Persistent Gum Inflammation and Pus: Seeking Solutions After Dental Surgery - Dentistry

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Gingival redness and purulence?


The five anterior lower teeth underwent alveolar repositioning surgery due to a car accident.
After the surgery, the gums remained red as if they were still injured, but there was no pain.
After four to five months, the gums began to ache and slightly swell.
I visited a local clinic where the doctor prescribed anti-inflammatory medication and performed root canal treatment on two or three of my displaced teeth.
The doctor has been applying medication to my teeth weekly, and treatment has been ongoing for over two months, but the gums continue to purulent.
What should I do to improve this condition? It seems that the treatment is not very effective.
Should I consider changing doctors, or are there dietary restrictions I should follow? I am troubled and would greatly appreciate your help.
Thank you!

MISS, 10~19 year old female. Ask Date: 2005/03/21

Dr. Liu Tiancai reply Dentistry


Hello: Your teeth were injured in the car accident, and your gums are still purulent.
There are two possible reasons: (1) The alveolar bone may have fractured during the accident, and if any fragments were not removed, it could lead to persistent infection.
(2) The dental pulp may be necrotic, leading to bacterial infection, and the root canal treatment may not have been completed.
If you have been treated for two months without any significant progress, please visit a teaching hospital for further management.
This issue is unrelated to your diet.
Sincerely, Dr.
Liu Tian-Cai, Dentistry.

Reply Date: 2005/03/21

More Info


Persistent gum inflammation and pus after dental surgery can be concerning and frustrating, especially when symptoms do not improve despite ongoing treatment. It sounds like you have been through a significant amount of dental work following your accident, and it’s understandable to seek clarity on your situation.

First, it’s important to recognize that inflammation and pus in the gums can indicate an ongoing infection. This can occur for several reasons, including inadequate healing, the presence of foreign material, or even issues related to the alignment of your teeth after the surgery. Given that you have experienced prolonged symptoms for several months, it may be necessary to reassess your treatment plan.

Here are some steps and considerations that may help you address your persistent gum issues:
1. Consultation with a Specialist: If your current dentist has not been able to resolve the issue after two months of treatment, it may be beneficial to seek a second opinion from a periodontist or an oral surgeon. These specialists focus on gum health and may provide insights or treatments that your current dentist may not have considered.

2. Diagnostic Imaging: Sometimes, persistent gum issues can be linked to underlying problems that are not visible during a standard examination. X-rays or other imaging techniques can help identify any hidden infections, bone loss, or issues with the roots of your teeth that may be contributing to the inflammation.

3. Review of Oral Hygiene Practices: Maintaining excellent oral hygiene is crucial, especially after dental surgery. Ensure you are brushing at least twice a day and flossing daily. Additionally, using an antibacterial mouthwash can help reduce bacteria in the mouth and promote healing.

4. Dietary Considerations: Certain foods can exacerbate gum inflammation. It may be helpful to avoid sugary foods, acidic beverages, and hard or crunchy foods that could irritate your gums. Instead, focus on a balanced diet rich in vitamins and minerals, particularly vitamin C, which is essential for gum health.

5. Medication Review: If you are on anti-inflammatory medications or antibiotics, discuss with your dentist whether these are appropriate for your condition. Sometimes, a different antibiotic or a longer course may be necessary to fully address an infection.

6. Possible Surgical Intervention: In some cases, if there is a persistent pocket of infection or if the gum tissue is not healing properly, surgical intervention may be required to clean the area thoroughly and promote healing.

7. Monitoring and Follow-Up: Regular follow-up appointments are essential to monitor the healing process. If symptoms persist or worsen, it is crucial to communicate this to your dental care provider.

8. Stress Management: Stress can impact your immune system and overall healing. Engaging in stress-reducing activities such as exercise, meditation, or hobbies can support your recovery.

In conclusion, while it can be disheartening to deal with ongoing gum issues after dental surgery, there are several avenues to explore for resolution. Seeking a second opinion, ensuring proper oral hygiene, reviewing your diet, and possibly considering further treatment options can all contribute to improving your gum health. Remember, your comfort and health are paramount, and it’s important to advocate for yourself in your dental care journey.

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