Gum Issues: When to Seek Dental Care for Your Father - Dentistry

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Gum issues


Hello Doctor: My father occasionally experiences a discharge between his gums and teeth, which has a salty taste.
The affected tooth has previously undergone root canal treatment and has a crown placed on it.
The dentists who have treated him for the fixed prosthesis have suggested that the discharge is due to inadequate cleaning.
However, my father brushes several times a day, and there has been no improvement.
If we assume that the discharge is due to improper cleaning during the installation of the prosthesis, is the only way to confirm the situation to remove the prosthesis? Or should we consider consulting a different specialty for treatment?

Zhong Wenhua, 30~39 year old female. Ask Date: 2017/04/02

Dr. Zeng Guanghui reply Dentistry


Fluid exuding from between the gums may indicate inflammation within the periodontal pockets.
This is typically caused by the presence of dental plaque in the gingival sulcus, leading to an inflammatory response.
It is advisable to consult a dentist for further evaluation.

Reply Date: 2017/04/02

More Info


When it comes to gum issues, especially those involving drainage and unpleasant tastes, it's crucial to understand the underlying causes and when to seek professional dental care. Your father's situation, where there is occasional drainage from the gums and a salty taste, suggests that there may be an infection or inflammation present, particularly since he has a history of root canal treatment and has had a crown placed on that tooth.

Firstly, it's important to recognize that drainage from the gums can indicate several potential problems. In cases where a tooth has undergone root canal therapy, the tooth may still be susceptible to infection if the root canal was not completely cleaned or sealed. This could lead to a condition known as apical periodontitis, where the tissues around the root of the tooth become inflamed or infected. The salty taste could be a result of pus draining from an infected area, which is a sign that something is not right.

The fact that your father brushes his teeth several times a day but still experiences this issue raises concerns about the effectiveness of his oral hygiene routine in this specific area. It’s possible that the crown or the surrounding gum tissue is not being adequately cleaned, leading to plaque buildup and subsequent gum disease. If the crown is poorly fitted or if there are gaps between the crown and the tooth or gums, food particles and bacteria can accumulate, leading to inflammation and infection.

In terms of treatment, it is essential to consult with a dental professional who specializes in periodontics or endodontics. A periodontist focuses on the health of the gums and supporting structures of the teeth, while an endodontist specializes in issues related to the dental pulp and root canal treatments. Given your father's history of root canal therapy, it may be beneficial to see an endodontist to evaluate the status of the tooth and the surrounding tissues. They may recommend imaging studies, such as X-rays, to assess the health of the tooth and the presence of any underlying issues.

If the crown is found to be improperly fitted or if there is an infection present, the dentist may need to remove the crown to clean the area thoroughly. This does not necessarily mean that the crown will be destroyed; in some cases, it can be reused after proper cleaning and treatment of the underlying issue. However, if the crown is damaged or if the tooth has deteriorated significantly, a new crown may be required.

In summary, your father should definitely seek further dental care to address these symptoms. It is not advisable to simply assume that the issue is due to inadequate brushing, especially given the history of dental work on that tooth. A thorough examination by a qualified dental professional is essential to determine the exact cause of the drainage and to formulate an appropriate treatment plan. Ignoring these symptoms could lead to more serious complications, including the potential loss of the tooth, so prompt attention is warranted.

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