Gum Issues and Dentures: Causes and Solutions - Dentistry

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Understanding gum issues and the complications associated with dentures can be quite complex, especially when previous dental treatments have not yielded the desired results. Based on your description, it appears that you are experiencing discomfort in the gum area above your dentures, which may be related to the underlying bone structure and the previous root canal treatment.

When you mention that there was a small bump in your upper jaw that was painful when pressed, this could indicate several potential issues. The fact that your dentist identified problems with the root canal treatment suggests that there may have been an infection or inflammation in the area, which could lead to bone loss around the tooth roots. Bone resorption, or the loss of bone density, can occur when teeth are missing or when there is chronic inflammation due to untreated dental issues. This can result in the gums becoming more sensitive and painful, especially when pressure is applied.

The presence of a scar tissue formation, as mentioned by your dentist, is also significant. Scar tissue can form as a result of inflammation or injury, and while it may not be painful in itself, it can alter the normal anatomy of the gum and surrounding tissues, potentially leading to discomfort or sensitivity. If the bone loss is significant, it can also affect how well your dentures fit, leading to further irritation of the gums.

To address your concerns, here are some steps you can take:
1. Consult with a Periodontist: A specialist in gum health can provide a thorough examination of your gums and the underlying bone structure. They can assess the extent of bone loss and recommend appropriate treatments, which may include bone grafting if necessary.

2. Evaluate Denture Fit: If your dentures are not fitting properly due to changes in the bone structure, this can lead to additional irritation of the gums. A dentist can adjust your dentures or recommend a new set that better accommodates the changes in your mouth.

3. Maintain Oral Hygiene: Good oral hygiene is crucial, especially when dealing with gum issues. Ensure that you are brushing and flossing regularly, and consider using an antibacterial mouthwash to help reduce inflammation and bacteria in the mouth.

4. Regular Check-ups: Regular dental visits are essential for monitoring your gum health and the condition of your dentures. Your dentist can provide professional cleanings and check for any signs of gum disease or other complications.

5. Pain Management: If you are experiencing pain, over-the-counter pain relievers may help alleviate discomfort. However, it is important to consult with your dentist before taking any medication to ensure it is appropriate for your situation.

6. Consider Further Imaging: If your symptoms persist, your dentist may recommend imaging studies, such as X-rays or a CT scan, to get a clearer picture of the bone structure and any underlying issues that may not be visible during a clinical examination.

In summary, the discomfort you are experiencing in your gums is likely related to the previous root canal treatment and the resulting bone loss. It is essential to seek further evaluation from dental specialists who can provide targeted treatment options to improve your gum health and the fit of your dentures. By addressing these issues proactively, you can work towards alleviating your discomfort and enhancing your overall oral health.