Persistent Gum Pain: Causes, Treatments, and Solutions for Relief

Gum pain persists?

Hello, Doctor: I am 37 years old.
I had my wisdom teeth removed in my twenties.
For the past three years, I have been experiencing recurrent inflammation in the gum of my upper left molar and the adjacent tooth.
Previously, maintaining good oral hygiene would help it return to normal, but recently it has remained inflamed.
I feel some looseness in the teeth, and the periodontal pocket measures 5 mm.
Even after enhancing my oral hygiene, the inflammation persists.
I recently underwent water laser treatment, but the gum remains inflamed and sensitive, with occasional bleeding that doesn't stop, and the looseness is still present.
I regularly supplement with vitamin C and B, and I have been purchasing various oral hygiene tools, but none have improved my condition.
I do not have any chronic diseases, but I do smoke.
Could you please advise on any remedies to improve the gum inflammation and the looseness of my teeth?

Ya Ya, 30~39 year old female. Ask Date: 2022/06/04

Dr. Zeng Guanghui reply Dentistry

If the gums are persistently inflamed and the teeth are loose, it indicates that the alveolar bone has already undergone resorption.
If symptoms do not improve after water laser treatment, it is recommended to consult a periodontist to evaluate the need for periodontal flap surgery to thoroughly remove the dental plaque within the periodontal pockets and improve the symptoms.
Dr.
Tseng Guang-hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/06/04

More Info

Persistent gum pain can be a frustrating and distressing issue, especially when it has been ongoing for several years. Based on your description, it seems that you are experiencing chronic inflammation in the gum tissue surrounding your upper left molar and adjacent teeth. This condition can be attributed to several factors, including periodontal disease, inadequate oral hygiene, and possibly the effects of smoking.

Causes of Persistent Gum Pain
1. Periodontal Disease: The presence of a periodontal pocket measuring 5 mm indicates that you may have moderate to severe gum disease. This condition occurs when plaque and tartar build up on the teeth, leading to inflammation of the gums (gingivitis) and, if untreated, can progress to periodontitis, which affects the supporting structures of the teeth.

2. Inadequate Oral Hygiene: Even with good intentions, if plaque is not effectively removed, it can harden into tartar, which is difficult to clean without professional help. This can lead to persistent inflammation and pain.

3. Smoking: Tobacco use is a significant risk factor for periodontal disease. It can impair blood flow to the gums, hinder healing, and contribute to the progression of gum disease.

4. Underlying Health Issues: While you mentioned having no chronic diseases, conditions such as diabetes can exacerbate gum problems. It's essential to consider any potential underlying health issues that may affect your oral health.

Treatments and Solutions
1. Professional Dental Cleaning: Since you have already undergone laser treatment, it may be beneficial to have a thorough cleaning performed by a dental hygienist or periodontist. This cleaning should include scaling and root planing to remove plaque and tartar from below the gum line.

2. Antibiotic Therapy: In cases of persistent gum inflammation, your dentist may prescribe antibiotics to help control bacterial infection. This can be particularly useful if there is evidence of periodontal disease.

3. Improved Oral Hygiene Practices: While you are already using various oral hygiene tools, it’s crucial to ensure that you are using them effectively. Consider consulting with your dentist or hygienist for personalized advice on brushing and flossing techniques. An electric toothbrush may also provide a more effective clean.

4. Smoking Cessation: Quitting smoking can significantly improve your gum health. There are numerous resources available, including counseling and medications, to help you quit.

5. Regular Dental Check-ups: Regular visits to your dentist for check-ups and cleanings are essential for maintaining gum health. Your dentist can monitor your condition and make adjustments to your treatment plan as necessary.

6. Nutritional Support: While you are already taking vitamin C and B supplements, a balanced diet rich in antioxidants can support gum health. Foods high in omega-3 fatty acids, such as fish, can also have anti-inflammatory effects.

7. Consideration of Surgical Options: If your gum condition does not improve with conservative treatments, surgical options may be necessary. Procedures such as flap surgery can help reduce the depth of periodontal pockets and promote healing.

Conclusion
Persistent gum pain and inflammation can be a complex issue requiring a multifaceted approach. It’s essential to work closely with your dental care provider to develop a comprehensive treatment plan tailored to your specific needs. By addressing the underlying causes, improving oral hygiene, and considering lifestyle changes, you can work towards alleviating your symptoms and improving your overall gum health. If you continue to experience pain and discomfort, do not hesitate to seek further evaluation and treatment from a dental specialist.

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