Dealing with Gum Issues After Wisdom Tooth Extraction: What to Do? - Dentistry

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Gum issues


Hello, doctor.
I have a question regarding my gums.
I have had my upper right, lower right, and lower left wisdom teeth extracted, and I have also undergone root canal treatment.
On July 20th (Thursday), I visited the doctor due to tooth pain.
The doctor mentioned that I have gum tissue that is preventing me from properly brushing the area, leading to food debris accumulation.
I was prescribed anti-inflammatory medication.
However, on July 24th, I returned to the doctor again due to issues with my gums.
I overheard the doctor say that my innermost tooth is smaller and is almost being covered by the gum tissue.
Now I am experiencing pain again.
What should I do?

Yunru, 20~29 year old female. Ask Date: 2023/07/26

Dr. Lin Jiayong reply Dentistry


Hello: There are many causes of excessive gum growth, and it is advisable to identify the underlying reason for treatment.
Local factors generally include bacterial or viral infections, with solutions such as enhanced oral hygiene, administration of antimicrobial and anti-inflammatory medications, or anatomical variations that may require procedures like gingivectomy, alveolar bone smoothing, or orthodontic treatment.
Systemic factors may include diabetes, autoimmune diseases, hormonal changes during pregnancy, or menopause.
It is recommended to have a detailed discussion with the treating physician.

Reply Date: 2023/07/26

More Info


Dealing with gum issues after wisdom tooth extraction can be quite challenging, especially when you have experienced complications such as inflammation or food debris accumulation. Based on your description, it seems that you are facing persistent discomfort and potential gum issues following the extraction of your wisdom teeth. Here’s a comprehensive approach to managing your situation:
1. Understanding the Problem: After wisdom tooth extraction, it’s common for the surrounding gum tissue to be sensitive and inflamed. This can be exacerbated if food particles get trapped in the area, leading to further irritation and potential infection. The fact that your dentist has noted the presence of gum tissue that may be covering your remaining teeth suggests that you might be dealing with a condition known as "gingival hyperplasia," where the gum tissue grows over the teeth.

2. Maintaining Oral Hygiene: It’s crucial to maintain excellent oral hygiene, especially in the areas where you have had teeth extracted. Here are some steps you can take:
- Gentle Brushing: Use a soft-bristled toothbrush to gently brush your teeth and gums. Be careful around the extraction sites to avoid causing further irritation.

- Interdental Cleaning: Utilize dental floss or interdental brushes to clean between your teeth. This can help remove food particles that may be trapped and reduce the risk of gum inflammation.

- Rinsing: After meals, rinse your mouth with warm salt water (a teaspoon of salt in a cup of warm water) to help soothe the gums and reduce inflammation. Avoid using mouthwashes that contain alcohol, as they can further irritate the gums.

3. Managing Pain and Inflammation: Since you are experiencing pain, it’s essential to manage it effectively:
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation. Always follow the recommended dosage on the packaging or consult your dentist for advice.

- Follow-Up with Your Dentist: If the pain persists or worsens, it’s crucial to return to your dentist. They may need to assess the area for any signs of infection or other complications that may require treatment.

4. Professional Cleaning: If food debris continues to accumulate and you find it challenging to clean the area adequately, consider scheduling a professional dental cleaning. A dental hygienist can remove plaque and tartar buildup and provide guidance on maintaining your oral hygiene post-extraction.

5. Monitoring Gum Health: Keep an eye on your gum health. If you notice increased swelling, redness, or pus, these could be signs of infection, and you should seek dental care immediately. Your dentist may prescribe antibiotics if an infection is present.

6. Long-Term Care: After the initial healing period, if you find that your gum tissue continues to grow over your teeth, you may need to discuss potential treatments with your dentist. This could include surgical options to remove excess gum tissue or other interventions to ensure your teeth remain healthy and functional.

7. Lifestyle Considerations: Lastly, consider lifestyle factors that may affect your gum health. Smoking, for instance, can impede healing and contribute to gum disease. If you smoke, reducing or quitting can significantly improve your oral health.

In summary, managing gum issues after wisdom tooth extraction requires a combination of good oral hygiene practices, pain management, professional dental care, and monitoring for any signs of complications. If you continue to experience discomfort, do not hesitate to reach out to your dentist for further evaluation and treatment options. Your oral health is paramount, and addressing these issues promptly can lead to a more comfortable recovery.

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