Gum Issues After Dental Cleaning: Causes and Solutions - Dentistry

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Continuation #181666 Gum Issues


After the dentist performed a cleaning last year, I felt that the filled area was overhanging, and after it was adjusted, it felt better with less dull pain.
However, a few days ago, I went back, and the same area after cleaning showed redness in the gums and dull pain again.
I have a filling for a cavity at the root.
1.
Is it normal to experience increased sensitivity after a dental cleaning? 2.
Since the dentist adjusted the filling previously and it felt better, could this issue be unrelated to the overhang?

Bu, 20~29 year old female. Ask Date: 2022/05/12

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to have an actual examination by a physician! Respectfully, Lin Chia-yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/05/12

More Info


After a dental cleaning, experiencing gum issues such as redness and discomfort is not uncommon. Let's break down the potential causes and solutions to your concerns regarding gum sensitivity and pain after dental cleaning.

1. Increased Sensitivity Post-Cleaning: It is quite common for teeth and gums to feel more sensitive after a dental cleaning. During the cleaning process, dental hygienists use various instruments to remove plaque and tartar buildup, which can irritate the gums. If your gums were inflamed or had pockets of infection prior to the cleaning, the process may exacerbate the sensitivity. This is particularly true if you have not had a cleaning in a while, as the buildup can lead to more significant inflammation.

2. Gum Inflammation: The redness and discomfort you are experiencing could be a sign of gingivitis, which is the earliest stage of gum disease. This condition is often caused by plaque accumulation along the gum line. If your gums are inflamed, they may bleed when you brush or floss, and they can feel tender or painful. The fact that you had a previous issue with overhanging fillings (overhangs) could also contribute to this problem, as they can trap food and bacteria, leading to further irritation and inflammation.

3. Overhanging Fillings: If your dentist previously adjusted an overhanging filling, it is possible that the area is now more accessible for cleaning, but it may still be sensitive due to the underlying gum condition. If the filling was not properly contoured, it could still be causing irritation. It is essential to ensure that any dental work is smooth and does not create areas where plaque can accumulate.

4. Proper Oral Hygiene: Maintaining good oral hygiene is crucial, especially after a cleaning. Continue to brush gently but thoroughly, using a soft-bristled toothbrush, and be sure to floss daily. If you notice that certain areas are particularly sensitive, you may want to adjust your brushing technique or use a toothpaste designed for sensitive teeth.

5. Follow-Up with Your Dentist: Since you have experienced recurring issues in the same area, it would be wise to follow up with your dentist. They can assess whether the sensitivity is due to gum disease, issues with the filling, or another underlying problem. It may be necessary to perform additional treatments, such as scaling and root planing, to address any persistent gum disease.

6. Potential Treatment Options: If your gums are inflamed, your dentist may recommend a professional cleaning, followed by a treatment plan that could include antimicrobial mouth rinses, improved home care techniques, or even periodontal therapy if necessary. If the sensitivity persists, they may also consider adjusting or replacing the filling.

In conclusion, while it is normal to experience some sensitivity after a dental cleaning, persistent pain and redness should not be ignored. It is essential to communicate with your dentist about your symptoms, as they can provide tailored advice and treatment options to help resolve your gum issues effectively. Regular dental check-ups and cleanings, combined with good oral hygiene practices at home, are key to maintaining healthy gums and preventing further complications.

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