Managing Gum Growth Issues After Wisdom Tooth Extraction

Issues with gum growth after wisdom tooth extraction?

Hello, I have been troubled by this issue for many years, so I would like to seek your advice.
I had all four of my wisdom teeth extracted during my college years, and due to the sutured wounds, the gum tissue where the lower wisdom teeth used to be has grown excessively.
The gum tissue is essentially flush against the back of my molars, which has created a pocket that often traps food debris.
Every time I use a toothpick or dental floss, it causes bleeding.
Since I started working and became busier, I frequently experience gum inflammation and even pus, making it painful to eat.
I would like to know if I need to have the excess gum tissue removed.
Recently, it has become inflamed again, which is quite bothersome.
I am also wondering if my misaligned bite is causing my upper teeth to frequently hit the lower gum tissue, leading to inflammation.
I would like to ask the doctor what I should do.
Should I consider surgical removal of the gum tissue or orthodontic treatment? My teeth seem to be in a deep bite relationship, and I often accidentally bite the gum tissue where my lower wisdom teeth used to be, as it is quite prominent.
Thank you.

Lan, 20~29 year old female. Ask Date: 2017/10/06

Dr. Zhu Guanyu reply Dentistry

Hello, based on your description, there are three possible scenarios: 1.
Inflammatory response at the extraction site, 2.
Periodontal or apical periodontitis of the anterior teeth, 3.
A combination of both.
Please visit a dental clinic or hospital dental department for further examination to confirm the diagnosis and receive appropriate treatment.
Thank you for your message! Wishing you peace and health.
Sincerely, Dr.
Kuan-Tzu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/06

More Info

Managing gum growth issues after wisdom tooth extraction can be quite challenging, especially when the gum tissue grows excessively in the area where the wisdom teeth were removed. This condition, often referred to as "hyperplasia," can lead to discomfort, inflammation, and even recurrent infections if food particles get trapped in the excess gum tissue.
From your description, it sounds like you are experiencing significant discomfort due to the overgrowth of gum tissue in the area where your wisdom teeth were extracted. This can indeed create a situation where food debris gets trapped, leading to inflammation and pain. The fact that you are experiencing bleeding when using dental tools like floss or toothpicks indicates that the gum tissue is likely inflamed and sensitive.

In cases like yours, there are a few options to consider:
1. Consultation with a Dental Professional: The first step is to consult with your dentist or an oral surgeon. They can assess the extent of the gum overgrowth and determine whether it is necessary to surgically remove the excess tissue. This procedure, known as gingivectomy, can help alleviate the discomfort and reduce the risk of further infections.

2. Addressing Underlying Issues: You mentioned that you might have a malocclusion (misalignment of teeth), which could be contributing to the problem. If your upper teeth are frequently biting into the gum tissue of the lower jaw, this could exacerbate the inflammation and discomfort. In such cases, orthodontic treatment may be recommended to correct the bite. This could involve braces or other orthodontic appliances to ensure that your teeth align properly and do not cause trauma to the gum tissue.

3. Improving Oral Hygiene: While you are already using dental tools, it’s crucial to ensure that you are maintaining optimal oral hygiene. Regular brushing and flossing, along with the use of an antibacterial mouthwash, can help reduce plaque buildup and prevent gum disease. If the gum tissue is inflamed, your dentist may also recommend a professional cleaning to remove any tartar that may be contributing to the inflammation.

4. Monitoring for Infection: If you notice any signs of infection, such as increased swelling, pus, or fever, it is essential to seek immediate dental care. Infections can lead to more severe complications if left untreated.

5. Follow-Up Care: After any surgical intervention, follow-up care is critical. Your dentist will provide you with specific instructions on how to care for the surgical site, manage pain, and monitor for any signs of complications.

In summary, it is advisable to consult with a dental professional to evaluate your specific situation. They can determine whether surgical intervention is necessary to remove the excess gum tissue and address any underlying issues related to your bite. Additionally, improving your oral hygiene routine and monitoring for signs of infection will be crucial in managing your gum health moving forward. Remember, addressing these issues early can prevent more significant problems down the line.

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