Gum Issues: When to Seek Dental Care for Swelling - Dentistry

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Gum issues


On the first day, I felt something unusual above crowns 2 and 3, but there was no swelling or pain.
By the seventh day, the gums around teeth 1, 2, and 3 were swollen, particularly at the junction of teeth 2 and 3, which was painful when pressed.
Eating does not cause sensitivity.
Tooth 3 had a root canal treatment 12 years ago.
Currently, I am following the advice given during my visit on the second day, which includes flossing and brushing after meals.
There is no spontaneous pain, but there is a feeling of swelling.
How many days of persistent swelling should prompt me to seek medical attention again? I have about 10 days until my next appointment.

Niming, 30~39 year old female. Ask Date: 2023/10/30

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
Anonymous: If your gums are persistently swollen, it indicates that there is inflammation or infection in the gums, and you should seek treatment from a dentist as soon as possible.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/10/30

More Info


When it comes to dental health, particularly regarding gum issues such as swelling, it is essential to understand the underlying causes and when to seek professional care. Based on your description, it seems that you are experiencing swelling in the gums around your teeth, particularly around teeth 2 and 3, which may indicate a potential issue that requires attention.

Swelling in the gums can be caused by various factors, including infection, inflammation, or even a reaction to dental work. Given that you have a history of root canal treatment on one of your teeth, it is possible that the swelling could be related to that area, especially if there is an infection or if the tooth is not healing properly.
In general, if you notice swelling in your gums, it is crucial to monitor the situation closely. Here are some guidelines to help you determine when to seek dental care:
1. Duration of Swelling: If the swelling persists for more than a few days without improvement, it is advisable to contact your dentist. Swelling that lasts longer than three days, especially if it is accompanied by pain or discomfort, should be evaluated by a dental professional.

2. Pain and Sensitivity: While you mentioned that you do not experience spontaneous pain, the fact that there is tenderness when pressing on the swollen area is a sign that something may be amiss. If the pain intensifies or if you start to feel sensitivity when eating or drinking, this is another indicator that you should seek dental care sooner rather than later.

3. Changes in Symptoms: If you notice any changes in your symptoms, such as the development of a fever, increased swelling, or the appearance of pus, you should seek immediate dental attention. These symptoms could indicate a more serious infection that requires prompt treatment.

4. Follow-Up Appointments: Since you have a follow-up appointment scheduled in about ten days, it is essential to keep that appointment unless your symptoms worsen. If they do, do not hesitate to reach out to your dentist for an earlier evaluation.

5. Home Care: In the meantime, continue with the oral hygiene practices recommended by your dentist, such as using dental floss and brushing gently around the swollen area. Rinsing with warm salt water can also help reduce inflammation and promote healing.

6. Underlying Conditions: If you have any underlying health conditions, such as diabetes or a compromised immune system, it is crucial to be more vigilant about dental issues, as these can complicate healing and increase the risk of infections.

In summary, while it is good that you are following your dentist's advice and monitoring your symptoms, do not hesitate to seek care if the swelling persists or worsens. Dental health is vital, and addressing issues early can prevent more severe complications down the line. Always trust your instincts; if something feels off, it is better to err on the side of caution and consult your dentist.

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