Persistent Gum Pain: Causes, Treatment, and When to See Your Dentist - Dentistry

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Gum swelling and pain?


A few days ago, I started experiencing swollen and painful gums.
After visiting the dentist, the doctor said it was due to inadequate brushing.
They performed a dental cleaning, but now, three days later, the swelling and pain in my gums have not improved and still hurt.
I returned to the clinic the next day to get medication, and they prescribed me a two-day supply of antibiotics and pain relievers.
I'm unsure if I will feel better after finishing the medication.
If it doesn't improve, will I need to go back for more medication?

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

Dr. Zeng Guanghui reply Dentistry


If there is gingivitis after a dental cleaning, it is recommended to take antibiotics and pain relievers.
The gingivitis should improve within 2-3 days.
If inflammation persists, it is advisable to return for a follow-up appointment with a dentist for further evaluation.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/10/07

More Info


Persistent gum pain can be a frustrating and uncomfortable experience, and it’s essential to understand the potential causes, treatment options, and when to seek further dental care. Based on your description, it seems that you have already consulted with a dentist who diagnosed your gum pain as a result of inadequate oral hygiene. After a dental cleaning, you were prescribed antibiotics and pain relievers, but the pain persists even after several days.


Causes of Persistent Gum Pain
1. Gingivitis: This is the earliest stage of gum disease, characterized by inflammation and irritation of the gums. It is often caused by plaque buildup due to poor oral hygiene. Symptoms include redness, swelling, and bleeding of the gums, especially when brushing or flossing.

2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to the loss of tooth-supporting bone. Symptoms may include persistent gum pain, bad breath, and gum recession.

3. Infection: Sometimes, gum pain can be a sign of an infection, such as a dental abscess, which occurs when bacteria invade the tissues around the tooth. This can cause localized swelling, pain, and even fever.

4. Trauma or Injury: Gum pain can also result from trauma, such as aggressive brushing, flossing, or dental procedures that may irritate the gums.

5. Systemic Conditions: Certain medical conditions, such as diabetes or autoimmune diseases, can affect gum health and lead to persistent pain.


Treatment Options
1. Improved Oral Hygiene: Maintaining good oral hygiene is crucial. This includes brushing at least twice a day with fluoride toothpaste, flossing daily, and using an antibacterial mouthwash to help reduce plaque buildup.

2. Professional Dental Cleaning: Regular dental cleanings are essential for removing plaque and tartar that cannot be eliminated through regular brushing and flossing.

3. Medications: If your dentist has prescribed antibiotics, it is important to complete the full course as directed, even if symptoms improve before finishing the medication. Pain relievers can help manage discomfort, but they do not address the underlying cause.

4. Follow-Up Care: If your symptoms do not improve after completing the prescribed medications, it is crucial to return to your dentist for further evaluation. They may need to perform additional treatments, such as scaling and root planing, to address deeper gum issues.


When to See Your Dentist Again
You should consider returning to your dentist if:
- The pain persists or worsens despite taking the prescribed medications.

- You notice any new symptoms, such as increased swelling, pus, or fever.

- You experience difficulty eating or drinking due to pain.

- Your gums begin to bleed more frequently or you notice changes in the color or texture of your gums.


Conclusion
Persistent gum pain is not something to ignore, as it can indicate underlying issues that may require more intensive treatment. While your initial visit provided some relief, it’s important to monitor your symptoms closely. If the pain continues after completing your antibiotics and pain relievers, do not hesitate to reach out to your dentist for further evaluation. Early intervention can prevent more serious complications and help maintain your oral health. Remember, maintaining good oral hygiene practices at home is key to preventing future gum issues.

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