Hello, Dr. Lin?
I'm not sure if I injured it by poking too hard with a toothpick, but there is a small red hole in the gum tissue near the two teeth in front of my lower right wisdom tooth.
It feels like I might have hurt it by being too forceful, and I can't quite remember when it started, but it feels like it's been 2 to 3 weeks.
At first, it was very painful, especially when I bit down on that area while eating.
Now, the pain is not as intense as it was initially, and the hole seems to have gotten a bit smaller, but it still hurts.
Should I see an oral specialist at the hospital? Do I need medication to assist with healing? However, I've noticed that there is a long wait for appointments at the major hospitals...
Mr. Chen, 30~39 year old female. Ask Date: 2024/05/28
Dr. Lin Jiayong reply Dentistry
Hello: If an oral wound has not healed after two weeks, it is advisable to seek direct medical treatment from a physician for safety.
Major medical centers typically offer walk-in outpatient services, so there is no need to worry.
Both the Ear, Nose, and Throat (ENT) department and Oral and Maxillofacial Surgery department can assist.
Reply Date: 2024/05/28
More Info
It sounds like you are experiencing some discomfort due to a gum injury near your wisdom tooth, which you suspect may have been caused by using a toothpick too forcefully. Given that you have had this issue for 2 to 3 weeks, it's important to consider a few factors regarding your oral health and whether you should see a dentist.
Firstly, the fact that you initially experienced significant pain that has since decreased is a positive sign. This could indicate that the injury is healing. However, the presence of a red hole or ulceration in the gum tissue, even if it is getting smaller, suggests that there may still be some inflammation or irritation present. Pain that persists, even if it is less severe, can indicate that the tissue has not fully healed or that there may be an underlying issue, such as an infection or a foreign body that is causing continued irritation.
In general, if you have a gum injury that has not healed after a couple of weeks, it is advisable to see a dentist. They can assess the area more thoroughly and determine if there is an infection or other complications that need to be addressed. A dentist may also provide treatment options that can help promote healing, such as antiseptic rinses or topical medications.
Additionally, if the gum injury is near a wisdom tooth, there is a possibility that the tooth itself could be contributing to the problem. Wisdom teeth can sometimes cause crowding or misalignment of adjacent teeth, leading to gum issues. If your wisdom tooth is impacted or partially erupted, it may be worth discussing this with your dentist, as it could be a contributing factor to your gum discomfort.
As for the wait time to see a dentist, it can vary depending on the clinic and your location. If you are experiencing significant discomfort or if the area appears to be worsening, you might consider seeking care at an urgent dental clinic or an emergency room, especially if you notice any signs of infection, such as increased redness, swelling, or pus.
In the meantime, you can take some steps to manage your discomfort. Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can also help alleviate pain. Avoiding irritating foods, such as spicy or acidic items, can prevent further discomfort.
In summary, while it is encouraging that your pain has decreased and the injury appears to be healing, it is still advisable to see a dentist for a thorough evaluation. They can provide the appropriate treatment and guidance to ensure that your gum injury heals properly and to rule out any potential complications. Taking care of your oral health is crucial, and addressing any concerns early can help prevent more serious issues down the line.
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