Pain in Gums Under Dentures: Causes and Solutions - Dentistry

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Pain in the gums around dentures?


I have been in pain for a week.
The gums under my dentures are very painful, and even after adjusting the dentures, I still experience pain when biting down and sharp pain that feels like it's radiating.
I have to rely on painkillers to manage the discomfort.

Xiao Qing, 30~39 year old female. Ask Date: 2021/05/09

Dr. Lin Jiayong reply Dentistry


Hello: If simple adjustments to the dentures and medication have not alleviated the pain, it is advisable to remove the dentures and reassess the underlying cause of the tooth issue to receive comprehensive treatment.
This is a response from Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/05/09

More Info


Understanding pain in the gums under dentures can be a complex issue, as it can stem from various causes. The discomfort you’re experiencing could be due to several factors, including improper fit of the dentures, irritation or inflammation of the gums, or even underlying dental issues. Here’s a detailed breakdown of potential causes and solutions.


Causes of Gum Pain Under Dentures
1. Improper Fit: One of the most common reasons for gum pain under dentures is that they do not fit properly. Over time, the shape of your gums and jawbone can change, leading to ill-fitting dentures. This can cause pressure points that irritate the gums, leading to pain.

2. Gum Inflammation: If your gums are inflamed, possibly due to poor oral hygiene or an infection, this can lead to pain when wearing dentures. Inflammation can be exacerbated by the friction of the dentures against the gums.

3. Allergic Reactions: Some individuals may have allergic reactions to the materials used in the dentures, which can cause discomfort and pain.

4. Underlying Dental Issues: Conditions such as gum disease or tooth decay in remaining natural teeth can also contribute to discomfort when wearing dentures.

5. Nerve Sensitivity: If you have recently had dental work or if your gums are healing from extractions, the nerves in the area may be more sensitive, leading to pain when pressure is applied.

6. Bone Resorption: Over time, the jawbone can shrink after tooth loss, which can lead to a lack of support for the dentures, causing them to rub against the gums and cause pain.


Solutions for Gum Pain Under Dentures
1. Consult Your Dentist: The first step in addressing gum pain is to consult your dentist. They can assess the fit of your dentures and make necessary adjustments. Regular check-ups are essential to ensure that your dentures fit properly as your mouth changes over time.

2. Use Denture Adhesives: If your dentures are loose, using a denture adhesive can help provide a more secure fit and reduce movement that can irritate the gums.

3. Maintain Oral Hygiene: Keeping your mouth clean is crucial. Brush your gums, tongue, and the roof of your mouth daily with a soft-bristled toothbrush. Clean your dentures daily with a denture cleaner to prevent plaque buildup.

4. Gum Treatment: If inflammation is present, your dentist may recommend treatments such as antimicrobial mouth rinses or topical medications to reduce inflammation and pain.

5. Adjusting Dentures: If your dentures are causing pain due to pressure points, your dentist can adjust them to relieve discomfort. This may involve reshaping the denture base or relining them to fit better.

6. Consider Soft Liners: For some patients, adding a soft liner to the dentures can provide additional cushioning and reduce irritation on the gums.

7. Pain Management: While waiting for a dental appointment, over-the-counter pain relievers can help manage discomfort. However, it’s important to use these medications as directed and not rely on them long-term without addressing the underlying issue.

8. Explore Alternatives: If pain persists despite adjustments, you may want to discuss alternative options with your dentist, such as implant-supported dentures, which can provide more stability and comfort.


Conclusion
Pain in the gums under dentures is not uncommon, but it is important to address it promptly to prevent further complications. Regular dental visits, proper denture care, and open communication with your dentist are key to managing discomfort effectively. If you find that pain persists despite these measures, further investigation into underlying dental health issues may be necessary. Remember, your comfort and oral health are paramount, so don’t hesitate to seek professional help.

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