Should You See a Doctor for Gum Ulcers? ENT or Dentist? - Otolaryngology

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The gum ulcer has been present for 3 to 4 days?


I asked my dentist via Line about gum ulcers, and he said I should see a doctor.
Which specialty should I consult?

Guanlun, 10~19 year old female. Ask Date: 2024/02/08

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is recommended to see a dentist or an oral surgeon.

Reply Date: 2024/02/08

More Info


When dealing with gum ulcers, it's essential to determine the appropriate specialist to consult for effective treatment. In your case, since you are experiencing gum ulcers, the best course of action is to see a dentist. Dentists specialize in oral health, including issues related to gums, teeth, and the surrounding tissues. They are trained to diagnose and treat various oral conditions, including gum disease, infections, and ulcers.

Gum ulcers can arise from several causes, including trauma, infections, systemic diseases, or even nutritional deficiencies. A dentist will be able to assess the ulcer's characteristics, such as its size, appearance, and any accompanying symptoms, to determine the underlying cause. They can also provide appropriate treatment options, which may include topical medications, oral rinses, or recommendations for improving oral hygiene practices.

While ENT (Ear, Nose, and Throat) specialists are experts in conditions affecting the throat and nasal passages, they are not typically the first choice for gum-related issues. However, if the ulcers are suspected to be linked to a systemic condition that affects both the oral cavity and the throat, an ENT may be consulted as part of a broader diagnostic approach. For example, if there are signs of a more extensive infection or if the ulcers are persistent and not responding to dental treatment, an ENT might be involved.

In summary, for gum ulcers, your primary point of contact should be a dentist. They can evaluate your condition, provide treatment, and refer you to other specialists if necessary. It's crucial not to ignore persistent ulcers, as they can indicate underlying health issues that may require more comprehensive management.


Additional Considerations
1. Symptoms to Watch For: If you experience severe pain, swelling, or if the ulcers do not heal within a couple of weeks, it is essential to seek dental care promptly. These could be signs of a more serious condition.

2. Home Care: In the meantime, maintaining good oral hygiene is vital. Rinse your mouth with warm salt water to help soothe the area and promote healing. Avoid spicy or acidic foods that may irritate the ulcers further.

3. Underlying Conditions: Sometimes, gum ulcers can be a sign of systemic issues such as autoimmune diseases, vitamin deficiencies (like Vitamin B12 or folate), or even stress-related conditions. If your dentist suspects an underlying issue, they may recommend blood tests or refer you to a physician for further evaluation.

4. Follow-Up: If your dentist provides treatment and you do not see improvement, do not hesitate to follow up. Persistent ulcers may require a more in-depth investigation to rule out serious conditions.

5. Preventive Measures: To prevent future occurrences, focus on a balanced diet rich in vitamins and minerals, practice good oral hygiene, and manage stress effectively. Regular dental check-ups can also help catch potential issues early.

In conclusion, while gum ulcers can be concerning, consulting a dentist is the most appropriate first step. They can provide targeted treatment and guide you on the next steps if further evaluation is needed.

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