Gum Issues: When to See a Dentist for Your Oral Health - Dentistry

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Gums


It seems that the gum tissue in the middle of your upper front teeth has receded towards the back of the teeth.
When your lower teeth come together, they may be biting into the gums.
Additionally, you experience bleeding when brushing your teeth.
What could this condition be, and should you see a dentist?

Ahan, 10~19 year old female. Ask Date: 2007/06/11

Dr. Wu Jinjun reply Dentistry


Hello, you may have periodontal disease and dental misalignment, so you should consult a dentist for an examination.

Reply Date: 2007/06/11

More Info


When it comes to gum health, the symptoms you are describing—receding gums, bleeding during brushing, and discomfort when biting—are significant indicators that you should see a dentist as soon as possible. These issues can be signs of periodontal disease, which is an infection of the structures around the teeth, including the gums, periodontal ligament, and bone.
Gum recession occurs when the gum tissue pulls back from the teeth, exposing more of the tooth or its root. This can lead to increased sensitivity, especially when consuming hot or cold foods and beverages. The fact that you are experiencing bleeding during brushing is also concerning. Healthy gums should not bleed when you brush or floss. Bleeding gums can indicate gingivitis, the earliest stage of gum disease, which is usually caused by plaque buildup on the teeth. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss.

The discomfort you feel when your upper front teeth bite into your lower gums is likely due to the gum recession. When the gums recede, the teeth can become misaligned, leading to improper contact between the upper and lower teeth. This misalignment can cause pain and discomfort, especially when chewing.

In addition to these symptoms, it’s essential to consider other factors that may contribute to your gum issues. Poor oral hygiene, smoking, hormonal changes, certain medications, and underlying health conditions (such as diabetes) can all affect gum health. If you have a history of orthodontic treatment, as mentioned in previous discussions, the alignment of your teeth can also play a role in how your gums respond.

To address your concerns, here are some steps you should take:
1. Schedule a Dental Appointment: It is crucial to see a dentist for a thorough examination. They will assess the extent of gum recession, check for signs of periodontal disease, and determine the best course of action.

2. Professional Cleaning: A professional dental cleaning can remove plaque and tartar buildup that regular brushing may miss. This cleaning can help reduce inflammation and bleeding.

3. Improved Oral Hygiene: While waiting for your dental appointment, ensure you maintain good oral hygiene. Use a soft-bristled toothbrush and gentle brushing techniques to avoid further irritation to your gums. Floss daily to remove plaque between teeth.

4. Discuss Treatment Options: Depending on the severity of your gum issues, your dentist may recommend treatments ranging from deep cleaning (scaling and root planing) to surgical options if the recession is significant.

5. Monitor Your Symptoms: Keep track of any changes in your symptoms, including increased bleeding, pain, or changes in tooth sensitivity. This information will be valuable for your dentist.

6. Consider Lifestyle Changes: If you smoke, consider quitting, as smoking is a significant risk factor for gum disease. Additionally, a balanced diet rich in vitamins and minerals can support oral health.

In summary, the symptoms you are experiencing warrant a visit to the dentist. Early intervention is key to preventing further complications and maintaining your oral health. Remember, healthy gums are essential for overall dental health, and addressing these issues promptly can help you avoid more severe problems in the future.

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