Post-Teeth Cleaning: Gum Swelling and Concerns - Dentistry

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Gum issues after dental cleaning?


Hello Doctor: The day after my teeth cleaning, I noticed swelling at the gum line of my lower teeth, approximately from the left small molar to the right small molar.
There is no pain or bleeding, but it feels strange and bumpy when it rubs against my lips.
Additionally, when I run my tongue along the lingual side of my lower teeth and the lingual side of my upper incisors, I can feel some areas that are also bumpy, which seems to indicate swelling.
Is this a sign of gum inflammation? I just had my teeth cleaned, and I usually maintain good oral hygiene, so why is this happening?

abby, 10~19 year old female. Ask Date: 2016/03/20

Dr. Huang Zhicheng reply Dentistry


Hello,
1.
The situation described appears to be merely gingival inflammation and swelling.
If there has been recent sleep deprivation or increased stress, it can lead to a weakened immune system, which may result in swollen and painful gums.

2.
During dental cleanings, it is important to ensure that the interproximal spaces are also cleaned thoroughly to prevent food impaction; dental floss can be used for this purpose.

Wishing you safety and health,
Dr.
Kuan-Yu Chu, Attending Physician, Department of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/20

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the swelling of your gums following a dental cleaning. It’s understandable to feel anxious when experiencing changes in your oral health, especially after a professional cleaning. Let’s explore the possible reasons for your symptoms and what you can do moving forward.

Firstly, it’s important to recognize that some degree of gum swelling can occur after a dental cleaning, particularly if you have not had a cleaning in a while or if there was significant plaque and tartar buildup. During the cleaning process, your dental hygienist removes plaque and tartar from your teeth and along the gum line, which can sometimes irritate the gums, leading to temporary inflammation. This is often referred to as "post-cleaning gingival irritation."
The areas you described, particularly from your left to right small molars, may be more sensitive due to the cleaning process. If your gums are swollen but not painful or bleeding, this could indicate mild inflammation rather than a serious issue. However, it is essential to monitor the situation. If the swelling persists for more than a few days or if you start to experience pain or bleeding, it would be advisable to consult your dentist for further evaluation.

Another potential cause of gum swelling could be related to your oral hygiene routine. Even if you feel you are maintaining good oral hygiene, it’s possible that certain areas are being missed, leading to plaque accumulation and subsequent inflammation. I recommend ensuring that you are brushing your teeth at least twice a day with a soft-bristled toothbrush and using dental floss or interdental brushes to clean between your teeth effectively. Additionally, using an antimicrobial mouthwash can help reduce bacteria in your mouth, which may contribute to gum health.

It’s also worth considering that some individuals may have a sensitivity to the products used during the cleaning, such as the polishing paste or fluoride treatments. If you suspect this might be the case, discussing it with your dentist can help identify alternative products that may be less irritating for you in the future.

In terms of prevention, maintaining a consistent oral hygiene routine is key. This includes:
1. Brushing: Use a soft-bristled toothbrush and fluoride toothpaste. Brush for at least two minutes, ensuring you cover all surfaces of your teeth and along the gum line.

2. Flossing: Daily flossing is crucial to remove plaque and food particles from between your teeth where your toothbrush may not reach.

3. Regular Dental Visits: Continue with your routine dental check-ups and cleanings, typically every six months, or as recommended by your dentist.

4. Diet: A balanced diet low in sugary snacks can also help reduce plaque buildup. Drinking plenty of water can aid in washing away food particles and bacteria.

5. Avoiding Tobacco: If you smoke or use tobacco products, consider quitting, as these can contribute to gum disease and other oral health issues.

If you find that your symptoms do not improve or worsen, please do not hesitate to reach out to your dental professional. They can provide a thorough examination and determine if there is an underlying issue that needs to be addressed.

In summary, while mild gum swelling after a cleaning can be normal, it’s essential to keep an eye on your symptoms and maintain good oral hygiene practices. Your dental health is vital, and addressing any concerns promptly will help ensure your smile remains healthy and beautiful.

Best wishes for your oral health,
Doctor Q&A Teams

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