Managing Gum Injuries: Care Tips for Pain and Bleeding Relief - Dentistry

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Management of Gingival Lacerations


Hello doctor, after eating crab yesterday, the gum on the inner side of one of my front teeth has been swollen and painful, and there was quite a bit of bleeding.
The next day, the gum is still swollen and purple, and I can see a dent where it was punctured, but it has stopped bleeding.
What should I pay attention to in terms of wound care? Should I enhance the cleaning of the wound during my daily hygiene routine, or should I try to avoid touching the wound as much as possible? (I use a water flosser, and it hurts a lot when I direct it at the wound.) Are there any ways to protect the wound or any ointments I can apply? Does mouthwash have any effect on the wound? Thank you.

A, 20~29 year old female. Ask Date: 2022/09/06

Dr. Lin Jiayong reply Dentistry


Hello: It is advisable to seek medical attention for wound care to prevent infection, which could lead to bacteremia or sepsis.
The wound can be initially disinfected with povidone-iodine, followed by the application of an oral ointment for protection.
Prompt medical attention is recommended.

Reply Date: 2022/09/06

More Info


Managing gum injuries, especially after an incident like biting into a crab, requires careful attention to both pain relief and proper wound care. Given your description of the injury, it sounds like you have experienced a localized trauma to the gum tissue, which has resulted in swelling, pain, and some bleeding. Here are some recommendations for managing your gum injury effectively.


Immediate Care and Pain Relief
1. Rinse with Salt Water: After the initial injury, it's important to keep the area clean. Rinsing your mouth with warm salt water can help reduce swelling and promote healing. Mix about half a teaspoon of salt in a cup of warm water and gently swish it around your mouth, especially around the injured area. Do this several times a day, particularly after meals.

2. Avoid Irritation: Since your gum is already sensitive and swollen, try to avoid any foods that are hard, crunchy, or spicy, as these can irritate the injury further. Stick to soft foods that require minimal chewing.

3. Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate pain and reduce inflammation. Follow the dosage instructions on the package, and consult with a healthcare provider if you have any concerns or pre-existing conditions.


Cleaning and Care
4. Gentle Cleaning: While it's important to keep the area clean, you should be cautious about how you clean the injured gum. If using a water flosser (like a dental irrigator), reduce the pressure setting to avoid causing further pain or damage. You might want to avoid direct contact with the injured area until it has healed significantly.

5. Avoiding Further Trauma: Be mindful of how you brush your teeth. Use a soft-bristled toothbrush and be gentle around the injured area. You may want to avoid brushing directly over the injury until it has healed.

6. Topical Treatments: If the pain persists, you might consider using topical anesthetics that are available over-the-counter, such as benzocaine. These can provide temporary relief from pain when applied directly to the affected area. However, be sure to follow the instructions on the product label.


Monitoring and Follow-Up
7. Watch for Signs of Infection: Keep an eye on the injury for signs of infection, which may include increased redness, swelling, pus, or fever. If you notice any of these symptoms, it’s important to seek dental care promptly.

8. Consult a Dentist: If the pain does not improve within a few days or if the swelling worsens, it’s advisable to see a dentist. They can assess the injury more thoroughly and determine if any further treatment is necessary, such as a prescription for antibiotics if an infection is suspected.


Use of Mouthwash
9. Mouthwash Considerations: Be cautious with mouthwash, especially those containing alcohol, as they can irritate the injured gum further. If you choose to use mouthwash, opt for an alcohol-free variety, and avoid using it until the initial pain and swelling have subsided.


Conclusion
In summary, managing a gum injury requires a combination of gentle cleaning, pain management, and monitoring for potential complications. By following these guidelines, you can help ensure a smoother healing process. If you have any concerns or if the condition does not improve, do not hesitate to reach out to a dental professional for further advice and treatment.

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