Persistent Gum Inflammation: When to Seek Further Dental Care? - Dentistry

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I saw a doctor for my gum inflammation a week ago, but it still hasn't improved?


Hello, my gums around the second to last molar on the upper right side have been inflamed for about 10 days.
I visited the dentist a week ago, and the doctor said it was just gum inflammation and that it would improve with proper cleaning.
They performed a cleaning, but it didn't hurt much.
After returning home, I didn't feel any significant changes.
Now, a week later, the swelling is still present, and it doesn't seem to be improving at all.
During this time, I have been brushing my teeth and using dental floss after every meal, so I believe I am keeping it clean.
Should I wait a bit longer to see if it gets better, or should I go back to the dentist? P.S.
I have been staying up late occasionally, but everything else in my life is normal.

Jingmei Kim Jong-un, 20~29 year old female. Ask Date: 2015/07/19

Dr. Zhang Xiangyuan reply Dentistry


Dear user, based on your description, if you still feel that your gums are persistently swollen, it is advisable to consult a dentist to check for any abnormalities in your gums or to consider further treatment.
Thank you for your inquiry.

Reply Date: 2015/07/19

More Info


Persistent gum inflammation can be a concerning issue, especially if it has not improved after a week of diligent oral hygiene practices. In your case, the inflammation around your upper right molars has persisted for ten days despite a dental cleaning and regular brushing and flossing. Here are some considerations and recommendations based on your situation.

Firstly, it is essential to understand that gum inflammation, or gingivitis, can be caused by various factors, including plaque buildup, hormonal changes, certain medical conditions, and even stress. While your dentist initially assessed the situation as manageable with improved oral hygiene, the lack of improvement after a week suggests that there may be underlying issues that need to be addressed.

Given that you have been consistent with your oral hygiene routine, it is advisable to seek further dental care. Here are a few reasons why:
1. Underlying Infection: Persistent gum inflammation could indicate an underlying infection, such as periodontitis, which is a more severe form of gum disease. This condition can lead to the loss of supporting bone and tissue around the teeth if not treated promptly. If there is an infection, it may require more than just cleaning; you might need a deeper cleaning (scaling and root planing) or even antibiotics.

2. Assessment of Other Factors: Your dentist can evaluate other factors that might contribute to your gum issues, such as the alignment of your teeth, the presence of cavities, or other dental conditions that might not have been apparent during your last visit. Sometimes, wisdom teeth or other molars can cause localized inflammation if they are impacted or not erupting correctly.

3. Professional Cleaning: While you have been brushing and flossing, professional cleaning can remove tartar (hardened plaque) that regular brushing cannot. This is crucial because tartar can harbor bacteria that contribute to gum disease.

4. Potential for Systemic Issues: Chronic inflammation in the gums can sometimes be a sign of systemic health issues, such as diabetes or autoimmune diseases. If your gums are inflamed, it might be worth discussing your overall health with your dentist or primary care physician.

5. Stress and Lifestyle Factors: You mentioned that you have been staying up late. Stress and lack of sleep can impact your immune system and overall health, potentially exacerbating dental issues. Discussing your lifestyle with your dentist can provide insights into how these factors might be affecting your gum health.

In conclusion, it is advisable not to wait any longer and to schedule another appointment with your dentist. Explain your ongoing symptoms and concerns, and they can perform a thorough examination to determine the best course of action. Early intervention is key in preventing more severe dental issues down the line. Remember, maintaining good oral hygiene is essential, but professional evaluations and treatments are equally important in managing and preventing gum disease.

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