The gums feel unusual after the car accident?
Hello, Doctor! I was in a car accident on February 3rd, and I sustained multiple injuries on the right side of my body, including a fracture of my right cheek and right thigh.
My lips were also injured and required stitches.
Initially, the doctor said my teeth were fine, but I have been feeling that my upper front tooth is starting to shift to the right and sometimes feels sensitive.
Today, on March 11th, after brushing my teeth, I closely examined them and noticed the following: (1) There is a dark area between my upper right front tooth and the adjacent tooth, and using dental floss did not remove anything.
(2) The gum on the upper right side feels like it is peeling when I touch it with my tongue.
(3) The gum around the third tooth from the center on the lower right side looks unusual; the part that usually appears slightly white is particularly white, and when I touched it with my fingernail, it felt like the tooth was not fully surrounded by gum tissue and had slight mobility.
Additionally, I noticed that the height of the gum surrounding that tooth is lower than that of my other teeth.
None of these issues are painful, but I rarely have cavities or similar problems.
So, I would like to ask the doctor what might be happening with my upper teeth? Can gums peel? More importantly, what could be the serious issue with the lower tooth? Could it be gum recession? Did I brush away the gum tissue? Will it heal on its own? Can that tooth be saved? I would greatly appreciate your answers to my concerns, as I am feeling extremely scared and worried.
Thank you very much, Doctor!
Miss Hsu, 20~29 year old female. Ask Date: 2024/03/11
Dr. Zeng Guanghui reply Dentistry
Hello Ms.
Hsu: If the teeth surrounded by the gums are lower than the other teeth, it may be due to gum recession.
If the teeth affected by the accident feel uncomfortable, it is advisable to return for a follow-up appointment and have a dentist conduct a thorough examination.
Reply Date: 2024/03/11
More Info
I'm sorry to hear about your accident and the subsequent dental concerns you're experiencing. It's understandable to feel anxious about changes in your oral health, especially after such a traumatic event. Let's address your concerns one by one.
1. Discoloration Between Teeth: The black area you noticed between your upper right front tooth and the adjacent tooth could be indicative of several issues. It might be a sign of dental caries (cavities) or could be related to the trauma you experienced. Sometimes, trauma can cause enamel to crack or chip, leading to discoloration. It's essential to have a dentist evaluate this area, as early intervention can prevent further decay or complications.
2. Gum Issues: The sensation of your gums feeling "peeling" or different can be concerning. Gum tissue can become irritated or inflamed due to various factors, including trauma, poor oral hygiene, or even stress. It's also possible that the injury from the accident has led to some localized gum issues. If the gum tissue appears to be receding or if there are changes in texture, this could be a sign of gingival recession or periodontal issues.
3. Lower Tooth Concerns: The lower tooth that feels "weird" and has a noticeable difference in gum height could be experiencing gum recession or other periodontal issues. The fact that it feels slightly mobile is concerning, as it may indicate that the tooth is not securely anchored in the jawbone. This could be due to trauma, infection, or periodontal disease. It's crucial to have this evaluated by a dental professional, as they can determine the underlying cause and recommend appropriate treatment.
4. Gum Recession and Healing: Gum recession can occur for various reasons, including aggressive brushing, trauma, or periodontal disease. If you suspect that your brushing technique may have contributed to the gum issues, consider using a softer-bristled toothbrush and adopting a gentler brushing technique. While some gum tissue can heal, significant recession may require professional treatment, such as gum grafting, to restore the gum line.
5. Long-term Tooth Health: The mobility of the lower tooth is a red flag. If the tooth is indeed loose, it may be at risk of loss if not addressed promptly. Your dentist may recommend X-rays to assess the health of the tooth's root and surrounding bone structure. Depending on the findings, treatment options may include splinting the tooth, periodontal therapy, or, in severe cases, extraction.
In summary, it's crucial to follow up with your dentist as soon as possible to address these concerns. They can provide a thorough examination, possibly including X-rays, to determine the best course of action. Early intervention is key to preserving your teeth and maintaining your oral health. Don't hesitate to express your concerns to your dentist; they are there to help you navigate these issues and alleviate your fears. Remember, taking proactive steps now can lead to better outcomes in the long run.
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