Gum Pain: Causes, Treatment, and Healing Time - Dentistry

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Gum pain issues?


Hello Doctor: I visited the dentist the day before the Lunar New Year because I had pain in my lower right front gums for a month.
After examination, the doctor diagnosed it as gingivitis caused by food debris trapped in the gums.
He used sharp instruments to clean the area (which caused some bleeding) and prescribed a three-day course of anti-inflammatory and pain relief medication.
He instructed me to apply the medication four times a day for inflammation and take pain relief three times a day.
The doctor told me that I would feel better in two to three days.
I have finished all my medication, and now on the fourth day, the pain in that area persists.
Additionally, I have started to feel soreness, pain, and numbness in the last tooth on both sides of my upper jaw, and the front left side of my upper jaw feels sore and painful when brushing.
I would like to ask if this is a normal phenomenon.
Also, how long does it typically take for the treated wound to heal? Thank you!

Ruo Ruo, 20~29 year old female. Ask Date: 2024/02/12

Dr. Zeng Guanghui reply Dentistry


Hello Miss Ruo Ruo: 1.
If your gums are painful, it indicates that the gum inflammation has not fully resolved.
It is recommended to return for a follow-up appointment for further examination by a dentist.
2.
The wounds from gingivitis typically take about 3 to 4 days to gradually heal.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2024/02/12

More Info


Gum pain can be a frustrating and uncomfortable experience, especially when it persists despite treatment. Based on your description, it seems that you initially had localized gum inflammation due to debris accumulation, which your dentist addressed. However, the ongoing pain and the emergence of discomfort in other areas of your mouth may indicate a few underlying issues that need to be explored further.


Causes of Gum Pain
1. Gingivitis: This is the inflammation of the gums, often caused by plaque buildup. It can lead to swelling, redness, and bleeding, especially when brushing or flossing.


2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, a more severe form of gum disease that affects the supporting structures of the teeth. This can cause gum recession and tooth mobility.

3. Infection: After dental procedures, there is a risk of developing an infection, especially if the area was inflamed or if there was bleeding. This could lead to increased pain and discomfort.

4. Nerve Irritation: Sometimes, dental work can irritate the nerves in the area, leading to referred pain in adjacent teeth or gums.

5. Dental Abscess: This is a localized collection of pus that can occur due to infection. It may cause significant pain and swelling.


Treatment Options
1. Continued Oral Hygiene: Maintaining good oral hygiene is crucial. Brush gently but thoroughly, and consider using an antibacterial mouthwash to help reduce inflammation and bacteria.

2. Salt Water Rinse: Rinsing with warm salt water can help soothe the gums and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, consult with your healthcare provider before taking any medication, especially if you have underlying health conditions.

4. Follow-Up with Your Dentist: Since you are experiencing persistent pain, it is essential to follow up with your dentist. They may need to re-evaluate the area to check for any signs of infection or other complications.

5. Possible Referral: If the pain continues, your dentist might refer you to a periodontist or an oral surgeon for further evaluation and treatment.


Healing Time
The healing time for gum tissue can vary significantly based on the severity of the inflammation and the individual’s overall health. Generally, if the inflammation is mild and treated appropriately, you might expect improvement within a week or two. However, if there is a more significant underlying issue, such as an infection or periodontitis, healing could take longer and may require more intensive treatment.


Conclusion
In summary, while it is not uncommon to experience some discomfort after dental treatment, the persistence of pain, especially with new symptoms arising, warrants further investigation. It is crucial to maintain good oral hygiene and consult with your dentist for a thorough examination and appropriate treatment. Remember, early intervention can prevent more severe complications and promote faster healing.

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