Recurring Gum Abscess: Is It Nerve Inflammation?

Gum abscess?

Three months ago, I visited the dentist due to pain in my front teeth.
The dentist diagnosed it as inflammation caused by dental calculus and performed a teeth cleaning.
However, I still experience tooth pain, and I have been developing abscesses that resolve and then reappear approximately once a week.
Is this indicative of pulpitis? I haven't seen a dentist yet because I have a college entrance exam in 14 days and I'm concerned about wasting too much time, especially since it's been raining and I can't find a suitable time to go.
Will it be too late if I wait until July 3rd to see a dentist?

Ballet, 10~19 year old female. Ask Date: 2017/06/17

Dr. Zhu Guanyu reply Dentistry

Dear Ballet,
Hello, the presence of a gum abscess is usually caused by dental nerve or periodontal inflammation.
In rare cases, conditions such as a fractured tooth or injury can also lead to this situation.
If the abscess is left untreated, it may potentially lead to cellulitis in the worst-case scenario.
I recommend adjusting your schedule, maintaining a balanced diet, and enhancing your immune system.
It is best to have a doctor examine you to prevent the possibility of infection.
Thank you for your letter.
Wishing you health and safety,
Dr.
Kuan-Yu Chu
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2017/06/17

More Info

Recurring gum abscesses can be a sign of underlying dental issues, and while they may not directly indicate nerve inflammation, they can be associated with conditions that affect the dental pulp or surrounding tissues. In your case, the recurring abscesses following your dental cleaning suggest that there may be an ongoing infection or inflammation that needs to be addressed.

When you mention that you had a toothache and were diagnosed with a dental stone (calculus) infection, it is possible that the infection has not been fully resolved. Dental abscesses typically occur when bacteria infect the tooth's pulp or the surrounding gum tissue, leading to pus formation. This can happen due to untreated cavities, gum disease, or even after dental procedures if bacteria are introduced into the area.

The fact that the abscess resolves and then reappears weekly indicates that the underlying cause has not been adequately treated. It is crucial to understand that if the infection persists, it can lead to more severe complications, including the potential spread of the infection to other areas of the body. In some cases, untreated dental infections can lead to systemic issues, such as cellulitis or even sepsis, which can be life-threatening.

Regarding your concern about whether this is nerve inflammation, it is essential to differentiate between a dental abscess and pulpitis (inflammation of the dental pulp). While pulpitis can cause significant pain and may lead to nerve issues, the recurring abscess suggests a localized infection rather than direct nerve inflammation. However, if the infection spreads to the pulp, it could potentially lead to pulpitis, which would require more urgent treatment.

As for your timeline, waiting until July 3rd to see a dentist may not be advisable. Given that you have been experiencing recurring abscesses, it is essential to seek dental care as soon as possible. Delaying treatment could lead to further complications, and it is better to address the issue sooner rather than later. Most dental offices can accommodate urgent cases, and they may be able to provide treatment that can alleviate your symptoms before your exams.

In summary, recurring gum abscesses are a sign of an underlying dental issue that requires prompt attention. While it may not be directly related to nerve inflammation, it is crucial to address the infection to prevent further complications. I strongly recommend that you see a dentist as soon as possible, even if it means adjusting your schedule. Your health and well-being should take precedence over any concerns about timing related to your exams.

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