Wisdom Tooth Inflammation After Dental Cleaning - Dentistry

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Inflammation of the wisdom tooth after dental cleaning?


Hello, Doctor.
About six months ago, after a teeth cleaning, my lower left wisdom tooth (half exposed and half covered by the gum) started to become inflamed, and I experienced difficulty swallowing.
Subsequently, the dentist used a tool that resembled a laser to remove part of the gum and perform cleaning (I’m not sure what the tool was, but I noticed a slight burning smell during the procedure).
After that, with anti-inflammatory and pain relief medication, the inflammation improved, but the gum around the lower left wisdom tooth remains difficult to clean.
After this recent teeth cleaning, the lower left wisdom tooth has started to become inflamed again.
In less than a year, along with this recent cleaning, it has been the third time experiencing inflammation.
I would like to ask the doctor: (1) Does the gum around the wisdom tooth become more prone to inflammation after a teeth cleaning? Because my wisdom tooth has been inflamed twice after two dental check-ups and cleanings in a year...
(2) How many times of inflammation count as recurrent inflammation? (Since it has been inflamed three times in less than a year, I am considering whether I should have the wisdom tooth extracted.) (3) Is it possible for the doctor to remove the gum that forms a pocket around the wisdom tooth? This might make it easier to clean and possibly prevent frequent inflammation...
Thank you, Doctor, for taking the time to respond!

Ashley, 20~29 year old female. Ask Date: 2019/03/01

Dr. Lin Jiayong reply Dentistry


Hello: (1) It is normal to experience increased bleeding after dental cleaning if there is pre-existing inflammation.
(2) If the body's immune system is compromised, inflammation and bleeding may occur, which is indicative of pericoronitis around the wisdom tooth.
(3) It is possible to use electrosurgery for temporary relief, but ultimately, it is recommended to have the wisdom tooth extracted.
Thank you!

Reply Date: 2019/03/01

More Info


After undergoing dental cleaning, it is not uncommon for individuals to experience inflammation around their wisdom teeth, especially if those teeth are partially erupted or impacted. Your situation, where the left lower wisdom tooth has been inflamed multiple times within a year, raises several important considerations.

1. Post-Cleaning Inflammation: It is possible for the gums around wisdom teeth to become inflamed after dental cleanings. This can occur due to several factors, including the presence of plaque and tartar that may have accumulated around the tooth, irritation from the cleaning instruments, or even the manipulation of the gums during the cleaning process. If the wisdom tooth is partially erupted, food particles and bacteria can become trapped beneath the gum tissue, leading to inflammation and infection. This is particularly true if the tooth is difficult to clean properly due to its position in the mouth.

2. Recurrent Inflammation: The definition of recurrent inflammation can vary, but experiencing inflammation three times within a year is certainly a cause for concern. Typically, if you find yourself dealing with repeated episodes of inflammation, it may indicate an underlying issue, such as an infection or insufficient space for the tooth to erupt properly. In such cases, dental professionals often recommend evaluating the need for extraction, especially if the tooth is causing significant discomfort or recurrent infections.

3. Surgical Options: Regarding your question about surgically removing the gum tissue around the wisdom tooth to improve cleanliness, this is a procedure that some dentists or oral surgeons may consider. However, it is essential to understand that removing gum tissue does not guarantee that inflammation will not recur. The underlying issue of the wisdom tooth's position and its ability to erupt properly must be addressed. If the tooth is impacted or if there is insufficient space, extraction may be the most effective solution to prevent further complications.

In addition to these considerations, here are some recommendations for managing your situation:
- Maintain Oral Hygiene: Continue to practice good oral hygiene, especially around the wisdom tooth area. Use a soft-bristled toothbrush and consider using an antibacterial mouthwash to help reduce bacteria in the mouth.

- Regular Dental Check-ups: Schedule regular dental check-ups to monitor the condition of your wisdom teeth and surrounding gums. Your dentist can provide professional cleanings and assess any changes in your oral health.

- Consultation for Extraction: If you continue to experience inflammation, it may be worthwhile to consult with an oral surgeon about the possibility of extracting the wisdom tooth. They can provide a thorough examination and discuss the potential benefits and risks associated with the procedure.

- Watch for Symptoms: Keep an eye out for symptoms such as increased pain, swelling, or difficulty swallowing, as these may indicate a more serious infection that requires immediate attention.

In summary, while dental cleanings are essential for maintaining oral health, they can sometimes exacerbate existing issues with wisdom teeth, particularly if those teeth are not fully erupted. Given your history of recurrent inflammation, it may be prudent to discuss extraction options with your dentist or oral surgeon to prevent future complications.

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