Gum Swelling: Causes and When to Seek Dental Care

Q: Gum Swelling: Causes and When to Seek Dental Care

Hello： If there is a partially erupted impacted wisdom tooth, it is advisable to have it extracted as soon as possible. <br>Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Gum swelling

A few days ago, the gums around my lower left second molar (the side closer to my cheek) and the area near my wisdom tooth became a bit swollen and painful, causing a dull ache in my cheek (the wisdom tooth has not erupted yet).
However, the swelling lasted only about two days.
I just looked in the mirror and noticed that the gums around the second molar seem to be slightly separating, and I can vaguely see the wisdom tooth.
I'm not sure if this indicates a dental issue or if my wisdom tooth is about to erupt.
If the wisdom tooth does come in, is it necessary to have it extracted?

Yy, 10~19 year old female. Ask Date: 2021/08/07

Dr. Lin Jiayong reply Dentistry

Hello: If there is a partially erupted impacted wisdom tooth, it is advisable to have it extracted as soon as possible.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/07

More Info

Understanding gum swelling, especially around the molars and wisdom teeth, can be crucial for maintaining oral health. Based on your description, it seems that you are experiencing swelling and discomfort in the gum tissue surrounding your lower left second molar and the area where your wisdom tooth is expected to emerge. This situation can arise from several factors, and it’s important to identify the underlying cause to determine the appropriate course of action.

Possible Causes of Gum Swelling
1. Gingivitis: This is the inflammation of the gums, often caused by plaque buildup due to inadequate oral hygiene. Symptoms include swelling, redness, and bleeding of the gums, particularly when brushing or flossing.

2. Impacted Wisdom Teeth: If your wisdom tooth is attempting to erupt but is unable to do so properly due to lack of space, it can lead to swelling and discomfort. This condition can also create pockets where bacteria can thrive, leading to infection.

3. Pericoronitis: This is an infection of the gum tissue surrounding a partially erupted tooth, commonly seen with wisdom teeth. It can cause swelling, pain, and sometimes pus discharge.

4. Dental Abscess: An abscess is a localized infection that can occur at the root of a tooth or in the gums. This condition is often accompanied by severe pain, swelling, and sometimes fever.

5. Periodontal Disease: Advanced gum disease can lead to gum recession and separation from the teeth, which may explain the separation you observed.

When to Seek Dental Care
Given that your symptoms have persisted for two days and you are noticing changes in your gum tissue, it is advisable to seek dental care promptly. Here are some signs that indicate the need for immediate dental attention:
- Persistent Pain: If the pain worsens or does not subside with over-the-counter pain relief.

- Increased Swelling: If the swelling spreads or becomes more pronounced.

- Fever or Systemic Symptoms: If you develop a fever or feel unwell, this could indicate a more serious infection.

- Pus or Discharge: Any discharge from the swollen area should be evaluated by a dentist.

Wisdom Teeth: To Extract or Not?
Regarding your wisdom teeth, not all wisdom teeth need to be extracted. The decision to remove them depends on several factors:
- Positioning: If the wisdom tooth is impacted or positioned in a way that could cause future problems, extraction may be recommended.

- Space: If there is not enough space in your mouth for the wisdom tooth to emerge properly, it may lead to complications.

- Symptoms: If you are experiencing pain, swelling, or recurrent infections, extraction may be the best option.

Conclusion
In summary, the swelling and discomfort you are experiencing could be due to several factors, including gingivitis, impacted wisdom teeth, or other dental issues. It is crucial to consult a dentist for a thorough examination and diagnosis. They may recommend X-rays to assess the position of your wisdom teeth and determine the best course of action. Early intervention can prevent more serious complications and ensure your oral health is maintained. Remember, maintaining good oral hygiene practices, including regular brushing, flossing, and dental check-ups, is essential for preventing gum disease and other dental issues.

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