Gum abscess after getting dentures?
Hello, doctor.
In the past, after I had a dental filling, the material fell out, and the doctor refilled it, but then I developed an abscess.
One doctor helped me by grinding down some of the filling, and the abscess went away, but not long after, the filling fell out again.
Recently, I got a denture without having a root canal, and the day after getting the denture, I developed an abscess.
When I tap on the tooth, only the abscess is uncomfortable, but when I had the temporary denture, my gums were normal and not uncomfortable.
I read online that developing an abscess may require a root canal, but I am really afraid of the potential complications after the procedure.
I would like to know your opinion, thank you.
Niming, 20~29 year old female. Ask Date: 2022/04/02
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended that you visit a medical center to obtain a complete X-ray.
Additionally, consult with an endodontist who can explain the pros and cons of root canal treatment based on your specific condition.
After that, you can decide whether to proceed with the root canal therapy.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/04/02
More Info
Managing a gum abscess after getting dentures can be a concerning issue, especially if you have a history of dental problems. A gum abscess, or dental abscess, is a localized collection of pus that can occur due to infection, often resulting from untreated cavities, gum disease, or trauma to the tooth. In your case, it seems that the abscess developed shortly after getting your dentures, which can indicate an underlying issue that needs to be addressed.
Firstly, it’s important to understand that the presence of an abscess typically indicates an infection. This infection can arise from bacteria that have infiltrated the gum tissue, often due to decay or a failed dental restoration. The fact that you experienced discomfort after the placement of your dentures suggests that there may be an issue with the fit of the dentures or an underlying dental problem that was not resolved prior to their placement.
Here are some key points to consider regarding your situation:
1. Immediate Attention: It is crucial to seek immediate dental care if you notice a gum abscess. The dentist will likely perform an examination, which may include X-rays, to determine the extent of the infection and the health of the surrounding teeth and bone.
2. Treatment Options: Treatment for a gum abscess typically involves draining the pus to relieve pressure and pain. This may be done through a small incision in the gum tissue. Additionally, your dentist may prescribe antibiotics to help clear the infection. If the abscess is associated with a tooth that is still vital (alive), your dentist may recommend root canal therapy to remove the infected pulp and save the tooth.
3. Concerns About Root Canal Therapy: It’s understandable to have concerns about the potential side effects of root canal treatment. However, when performed by a qualified dentist or endodontist, root canal therapy is a common and generally safe procedure. The goal is to eliminate infection and preserve the tooth, which can prevent further complications down the line. The risks of not treating an abscess can be much greater, including the potential for systemic infection.
4. Follow-Up Care: After treatment, it’s important to follow your dentist’s instructions for care. This may include maintaining good oral hygiene, taking prescribed medications, and attending follow-up appointments to ensure the infection has resolved.
5. Long-Term Management: If you have a history of dental issues, it may be beneficial to discuss a comprehensive dental care plan with your dentist. This could include regular check-ups, professional cleanings, and possibly further restorative work to prevent future problems.
6. Fit of Dentures: If you are experiencing discomfort with your dentures, it may be necessary to have them adjusted. Poorly fitting dentures can cause irritation and contribute to gum problems. Your dentist can help ensure that your dentures fit properly and do not exacerbate any underlying issues.
In conclusion, while the prospect of needing a root canal may be daunting, it is essential to address the gum abscess promptly to prevent further complications. Ignoring the issue could lead to more severe infections or the loss of teeth. Make sure to communicate openly with your dentist about your fears and concerns; they can provide reassurance and help you understand the benefits of the recommended treatments. Remember, maintaining your oral health is vital for your overall well-being, and addressing issues as they arise is the best approach to ensure a healthy mouth.
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