Gum ulceration on the upper and lower gums?
Hello, doctor.
I have a question.
My gums are ulcerated on the upper and lower rows, and they don't hurt when pressed or poked, but they are noticeably swollen with red spots on the surface.
Brushing my teeth is painful, but drinking water and eating do not cause any pain.
What could be the cause of this? How long does it usually take for the gums to heal on their own? Thank you.
A-Zheng, 30~39 year old female. Ask Date: 2021/08/27
Dr. Lin Jiayong reply Dentistry
Hello: If the injury is due to a fall or impact, recovery typically takes about one month; if it is due to a viral or bacterial infection, recovery usually takes around two weeks.
However, if there is persistent necrosis with foul-smelling purulence, it is advisable to seek further examination at a medical facility.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/08/27
More Info
Gum inflammation, also known as gingivitis, is a common dental condition characterized by redness, swelling, and tenderness of the gums. The symptoms you describe—swelling, red spots, and pain when brushing—are indicative of inflammation in the gum tissue. Understanding the causes and healing time for gum inflammation is essential for effective management and recovery.
Causes of Gum Inflammation
1. Plaque Buildup: The most common cause of gum inflammation is the accumulation of plaque, a sticky film of bacteria that forms on teeth. If not removed through regular brushing and flossing, plaque can harden into tartar, leading to more severe gum disease.
2. Poor Oral Hygiene: Inadequate brushing and flossing can lead to gum inflammation. It is crucial to maintain a consistent oral hygiene routine to prevent plaque buildup.
3. Hormonal Changes: Hormonal fluctuations, such as those occurring during puberty, menstruation, pregnancy, or menopause, can make gums more sensitive and prone to inflammation.
4. Nutritional Deficiencies: A diet lacking in essential nutrients, particularly vitamin C, can impair gum health and contribute to inflammation.
5. Tobacco Use: Smoking or using other tobacco products can hinder blood flow to the gums, making them more susceptible to infection and inflammation.
6. Medical Conditions: Certain health issues, such as diabetes, autoimmune diseases, and blood disorders, can increase the risk of gum disease.
7. Medications: Some medications can cause dry mouth or gum overgrowth, which can lead to inflammation.
Healing Time for Gum Inflammation
The healing time for gum inflammation varies depending on the severity of the condition and the effectiveness of the treatment. In mild cases of gingivitis, where inflammation is present but no significant damage has occurred, symptoms can improve within a few days to a week with proper oral care. This includes:
- Improved Oral Hygiene: Brushing at least twice a day with fluoride toothpaste and flossing daily can help remove plaque and reduce inflammation.
- Regular Dental Checkups: Visiting a dentist for professional cleaning and checkups can help manage gum health effectively.
- Antiseptic Mouthwash: Using an antiseptic mouthwash can help reduce bacteria in the mouth and promote healing.
In more severe cases, such as periodontitis, where the inflammation has progressed and caused damage to the supporting structures of the teeth, healing may take longer and may require additional treatments, such as scaling and root planing, antibiotics, or even surgical interventions.
When to Seek Professional Help
If your symptoms persist for more than a week, worsen, or if you experience additional symptoms such as persistent bad breath, loose teeth, or pus between your gums and teeth, it is essential to consult a dentist. They can provide a thorough examination and recommend appropriate treatments tailored to your specific condition.
In summary, gum inflammation can be caused by various factors, primarily related to oral hygiene. With proper care, mild cases can resolve quickly, while more severe cases may require professional intervention. Maintaining good oral hygiene practices and regular dental visits are crucial for preventing gum disease and promoting overall oral health.
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