Gum Protrusion and Its Impact on Dental Health - Dentistry

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Gingival hyperplasia


I would like to ask about my dental situation.
I have cavities on both sides, and the last tooth on each side is completely decayed.
I often experience food getting stuck in the left side, so I've been relying on the right side to eat.
During my last visit to the dentist, I was informed that I have mild periodontal disease.
When I looked in the mirror at home, I noticed that the gums on the less-used side are particularly swollen and very hard, and the teeth feel like they are shifting downward, although they are not loose.
I also have difficulty using dental floss to get between the teeth.
What could be causing the condition of my gums? Additionally, since I've been eating primarily on one side, there is a noticeable height difference between my teeth on the left and right sides, and now I am experiencing significant pain in my right lower jaw while eating.
How should I address this issue?

Xuan, 20~29 year old female. Ask Date: 2016/04/09

Dr. Huang Zhicheng reply Dentistry


Hello, the pain in the lower right side while eating may be due to the patient’s long-term use of the right side for chewing, leading to muscle pain on that side.
It is recommended that you visit a clinic to treat the cavity on the left side and maintain oral hygiene.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/09

More Info


Gum protrusion, often referred to as gum overgrowth or gingival hyperplasia, can be a significant concern in dental health, especially when combined with issues like cavities and periodontal disease. Your situation, where you have cavities on both sides of your mouth and are experiencing gum protrusion on the less-used side, raises several important points regarding dental health and the potential implications for your overall well-being.


Understanding Gum Protrusion
Gum protrusion can occur for various reasons, including:
1. Periodontal Disease: This is an infection of the tissues that support your teeth, which can lead to gum inflammation and changes in gum tissue. If you have been diagnosed with early-stage periodontal disease, it can cause your gums to appear swollen or protruded, particularly in areas where plaque and tartar have accumulated.

2. Compensatory Mechanisms: Since you mentioned that you have been relying on one side of your mouth for chewing due to cavities, the less-used side may experience changes in gum tissue as it compensates for the lack of use. This can lead to gum overgrowth as the body attempts to protect the underlying bone and teeth.

3. Oral Hygiene Practices: Inadequate oral hygiene can exacerbate gum issues. If you are having difficulty using dental floss due to the gum protrusion, it may lead to further plaque buildup, worsening the condition.


Impact on Dental Health
The protrusion of your gums, especially if accompanied by hardness and a feeling of teeth moving downwards, can indicate underlying issues such as:
- Bone Loss: Gum disease can lead to the loss of bone that supports your teeth, which may cause them to feel loose or shift in position.

- Increased Risk of Cavities: If your gums are inflamed or overgrown, they can create pockets where food particles and bacteria can accumulate, increasing the risk of cavities and further gum disease.

- Discomfort and Pain: The pain you are experiencing on the right side of your jaw could be due to the uneven distribution of chewing forces, leading to strain on the muscles and joints of your jaw.


Recommendations for Management
1. Seek Professional Dental Care: It is crucial to consult with a dentist or periodontist who can assess the extent of your gum disease and recommend appropriate treatments. This may include deep cleaning (scaling and root planing) to remove plaque and tartar buildup.

2. Improve Oral Hygiene: Focus on maintaining excellent oral hygiene. Use a soft-bristled toothbrush and consider using an antibacterial mouthwash to help reduce plaque buildup. If flossing is difficult, you might try interdental brushes or water flossers, which can be more effective in cleaning between teeth.

3. Address Cavities: Since you have cavities, it is essential to have them treated. Delaying treatment can lead to more severe dental issues, including infections that may require more invasive procedures.

4. Balanced Chewing: Try to gradually incorporate the less-used side of your mouth into your chewing routine. This can help distribute the forces more evenly and may alleviate some discomfort over time.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or changes in gum appearance. If you notice worsening conditions, seek dental care promptly.


Conclusion
Gum protrusion and the associated discomfort you are experiencing can significantly impact your dental health. It is essential to address both the gum issues and the cavities to prevent further complications. Regular dental visits and maintaining good oral hygiene practices will be key in managing your dental health effectively. Remember, early intervention can often prevent more serious issues down the line, so don’t hesitate to seek professional help.

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