Pericoronitis with purulent discharge?
Hello, doctor.
My father previously visited a dentist and was diagnosed with periodontal disease.
Recently, he has developed several gum boils near his lower right teeth (around the lower incisors).
When he accidentally bites down on food, they burst.
After they burst, he says that if he squeezes them, yellow pus comes out.
It's quite disgusting.
My father went to the dentist, but they only drained the pus, cleaned his teeth, and prescribed him antibiotics.
The teeth with the gum boils are all natural teeth.
Now, my father is reluctant to visit the dentist.
Whenever he has a gum boil, he only goes to a clinic to get antibiotics.
I'm not sure if this indicates a problem with his gums.
Additionally, this happens frequently, but each time it occurs on different teeth.
QQ, 20~29 year old female. Ask Date: 2011/11/13
Dr. Huang Zhicheng reply Dentistry
Dear QQ: Your esteemed elder is likely suffering from generalized periodontal disease, with alveolar bone resorption and periodontal pockets that are difficult to clean.
As a result, the oral microorganisms can repeatedly cause infections, leading to pus formation and tooth mobility.
Please consult a dentist for a thorough deep cleaning, root planing, and possibly flap surgery to preserve the teeth.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2011/11/13
More Info
Gum boils, also known as dental abscesses, are localized infections that can occur in the gums or around the roots of teeth. They are often caused by bacterial infections that result from untreated dental issues, such as cavities, gum disease, or trauma to the teeth. In your father's case, the presence of gum boils near his lower front teeth suggests that there may be underlying dental problems that need to be addressed.
Causes of Gum Boils
1. Dental Caries (Cavities): When a tooth decays, bacteria can invade the tooth structure, leading to infection. If the infection progresses, it can reach the root of the tooth and cause a gum boil.
2. Periodontal Disease: This is an infection of the tissues that support the teeth. It can lead to the formation of pockets around the teeth where bacteria thrive, resulting in gum boils.
3. Trauma: If your father accidentally bumps his teeth, it can cause damage to the gums or teeth, allowing bacteria to enter and cause an infection.
4. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which can cause gum disease and subsequent infections.
5. Systemic Health Issues: Conditions such as diabetes can impair the body's ability to fight infections, making individuals more susceptible to gum problems.
Symptoms
Gum boils can present with various symptoms, including:
- Swelling and redness in the affected area.
- Pain or tenderness, especially when chewing or touching the area.
- Pus drainage, which may have a foul odor.
- Fever or general malaise in more severe cases.
Treatment Options
1. Dental Evaluation: It is crucial for your father to see a dentist for a comprehensive evaluation. The dentist can determine the underlying cause of the gum boils and recommend appropriate treatment.
2. Antibiotics: While your father has been prescribed antibiotics, it is essential to ensure that the underlying infection is adequately treated. Antibiotics can help reduce the infection but will not resolve the issue if the source of the infection (like a cavity or gum disease) is not addressed.
3. Dental Procedures: Depending on the diagnosis, your father may need procedures such as:
- Root Canal Therapy: If the infection is at the root of a tooth, this treatment can help remove the infected tissue and save the tooth.
- Scaling and Root Planing: For gum disease, this deep cleaning procedure can help remove plaque and tartar from below the gum line.
- Tooth Extraction: In cases where the tooth is severely damaged or infected, extraction may be necessary.
4. Improved Oral Hygiene: Encourage your father to maintain good oral hygiene practices, including brushing twice a day, flossing daily, and using an antibacterial mouthwash. This can help prevent future infections.
5. Regular Dental Visits: Regular check-ups with a dentist can help catch dental issues early before they develop into more serious problems.
Nutritional Considerations
While gum boils are primarily caused by bacterial infections, maintaining a healthy diet can support overall oral health. Nutrients such as vitamin C, calcium, and vitamin D are essential for gum health. A diet rich in fruits, vegetables, whole grains, and lean proteins can help strengthen the immune system and promote healing.
Conclusion
In summary, gum boils are a sign of underlying dental issues that require attention. It is essential for your father to seek a thorough evaluation from a dentist to determine the cause of the gum boils and receive appropriate treatment. While antibiotics can help manage the infection, addressing the root cause is crucial for long-term dental health. Encouraging good oral hygiene practices and regular dental visits will also play a significant role in preventing future occurrences.
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