Swollen and bleeding gums after teeth cleaning?
Hello, Doctor.
A week ago, I had a dental cleaning (not a deep cleaning), and the day after the cleaning, one of my gums started to hurt.
I have been maintaining good oral hygiene in that area, and there has been no bleeding, but it has been painful for a week.
After a week, the pain has decreased, but it still hurts when I brush that area.
For the past two days, I've noticed some bleeding after brushing.
What should I do? Thank you, Doctor.
Vicky, 30~39 year old female. Ask Date: 2021/11/09
Dr. Lin Jiayong reply Dentistry
Hello: Based on your description, it seems there is an infection.
It is recommended to apply some oral ointment to the affected area 2 to 3 times a day.
When brushing your teeth, please clean that area gently, and you may use an antibacterial mouthwash.
If the symptoms persist for more than 3 days, it is advisable to return for further examination.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/11/09
More Info
After undergoing a teeth cleaning procedure, it is not uncommon to experience some discomfort, gum pain, or even bleeding, especially if it has been a while since your last cleaning. The symptoms you describe—pain in the gum area, sensitivity when brushing, and bleeding—suggest that your gums may be inflamed or irritated, possibly due to plaque buildup or gingivitis.
Understanding Post-Cleaning Discomfort
1. Gum Inflammation: When plaque and tartar accumulate on the teeth, they can irritate the gums, leading to inflammation. During a cleaning, the dental hygienist removes this buildup, which can sometimes cause temporary discomfort as the gums adjust to being cleaned.
2. Sensitivity: After a cleaning, it is normal for teeth and gums to be sensitive, especially if you have not had a cleaning in a while. The cleaning process can expose areas that were previously covered by tartar, leading to increased sensitivity.
3. Bleeding: Bleeding gums can occur after a cleaning, particularly if there was significant inflammation or if the gums were not regularly maintained. This bleeding should subside as your gums heal and adapt to the cleaning.
Recommended Actions
1. Gentle Oral Hygiene: Continue to brush your teeth, but do so gently. Use a soft-bristled toothbrush and avoid aggressive brushing, which can further irritate your gums. Consider using a toothpaste designed for sensitive teeth.
2. Antimicrobial Mouthwash: Rinsing with an antimicrobial mouthwash can help reduce bacteria in your mouth and promote healing of the gums. Look for a mouthwash that contains chlorhexidine or other antibacterial agents.
3. Topical Treatments: Over-the-counter topical gels or ointments designed for gum pain can provide relief. Apply these products directly to the affected area as directed.
4. Saltwater Rinse: A warm saltwater rinse can help soothe irritated gums and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse your mouth gently.
5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists beyond a week or worsens, or if you experience significant bleeding, it is important to consult your dentist. They may need to evaluate for any underlying issues such as periodontal disease or other dental conditions.
6. Follow-Up Appointment: If your symptoms do not improve or if you have concerns, schedule a follow-up appointment with your dentist. They can perform a thorough examination and determine if further treatment is necessary.
When to Seek Professional Help
If you notice any of the following, it is crucial to seek dental care promptly:
- Persistent or worsening pain after one week.
- Increased bleeding or pus from the gums.
- Swelling that does not subside.
- Any signs of infection, such as fever or swelling in the face.
Conclusion
While some discomfort and sensitivity after a teeth cleaning are common, it is essential to maintain good oral hygiene practices and monitor your symptoms. If you experience prolonged pain or bleeding, do not hesitate to reach out to your dentist for further evaluation and treatment. Remember, maintaining regular dental check-ups and cleanings is vital for long-term oral health, and addressing issues early can prevent more significant problems down the line.
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