM (porcelain fused to metal) crown. This type of crown has metal that can be visible at the gumline with age or in patients with genetically thin gingiva. Many doctors like myself use all-porcelain, metal-free crowns in the esthetic zone to prevent this occurrence.
Another possibility is minor gum recession around dental implants, exposing the metallic, abutment post that connects the crown to the implant, imbedded in the bone. The use of metal free, ceramic abutments can prevent this in some, but not all, cases.
For a short video preview of my next FREE seminar to the public (info below), contact us and I will email you the video.
Editor’s Note: Dr. Josephs will be giving a FREE seminar to the public: “Teeth for Life”: A hi-tech update on the latest techniques in Implant, Cosmetic and General Dentistry. Join us at 10:00 AM at the Double Tree Hotel on PGA Blvd. in Palm Beach Gardens on Friday May 3rd. Only 38 seats remain. Call 561-832-2917 to register today! Free copies of his latest book will be given to all attendees.
Dr. Mitchell Josephs practices Implant Cosmetic and General Dentistry and hosts “Tooth Talk” on WBZT AM123.0 Dr. Josephs is on staff at West Palm Hospital (Formerly Columbia Hospital) and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.