Gum Pain: When to See a Dentist for Holes in Gums - Dentistry

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Gum pain


I have three holes in my gums these days, one of which is quite large.
I'm not sure if this hole is causing my toothache.
Is it advisable to see a dentist for the holes in my gums? I had my wisdom tooth extracted in July.

kiki, 20~29 year old female. Ask Date: 2001/01/11

Dr. Wu Jinjun reply Dentistry


Response to Doctor: Yang Ming-Huang
Subject: Gum Pain
Response Content: If there is a hole in the gum, you should see a dentist.
As for whether the extraction of wisdom teeth could cause a hole in the gum or even pain in other teeth, further examination with X-rays is necessary for diagnosis.
There are many potential causes for a gum hole, and based on your description, it is not possible to make a further assessment.
I recommend that you promptly visit a dental clinic for examination and treatment.

Reply Date: 2001/01/11

More Info


Gum pain, especially when accompanied by holes or lesions, can be a significant concern and warrants prompt attention from a dental professional. The presence of holes in the gums can indicate various underlying issues, including infection, periodontal disease, or trauma. Given your recent history of wisdom tooth extraction, it is crucial to consider how this might relate to your current symptoms.

Firstly, the holes in your gums could be a result of several factors. After a tooth extraction, particularly a wisdom tooth, the surrounding gum tissue may take time to heal. If the extraction site becomes infected, it can lead to the formation of abscesses or holes in the gum tissue. This infection can cause significant pain and discomfort, which may radiate to adjacent teeth, leading to the perception that the pain is coming from the teeth themselves rather than the gums.

Another possibility is that the holes in your gums are a sign of periodontal disease, which is an infection of the structures around the teeth, including the gums and bone. Periodontal disease can lead to gum recession, pockets forming between the teeth and gums, and, in severe cases, tooth loss. Symptoms often include gum pain, swelling, and bleeding, especially when brushing or flossing.

In your case, since you have mentioned that one of the holes is quite large, it is advisable to see a dentist as soon as possible. A dentist will be able to perform a thorough examination, which may include taking X-rays to assess the extent of any underlying issues. They can determine whether the holes are due to an infection, periodontal disease, or another cause.
In the meantime, there are several steps you can take to manage your discomfort. Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate pain. However, these are temporary measures, and they do not address the underlying issue.

If you experience additional symptoms such as fever, swelling in your face or neck, or difficulty swallowing, these could indicate a more serious infection that requires immediate medical attention.
In summary, the presence of holes in your gums, especially following a dental procedure like wisdom tooth extraction, should not be ignored. It is essential to consult with a dentist to diagnose the cause of your gum pain and to receive appropriate treatment. Early intervention can prevent complications and promote better oral health.

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