Persistent Gum Inflammation: Causes and Solutions - Dentistry

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Gingivitis


Since June 24, I have been experiencing gum inflammation.
I had my first dental cleaning on June 27.
After the cleaning, there was no pain for two days, but then I developed gum swelling.
I visited the dentist again on July 2 for another cleaning, and the doctor confirmed it was just gum inflammation.
This time, I was prescribed antibiotics, but after taking them for two to three days, there has been no improvement.
What could be the reason for the gum inflammation not resolving after two weeks?

Miss Ke, 20~29 year old female. Ask Date: 2022/07/04

Dr. Lin Jiayong reply Dentistry


Hello: The acute inflammatory phase lasts about one week.
It is recommended to use medication and monitor the condition.
If discomfort persists, please return for a follow-up appointment to allow the physician to reassess for any other sources of infection.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/04

More Info


Persistent gum inflammation, also known as gingivitis, can be a frustrating and uncomfortable condition. It is characterized by redness, swelling, and bleeding of the gums, and it can be caused by a variety of factors. In your case, it seems that the inflammation began around June 24 and persisted despite dental cleanings and antibiotic treatment. Let's explore the potential causes and solutions for your situation.


Causes of Persistent Gum Inflammation
1. Plaque Buildup: The most common cause of gum inflammation is the accumulation of plaque, a sticky film of bacteria that forms on teeth. If not removed through regular brushing and flossing, plaque can harden into tartar, which can irritate the gums and lead to inflammation.

2. Inadequate Oral Hygiene: Even with professional cleanings, if your home care routine is lacking, bacteria can continue to thrive and cause inflammation. It's essential to brush at least twice a day and floss daily to remove food particles and plaque.

3. Hormonal Changes: Hormonal fluctuations, such as those occurring during menstruation, pregnancy, or menopause, can make gums more sensitive and prone to inflammation.

4. Medical Conditions: Certain health issues, such as diabetes, autoimmune diseases, or blood disorders, can affect gum health. If you have any underlying conditions, they may contribute to persistent inflammation.

5. Medications: Some medications can cause dry mouth or alter the balance of bacteria in the mouth, leading to gum problems. If you are taking any medications, discuss them with your dentist.

6. Tobacco Use: Smoking or using other tobacco products can impair gum health and make it more difficult for your gums to heal.

7. Nutritional Deficiencies: A lack of essential nutrients, particularly vitamin C, can lead to gum issues. Ensuring a balanced diet can help support gum health.


Solutions and Recommendations
1. Improved Oral Hygiene: Focus on enhancing your oral hygiene routine. Use a soft-bristled toothbrush and fluoride toothpaste, and consider using an antibacterial mouthwash. Make sure to brush for at least two minutes and pay attention to the gum line.

2. Regular Dental Visits: Continue to see your dentist regularly for cleanings and check-ups. If your symptoms persist, ask your dentist about additional treatments, such as scaling and root planing, which can help remove tartar buildup below the gum line.

3. Antibiotic Use: If your dentist prescribed antibiotics, ensure you complete the full course, even if you don’t see immediate improvement. If symptoms persist after finishing the antibiotics, follow up with your dentist to discuss alternative treatments.

4. Address Underlying Conditions: If you have any medical conditions that could be contributing to your gum inflammation, work with your healthcare provider to manage those conditions effectively.

5. Lifestyle Changes: If you smoke, consider quitting. Additionally, maintaining a balanced diet rich in vitamins and minerals can support your overall oral health.

6. Hydration: Staying well-hydrated can help maintain saliva production, which is essential for neutralizing acids and washing away food particles and bacteria.

7. Stress Management: Stress can impact your immune system and oral health. Incorporating stress-reducing activities into your routine may help improve your overall health and gum condition.


Conclusion
Persistent gum inflammation can be a sign of underlying issues that require attention. It’s crucial to maintain good oral hygiene and follow your dentist's recommendations. If your symptoms do not improve or worsen, further evaluation may be necessary to rule out other conditions. Remember, healthy gums are vital for overall health, so addressing inflammation promptly is essential.

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