Gum swelling
Recently, I've been under a lot of stress.
On Friday night, I suddenly felt a soreness in my right molar when I bit down hard, and I experienced the same sensation when grinding my teeth.
However, by Saturday, the soreness gradually diminished and was replaced by a feeling of swelling and redness in my gums.
My teeth feel a bit loose, and my bite feels off, but there is no significant soreness anymore.
Is this a sign of gum inflammation? I had a dental check-up at the end of March where I had two small cavities filled, and I had my teeth cleaned on April 7th.
The dentist indicated that everything was fine.
After lunch, I also use dental floss for cleaning, and I use mouthwash in the morning and evening.
Now, at night when I go to sleep, my teeth feel a bit swollen, and sometimes I still feel a slight soreness when I bite down.
Could you please provide some insight, doctor?
Ke Xiaojie, 20~29 year old female. Ask Date: 2022/06/27
Dr. Lin Jiayong reply Dentistry
Hello: If a physician has already evaluated and confirmed that there are no issues, it is advisable to relax.
If the pain or discomfort is limited to nighttime while sleeping, it may be worth considering whether there is a habit of nocturnal bruxism or insomnia-related teeth grinding, or even a problem with trigeminal nerve conduction dysfunction.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2022/06/27
More Info
Gum swelling and dental discomfort can be indicative of several underlying issues, and your symptoms suggest that you may be experiencing gingivitis or another form of periodontal disease. The fact that you felt pain when biting down on your molar and subsequently noticed swelling and redness in your gums points towards inflammation, which is often caused by bacterial infection or plaque buildup around the teeth and gums.
Possible Causes of Your Symptoms
1. Gingivitis: This is the earliest stage of gum disease, characterized by inflammation of the gums due to plaque accumulation. Symptoms include swollen, red gums that may bleed when brushing or flossing. The fact that you have experienced swelling and a feeling of "floating" teeth suggests that your gums are inflamed, which is a common sign of gingivitis.
2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss. This condition involves the destruction of the supporting structures of the teeth, including the bone.
3. Dental Abscess: If there is an infection in the tooth or surrounding gum tissue, it can lead to the formation of an abscess, which may cause swelling and pain. This could explain the initial pain you felt when biting down.
4. Bruxism (Teeth Grinding): Given that you mentioned increased stress, it's possible that you are grinding your teeth at night, which can lead to tooth sensitivity, gum irritation, and even damage to the teeth.
Recommendations for Management and Treatment
1. Maintain Oral Hygiene: Continue to brush your teeth at least twice a day with fluoride toothpaste and floss daily. Using an antibacterial mouthwash can also help reduce plaque and bacteria in your mouth.
2. Warm Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing in your gums. This can be particularly soothing if your gums are swollen.
3. Avoid Irritants: Try to avoid hard or crunchy foods that may irritate your gums further. Stick to softer foods until the swelling subsides.
4. Stress Management: Since you mentioned increased stress, consider incorporating stress-reducing techniques such as meditation, yoga, or regular physical activity into your routine. Reducing stress can help alleviate symptoms of bruxism if that is a contributing factor.
5. Dental Visit: It is crucial to see a dentist for a thorough examination. They can assess the health of your gums and teeth, clean any plaque or tartar buildup, and provide treatment options if necessary. If there is an underlying infection or abscess, they may need to perform additional procedures such as drainage or root canal treatment.
6. Monitor Symptoms: Keep track of your symptoms. If the swelling worsens, or if you experience increased pain, fever, or pus discharge, seek dental care immediately, as these could be signs of a more serious infection.
Conclusion
Your symptoms are likely related to gum inflammation, possibly due to gingivitis or another dental issue. Maintaining good oral hygiene and managing stress are essential steps in addressing your discomfort. However, a visit to your dentist is crucial for a proper diagnosis and treatment plan. Early intervention can prevent more severe complications and help maintain your overall dental health.
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