Some continued spontaneous pain in new gold crown, and is this a cut on gums, or improper fit?

[ToothPatient]

Just over 6 weeks since this was fit.

That's the 2nd molar, upper left. Between it and the first molar, the gum tissue there bleeds sometimes. See where that red line is on the margin?
First I notice increased pain in the tooth (I understand issues in the gum can actually replicate this sensation), so I water floss to alleviate this (which it does).

But then it bleeds. So I use mouthwash as an antiseptic.
Then a couple weeks go by and the process repeats: increase in pain that feels like a toothache, I water floss, it bleeds etc.

In between, my routine is very thorough so I'm certain it's not trapped food causing inflammation: I water floss, floss with satin tape (gently), brush and mouth rinse.

The other thing is, I think the occlusal side of the palatal cusp is slightly........ not high........ but wide?

If I bite up and down in a straight direction, it's fairly okay, but if I tilt my head to the right and bite, it hits the slanted part of the cusp, then slides down into the fully bit down position.
When I'm chewing this I do so in a circular motion, so this is more prone to happening (hitting the "high" point).

Perhaps this is causing irritation which is responsible for the knock on gum irritation and bleeding?

You can see on the occlusal surface with the camera, the palatal cusp is much more heavily scratched than the buccal cusp, cause that's where the opposing tooth is hitting as a "high" or "wide" point.

 

[Dr M]

I think the gum issue and the pain on the tooth might be two seperate issues. The red-line on the gum is barely visible, but if there is some inflammation, it might be due to some residual cement, causing irritation. This can be cleaned off with your next cleaning or prior to it.
The pain on the tooth might be due to an occlusal problem. I would suggest by going back so that the dentist can adjust the bite. He needs to adjust it so that there is minimal contact in centric and eccentric positions. If the pain continues after this, I would suggest taking an x-ray, to confirm if there is any pathology around the roots.

 

[ToothPatient]

I checked out some info using A-I, which seems to claim that discomfort caused on biting can actually induce gum inflammation and subsequent bleeding.

So I eased off chewing on that side of my mouth for a few days, and sure enough the gum inflammation and pain eased up, and minimizing using of the tooth for chewing, it hasn't recurred since (at least not significantly).

My issue is, the point or area of contact on the crown that's causing the discomfort and awkward contact, isn't actually showing up when using articulation/litmus paper (I got some articulation paper and an oral endoscope off temu).

It FEELS like it's the palatal cusp, but on the interior aspect (occlusal surface) of it.

I can actually slide the opposing tooth along this slanted surface, and when chewing, the circular motion causes this to happen constantly which I believe is causing the continuing discomfort, subsequent gum inflammation.

So I appears apparent to me here, the significant scratching on that interior aspect of the palatal cusp, that's being caused by this contact.

But despite multipel attempts from eccentric angles, I can't actually get staining to occur on the problem area.

So how can the prosthodontist adjust it to correct it?

He's made a couple adjustments already to "high" points that do show up, in fact I'm surprising the tooth is still in occlusion (thankfully it is), and as per that pic, there is still a regular contact point.

Perhaps by way of inspecting the scratched areas, he could use that as a means to know where to adjust?

This feels like the awkward area.

If I just bear it out for a few months, would that area just wear down and become more comfortable naturally?