Gum Disease vs. Wisdom Teeth Pressure: A Dental Dilemma - Dentistry

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Periodontal disease or wisdom tooth impaction?


Hello Dr.
Yang: I originally had one upper wisdom tooth that was growing in relatively straight, but in the past few months, two more wisdom teeth have erupted, one on top and one on the bottom.
The lower one is partially covered by gum tissue, which often becomes inflamed.
I have been using an interdental brush to clean it regularly, but recently I have frequently felt discomfort in the gums near my upper front teeth.
Additionally, a few of my front teeth and some on the lower jaw feel slightly loose.
I am unsure if this could be related to periodontal disease or if it is due to the pressure from the wisdom teeth.
Thank you.

Hengli, 20~29 year old female. Ask Date: 2011/01/25

Dr. Yang Zhiren reply Dentistry


Hello, the mobility of your front teeth may indicate the presence of periodontal disease, which requires further examination (it is not related to the pressure from wisdom teeth).
Dr.
Yang Zhiren, Director of Dentistry at Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/01/25

More Info


Hello! It sounds like you're experiencing a complex dental issue that may involve both gum disease and the emergence of your wisdom teeth. Let's break down the potential causes and implications of your symptoms.

Firstly, the discomfort you're feeling in the gums near your front teeth could indeed be related to gum disease, also known as periodontal disease. This condition occurs when plaque—a sticky film of bacteria—builds up on your teeth and irritates the gums, leading to inflammation. If left untreated, it can progress to more severe forms, potentially causing gum recession and tooth mobility, which might explain the slight looseness you’re feeling in your teeth. Symptoms of gum disease can include swollen, red gums, bleeding when brushing, and persistent bad breath.

On the other hand, the emergence of your wisdom teeth can also contribute to discomfort and pressure in the surrounding areas. Wisdom teeth, or third molars, often do not have enough space to emerge properly, leading to impaction. This can cause inflammation and infection in the gum tissue, especially if they are partially erupted and covered by gum tissue, as you described. The pressure from these teeth can also push against adjacent teeth, potentially exacerbating any existing dental issues.

Given that you have been using an interdental brush to maintain oral hygiene, that’s a positive step. However, if the wisdom teeth are causing recurrent inflammation, it may be necessary to consult with a dentist or an oral surgeon. They can assess whether the wisdom teeth need to be extracted, especially if they are contributing to your discomfort and the potential for gum disease.

In terms of treatment, if gum disease is confirmed, your dentist may recommend a deep cleaning procedure known as scaling and root planing, which removes plaque and tartar from below the gum line. Additionally, they may suggest improved oral hygiene practices, including regular brushing with fluoride toothpaste, flossing, and possibly using an antimicrobial mouthwash to help reduce bacteria in your mouth.

It’s also crucial to monitor the mobility of your teeth. If they continue to feel loose, this could indicate a more serious issue that requires immediate attention. Your dentist may take X-rays to evaluate the health of the bone supporting your teeth and to check for any signs of infection or other complications.

In summary, the discomfort in your gums could stem from either gum disease or the pressure from your wisdom teeth, or possibly a combination of both. It’s essential to have a thorough examination by a dental professional who can provide a definitive diagnosis and appropriate treatment plan. Regular dental check-ups are vital for maintaining oral health, especially when dealing with potential gum disease and the complications associated with wisdom teeth. Don’t hesitate to reach out to your dentist to discuss your symptoms and get the care you need.

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