Gum Inflammation: Causes, Symptoms, and Treatment - Dentistry

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Gingival inflammation with redness and swelling?


The gum tissue below the molar has been swollen for 2 to 3 weeks.
The tooth feels loose and slightly wobbly.
It doesn't hurt unless I drink or bite down.
Initially, I went to the pharmacy to buy anti-inflammatory and pain relief medication, which helped a bit, but the redness persisted.
Later, I visited the dentist for a cleaning and X-rays.
The doctor said the redness and swelling were caused by tartar buildup.
After the cleaning and taking anti-inflammatory medication for 3 days, it improved.
However, after a couple of days of staying up late and drinking alcohol, the same area started to become red and swollen again, similar to the initial condition.

Kuan, 30~39 year old female. Ask Date: 2023/06/11

Dr. Zeng Guanghui reply Dentistry


Dear Ms.
Kuan: It is recommended that if you experience recurrent inflammation and pain in the teeth below the molars, you should return for an examination to check for any bone resorption and the formation of periodontal pockets that may be causing repeated bacterial infections.
Additionally, an assessment should be made regarding the need for further periodontal treatment.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/06/11

More Info


Gum inflammation, also known as gingivitis, is a common dental issue that can arise from various factors, including poor oral hygiene, the presence of plaque and tartar, and lifestyle choices. Understanding the causes, symptoms, and treatment options for gum inflammation is crucial for maintaining oral health and preventing more severe conditions, such as periodontitis.


Causes of Gum Inflammation
1. Plaque Buildup: The primary 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.

2. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, making it easier for bacteria to thrive and cause inflammation.

3. Smoking and Alcohol Consumption: Tobacco use and excessive alcohol consumption can impair gum health, making the gums more susceptible to inflammation.

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

5. Nutritional Deficiencies: A diet lacking in essential nutrients, particularly vitamin C, can weaken the immune system and contribute to gum disease.

6. Underlying Health Conditions: Conditions such as diabetes, autoimmune diseases, and certain medications can affect gum health and increase the risk of inflammation.


Symptoms of Gum Inflammation
Common symptoms of gum inflammation include:
- Swollen, red, or tender gums
- Bleeding gums, especially during brushing or flossing
- Persistent bad breath
- Receding gums
- Loose teeth or changes in bite
- Pain when chewing or biting
In your case, the symptoms you describe—swelling of the gums beneath the molars, sensitivity when biting or drinking, and the presence of dental calculus—are indicative of gingivitis. The fact that the inflammation recurred after a brief improvement suggests that the underlying cause, likely plaque and tartar buildup, has not been fully addressed.


Treatment Options
1. Professional Dental Cleaning: Since your dentist identified tartar as a contributing factor, a thorough dental cleaning (scaling and root planing) is essential. This procedure removes plaque and tartar from above and below the gum line, helping to reduce inflammation.

2. Improved Oral Hygiene: Establishing a consistent oral hygiene routine is crucial. Brush your teeth at least twice a day with fluoride toothpaste, and floss daily to remove plaque from between the teeth and along the gum line.

3. Antimicrobial Mouthwash: Using an antimicrobial mouthwash can help reduce bacteria in the mouth and promote gum health.

4. Lifestyle Modifications: Reducing or eliminating smoking and alcohol consumption can significantly improve gum health. Additionally, maintaining a balanced diet rich in vitamins and minerals supports overall oral health.

5. Regular Dental Check-ups: Regular visits to the dentist for check-ups and cleanings are essential for preventing gum disease and addressing any issues early on.

6. Addressing Underlying Conditions: If you have any underlying health issues that may contribute to gum inflammation, such as diabetes, it is important to manage those conditions effectively.


Conclusion
Gum inflammation is a manageable condition, but it requires a proactive approach to treatment and prevention. By addressing the root causes, improving oral hygiene, and making necessary lifestyle changes, you can significantly reduce inflammation and promote healthier gums. If the symptoms persist or worsen, it is advisable to consult your dentist or a periodontist for further evaluation and treatment options. Regular dental care is key to maintaining not only your gum health but also your overall well-being.

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