Gum Inflammation: Treatment Options and Dental Care Tips

Gingivitis

Hello.
I would like to ask about the gum recession I noticed in my lower jaw.
I have experienced bleeding when using dental floss, and I previously had inflammation and swelling in my gums, but it seems to have improved now.
I am considering trying an electric toothbrush, but I am unsure whether to choose a rotating or sonic type.
Are there any specific points I should pay attention to when using it? Given my situation, would using a water flosser be beneficial, or should I stick to interdental brushes and dental floss?
Additionally, I would like to know if gum recession that exposes too much of the tooth is aesthetically unpleasing (or affects sensitivity while eating).
Is the cost of gum regeneration and root coverage procedures quite high? I also found information about the latest pinhole surgical technique for gum repair; is this available in Taiwan? If so, is the cost even higher? If you cannot answer these questions, that's okay.
Thank you.

Ru, 30~39 year old female. Ask Date: 2020/02/24

Dr. Zeng Guanghui reply Dentistry

After gum recession, the gaps between teeth become larger.
To clean these spaces, dental floss or interdental brushes can be used; however, for individuals with less dexterity, a water flosser may be considered as an alternative.
While electric toothbrushes primarily focus on cleaning the tooth surfaces, it is still recommended to use dental floss or interdental brushes for cleaning between the teeth.
For gum regeneration, root coverage procedures, and new minimally invasive techniques for gum repair, it is advisable to seek further evaluation from a specialist.

Reply Date: 2020/02/24

More Info

Gum inflammation, also known as gingivitis, can be a significant concern for many individuals, especially when accompanied by symptoms such as swelling, bleeding, and discomfort. Understanding the treatment options and proper dental care techniques is essential for managing this condition effectively.

Treatment Options for Gum Inflammation
1. Oral Hygiene Improvement: The first step in managing gum inflammation is to enhance your oral hygiene routine. This includes brushing your teeth at least twice a day with fluoride toothpaste and flossing daily to remove plaque and food particles from between your teeth and along the gum line.
2. Electric Toothbrush: Using an electric toothbrush can be beneficial. Both rotating and sonic (or ultrasonic) electric toothbrushes can effectively remove plaque. The choice between the two often comes down to personal preference. Sonic toothbrushes may provide a more thorough clean due to their high-frequency vibrations, which can help dislodge plaque even in hard-to-reach areas. When using an electric toothbrush, ensure you are using gentle pressure to avoid damaging your gums.

3. Water Flossers: A water flosser, or oral irrigator, can be a helpful addition to your oral care routine, especially if you find traditional flossing challenging. Water flossers can help reduce gum inflammation by flushing out food particles and plaque from between teeth and below the gum line. However, they should not replace traditional flossing but can be used as a supplementary tool.

4. Interdental Brushes: These can be more effective than dental floss for some individuals, especially those with larger gaps between their teeth. They can help remove plaque and food debris effectively.

5. Professional Dental Cleaning: Regular visits to your dentist for professional cleanings are crucial. Your dentist or dental hygienist can remove tartar buildup that regular brushing and flossing cannot, which is essential for reducing inflammation.

6. Antimicrobial Mouthwash: Using an antimicrobial mouthwash can help reduce bacteria in the mouth and promote gum health. Look for mouthwashes that contain chlorhexidine or cetylpyridinium chloride.

Addressing Gum Recession
If you are experiencing gum recession, it is essential to consult with a dental professional. Gum recession can expose the roots of your teeth, leading to sensitivity and aesthetic concerns.
1. Gum Grafting: Surgical options, such as gum grafting, can be considered to restore lost gum tissue. This procedure involves taking tissue from another part of your mouth and attaching it to the receded area. The cost can vary widely based on the complexity of the procedure and the dentist's expertise.

2. Pinhole Surgical Technique: This minimally invasive technique allows for the repositioning of gum tissue without the need for grafting. It is less painful and has a quicker recovery time. Availability and cost can vary, so it's best to consult with a local periodontist to see if this option is available in your area.

Conclusion
In summary, managing gum inflammation involves a combination of improved oral hygiene practices, professional dental care, and potentially surgical options for gum recession. Electric toothbrushes and water flossers can enhance your cleaning routine, while regular dental visits are essential for maintaining gum health. If you have concerns about gum recession or the aesthetic appearance of your gums, discussing these with your dentist will help you explore the best treatment options available. Always prioritize your oral health, as it plays a crucial role in your overall well-being.

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