Persistent Gum Pain: When Teeth Edge Into Gums and No Relief - Dentistry

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Persistent gum pain, especially when it feels like teeth are pressing into the gums, can be a distressing experience. Based on your description, it seems that you are dealing with a complex situation that may involve several factors, including gum health, tooth alignment, and possibly underlying dental issues that have not yet been identified.

Firstly, the sensation of teeth pressing into the gums and the presence of a gap that you can feel with your tongue suggests that there may be some degree of gum recession or inflammation. This can occur for various reasons, including aggressive brushing, periodontal disease, or even the positioning of your teeth. When teeth are misaligned or if there is excessive force applied during chewing or grinding (bruxism), it can lead to increased pressure on the gums, causing pain and discomfort.

Since you have already consulted two dentists without finding a solution, it may be beneficial to seek a third opinion, preferably from a specialist such as a periodontist. A periodontist focuses on the health of the gums and supporting structures of the teeth and may be able to provide insights that general dentists might overlook. They can perform a thorough examination, including probing the gums to assess the depth of any pockets that may have formed and checking for signs of periodontal disease.

In addition to seeking further professional advice, here are some potential considerations and recommendations:
1. Gum Health Assessment: A detailed periodontal examination is crucial. This includes checking for gum recession, pocket depth, and any signs of inflammation or infection. If there is periodontal disease, it may require scaling and root planing to remove plaque and tartar buildup below the gum line.

2. Tooth Alignment: If your teeth are misaligned, this could be contributing to the pressure on your gums. An orthodontic evaluation may be necessary to determine if braces or other orthodontic treatments could alleviate the issue.

3. Bruxism Management: If you grind your teeth at night, this could be exacerbating the pain. A night guard can help protect your teeth and reduce the pressure on your gums.

4. Oral Hygiene Practices: Ensure that you are practicing good oral hygiene. This includes brushing twice a day with a soft-bristled toothbrush and using dental floss or interdental brushes to clean between your teeth. Sometimes, using an antibacterial mouthwash can help reduce inflammation and bacteria in the mouth.

5. Pain Management: While waiting for further evaluations, over-the-counter pain relief medications such as ibuprofen or acetaminophen can help manage discomfort. However, it is essential to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions.

6. Dietary Considerations: Avoiding overly hard or sticky foods that may exacerbate the pain can be beneficial. Soft foods may help reduce discomfort while chewing.

7. Follow-Up Care: If you notice any changes in your symptoms or if the pain worsens, it is crucial to follow up with your dentist or specialist promptly.

In conclusion, persistent gum pain can stem from various dental issues, and it is essential to address it comprehensively. Seeking a specialist's opinion, maintaining good oral hygiene, and managing any contributing factors like bruxism can help alleviate your discomfort. Remember, your oral health is vital, and finding the right care is crucial for your overall well-being.