Unhealed Gum Wounds After Root Canal: Causes and Solutions

Q: Unhealed Gum Wounds After Root Canal: Causes and Solutions

Hello： It is possible that your teeth had poor conditions initially, and you should consider undergoing periodontal surgery combined with crown lengthening before getting braces. <br>If you still feel discomfort after getting the braces, the most likely cause is gingivitis. <br>I

Non-healing gum wounds?

The upper left molar underwent root canal treatment and was protected with a crown.
During the crown placement procedure, the dentist adjusted the gums by using tweezers to pinch off a small piece of gum tissue at the gum margin between the teeth.
Initially, the resulting wound was treated with antibiotics and regular follow-up visits for medication application.
However, it has been 2-3 months, and the wound has still not healed.
Although there is no bleeding anymore, there is still a dull pain, and biting down on hard foods or at certain angles can cause discomfort (possibly due to pressure on the wound).
I am unsure if this is due to a root fracture or if there are other issues.

Jimmy, 30~39 year old female. Ask Date: 2016/09/02

Dr. Lin Jiayong reply Dentistry

Hello: It is possible that your teeth had poor conditions initially, and you should consider undergoing periodontal surgery combined with crown lengthening before getting braces.
If you still feel discomfort after getting the braces, the most likely cause is gingivitis.
If this symptom is bothering you, it is advisable to return to your original clinic and ask your dentist to remake the prosthesis.
Wishing you peace and health.

Reply Date: 2016/09/02

More Info

After undergoing a root canal treatment, it is not uncommon for patients to experience complications, particularly if there has been any surgical manipulation of the gums. In your case, it seems that the surgical adjustment made during the placement of the crown has led to an unhealed gum wound that has persisted for 2-3 months. This situation can be concerning, and it’s important to understand the potential causes and solutions.

Causes of Unhealed Gum Wounds After Root Canal Treatment
1. Infection: One of the most common reasons for delayed healing in the gum tissue is an infection. Even if you have been on antibiotics, there may be residual bacteria that could be preventing proper healing. The manipulation of the gum tissue during the crown placement could have introduced bacteria into the area.

2. Tissue Trauma: The trauma caused by the surgical procedure can lead to inflammation and delayed healing. If the tissue was significantly disturbed, it may take longer for the body to repair itself.

3. Underlying Dental Issues: Conditions such as a cracked tooth or issues with the root canal itself can lead to ongoing pain and discomfort. If the root canal treatment was not entirely successful, or if there are complications with the tooth structure, this could manifest as pain and delayed healing.

4. Poor Oral Hygiene: Maintaining good oral hygiene is crucial for healing. If plaque and bacteria accumulate around the surgical site, this can impede healing and lead to further complications.

5. Systemic Factors: Certain systemic conditions, such as diabetes or autoimmune disorders, can affect healing. If you have any underlying health issues, they may contribute to the slow recovery of your gum tissue.

Solutions and Recommendations
1. Follow-Up with Your Dentist: It is essential to return to your dentist or an oral surgeon for a thorough examination. They may need to take X-rays to check for any underlying issues, such as a root fracture or persistent infection.

2. Possible Additional Treatment: Depending on the findings, your dentist may recommend additional treatments. This could include:
- Scaling and Root Planing: To remove any plaque or tartar that may be contributing to the problem.

- Antibiotic Therapy: If an infection is suspected, a different or stronger antibiotic may be necessary.

- Surgical Intervention: In some cases, a minor surgical procedure may be needed to clean the area or remove any infected tissue.

3. Pain Management: While waiting for the issue to be resolved, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult your dentist before taking any medication.

4. Oral Hygiene Practices: Maintain excellent oral hygiene by brushing gently around the affected area and using an antibacterial mouthwash to help reduce bacteria.

5. Dietary Modifications: Avoid hard or crunchy foods that may exacerbate the pain or pressure on the affected area. Soft foods can help minimize discomfort while eating.

6. Monitor Symptoms: Keep track of any changes in symptoms, such as increased pain, swelling, or discharge from the wound. Report these changes to your dentist promptly.

In conclusion, while it is not uncommon to experience some discomfort and delayed healing after a root canal and subsequent gum manipulation, persistent pain and unhealed wounds warrant further investigation. It is crucial to communicate openly with your dental care provider about your symptoms and concerns to ensure appropriate treatment and a return to optimal oral health.

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