Gum Sensations and Issues with Dental Implants - Dentistry

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Swelling sensation in the gums around the dentures?


Hello, doctors.
I appreciate your hard work.
A few days ago, I stayed up late and felt a slight swelling in my left gum, which I thought was due to heat.
However, in the past two days, I haven't noticed any swelling in my gums.
Today, I discovered that the third tooth from the back on the left side is a silver crown.
Although it doesn't appear swollen on the surface, when I press near my left nostril, I can feel a line connecting to the gum around the crown.
Does this indicate that there might be inflammation inside the gum? Additionally, since the crown was placed, I occasionally feel a tingling sensation.

Ning, 40~49 year old female. Ask Date: 2014/03/01

Dr. Zeng Guanghui reply Dentistry


The third tooth from the back on the left side is a silver crown.
Pressing on the area next to the left nostril feels like a line connecting to the gum tissue around the crown, and occasionally there is a sensation of tenderness.
It is important to check if the adjacent gum shows any swelling or pain, or if there is any inflammation or bleeding.
If any of these symptoms are present, it may indicate gum inflammation, and you should consult a dentist for further evaluation and treatment.

Reply Date: 2014/03/01

More Info


When it comes to understanding gum sensations and issues related to dental implants, it's essential to consider several factors that could contribute to the discomfort you're experiencing. Based on your description, it seems you are noticing sensations in your gums, particularly around a dental implant or a silver crown, which may indicate underlying issues that need to be addressed.

Firstly, the sensation of pressure or discomfort in the gums can often be a sign of inflammation. Even if there is no visible swelling, the internal tissues can still be affected. This inflammation could be due to several reasons, including:
1. Peri-implantitis: This is an inflammatory condition affecting the soft and hard tissues surrounding a dental implant. It can occur due to bacterial infection, often resulting from poor oral hygiene or plaque accumulation. Symptoms may include discomfort, gum bleeding, and in some cases, bone loss around the implant.

2. Gum Recession: If the gums have receded around the implant or crown, it can expose the underlying structures, leading to sensitivity and discomfort. This can happen due to aggressive brushing, periodontal disease, or the natural aging process.

3. Occlusal Issues: If the bite is not properly aligned, it can lead to excessive pressure on certain teeth or implants, causing discomfort. This misalignment can result in a feeling of pressure or discomfort when biting or chewing.

4. Nerve Sensitivity: Sometimes, the nerves in the area can become sensitive due to various factors, including recent dental work or changes in the surrounding tissues. This sensitivity can manifest as a tingling or aching sensation.

5. Material Reaction: Occasionally, patients may experience sensitivity to the materials used in dental crowns or implants. While rare, some individuals may have allergic reactions or sensitivities to metals used in dental restorations.

Given that you mentioned feeling a connection between the discomfort in your gums and the area around your dental implant, it is crucial to consult with your dentist or oral surgeon. They may recommend a thorough examination, including X-rays, to assess the condition of the implant and surrounding bone structure.
In the meantime, here are some recommendations to help manage your symptoms:
- Maintain Good Oral Hygiene: Ensure you are brushing and flossing regularly, especially around the implant area. Consider using an antimicrobial mouthwash to help reduce bacteria.

- Avoid Irritating Foods: If certain foods exacerbate the discomfort, try to avoid them until you can see your dentist.

- Warm Salt Water Rinse: Rinsing with warm salt water can help soothe inflamed gums and promote healing.

- Pain Management: Over-the-counter pain relievers may help alleviate discomfort, but consult your dentist before taking any medication.

- Follow-Up Appointment: Schedule a follow-up appointment with your dentist to discuss your symptoms. They may perform a clinical examination and possibly take radiographs to check for any underlying issues.

In conclusion, while your symptoms may not seem severe at the moment, they warrant attention to prevent potential complications. Early intervention can help address any issues related to your dental implant or surrounding gum tissue, ensuring your oral health remains optimal. Always communicate openly with your dental care provider about any changes or discomfort you experience, as they can provide tailored advice and treatment options based on your specific situation.

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