Can Gum Wounds Heal When in Contact with Dental Resin? - Dentistry

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Will a gum wound not heal if it is directly in contact with the filling resin?


Hello Dr.
Lin, I have three questions I would like to ask you.
First, I apologize for taking your time and thank you for your help.
Please take a look at this photo: https://i.imgur.com/zS8TYRu.jpg.
The question I have is regarding the wound on the side that is circled; the wound extends to that side (the side next to the filling resin, but I couldn't capture that side in the photo).
Recently, I had resin applied due to gum recession, and after the procedure, I noticed a wound on the gum next to the resin.
Since the wound is directly adjacent to the filling resin, I am concerned that it may not heal properly.
I would like to ask you, in a situation where the wound is constantly in contact with the resin, will it not heal? Or is it actually not a concern? Thank you.
If it is likely to not heal, should I ask the dentist to remove the resin? Thank you.
I found online that chronic irritation in the oral cavity could potentially lead to oral cancer.
I would like to ask Dr.
Lin if my situation could cause the wound to develop into oral cancer.
(The gum wound is next to the filling resin, but I am unsure if there will be any "friction." The dentist mentioned that there would be no friction, but I am worried that the gum in that area might have slight movements that could cause friction, or that being next to the resin could lead to oral cancer.) Thank you, Dr.
Lin, for taking the time to read my questions.
I sincerely apologize for taking your time, and I wish you all the best.

dan, 30~39 year old female. Ask Date: 2021/06/03

Dr. Lin Jiayong reply Dentistry


Hello: There is no bonding strength between the gums and the resin, so they will quickly lose adhesion to each other.
(The resin monomer used for dental fillings is not the same as cyanoacrylate glue; there is a significant difference between the two.) The dental resins available on the market are all tested and verified, and they have very low biotoxicity to the gingival, dental pulp, and periodontal ligament cells.
If you are still concerned, it is advisable to return to the original clinic and ask the dentist to remove the resin directly.
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/03

More Info


When it comes to gum wounds, particularly those that are in contact with dental resin, there are several important considerations to keep in mind. First and foremost, it is essential to understand that the healing process of gum tissue can be influenced by various factors, including the presence of foreign materials like dental resin.


Healing of Gum Wounds in Contact with Dental Resin
1. Healing Process: Gum tissue has a remarkable ability to heal, but this process can be affected by the presence of dental materials. If a wound is in direct contact with dental resin, it may not heal as effectively due to potential irritation or chronic inflammation caused by the resin. The resin can create a barrier that may prevent the natural healing processes from occurring optimally.

2. Potential for Irritation: If the resin is rough or improperly contoured, it could irritate the surrounding gum tissue. This irritation can lead to prolonged inflammation, which may hinder healing. If the resin is smooth and well-fitted, it is less likely to cause irritation, allowing the gum tissue to heal more effectively.

3. Consultation with Your Dentist: If you are concerned about the wound not healing due to its proximity to the resin, it is advisable to consult your dentist. They can assess the situation and determine whether the resin needs to be adjusted or removed. In some cases, if the resin is causing significant irritation, it may be necessary to remove it to allow for proper healing.


Risk of Oral Cancer
Regarding your concern about the potential for the wound to develop into oral cancer due to chronic irritation from the resin, it is important to note that while chronic irritation can contribute to various oral health issues, the direct link between dental resin and oral cancer is not well established. Oral cancer typically arises from a combination of factors, including tobacco use, excessive alcohol consumption, and certain viral infections (such as HPV). Chronic irritation from dental materials is not a common cause of oral cancer, but it can lead to other complications if not addressed.


Recommendations
1. Maintain Oral Hygiene: Keeping the area clean is crucial for healing. Regular brushing and gentle flossing can help prevent infection and promote healing. Be cautious around the wound to avoid further irritation.

2. Monitor Symptoms: Pay attention to any changes in the wound, such as increased pain, swelling, or discharge. If these symptoms occur, it is essential to seek dental care promptly.

3. Follow-Up Appointments: Regular follow-up appointments with your dentist are important to monitor the healing process and make any necessary adjustments to the dental resin or treatment plan.

4. Discuss Concerns Openly: Do not hesitate to express your concerns about the wound and the resin to your dentist. They can provide reassurance and guidance based on their clinical experience.

In conclusion, while gum wounds can heal even when in contact with dental resin, the healing process may be influenced by the quality and fit of the resin. It is essential to maintain good oral hygiene, monitor the wound, and consult your dentist for any concerns. Addressing these issues early can help ensure a successful healing process and mitigate any potential complications.

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