Managing Food Trapping and Inflammation Around Molars: When to Seek Specialist Care

The interproximal spaces of molars are prone to inflammation and food impaction?

I have been experiencing issues with the gap in front of my upper right third molar for several years, where food debris easily gets trapped during meals, and I frequently have inflammation and pain.
Every time I use dental floss to clean it, there is bleeding.
Recently, I had a dental crown placed at the dentist's office, but the problem with food getting stuck and the inflammation does not seem to have improved.
Should I go to a major hospital's dental department for a detailed examination? Thank you.

Niming, 20~29 year old female. Ask Date: 2015/08/08

Dr. Zeng Guanghui reply Dentistry

The upper right third molar is prone to food debris accumulation, leading to inflammation and pain.
After getting braces, the situation has not improved, possibly due to inadequate oral hygiene in the interproximal areas.
It is recommended to use dental floss in addition to brushing to clean between the teeth.
If inflammation and pain persist, it is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2015/08/08

More Info

When dealing with food trapping and inflammation around molars, especially after experiencing persistent issues despite dental interventions, it is crucial to understand the underlying causes and the appropriate steps to take. Your situation, where food debris frequently gets trapped and leads to inflammation and bleeding, suggests that there may be more than just a simple hygiene issue at play.

First and foremost, it is essential to recognize that the presence of food trapping can be indicative of several dental problems. These may include misalignment of teeth, poorly fitting dental restorations (like crowns or bridges), or even periodontal disease. The inflammation and bleeding you are experiencing when using dental floss could signify gum disease, which can be exacerbated by food particles that are not adequately removed.

Given that you have already had a dental crown placed and are still experiencing these issues, it is advisable to seek a second opinion from a specialist, such as a periodontist or an oral surgeon. These specialists can provide a more in-depth examination of your gums and the surrounding structures, potentially using advanced imaging techniques to assess the health of your teeth and jawbone.

Here are some specific reasons why you should consider visiting a specialist:
1. Assessment of Dental Restorations: A specialist can evaluate whether your dental crown fits properly. If it is too high or not contoured correctly, it can create areas where food can easily become trapped.

2. Evaluation for Periodontal Disease: Persistent inflammation and bleeding are often signs of gum disease. A periodontist can perform a thorough cleaning and assess the health of your gums, providing treatments that may include scaling and root planing or other periodontal therapies.

3. Management of Food Trapping: If the shape or alignment of your teeth is contributing to food trapping, a specialist can recommend orthodontic treatment or other corrective measures to improve your bite and reduce the likelihood of food getting stuck.

4. Long-term Oral Health Strategy: A dental specialist can help develop a comprehensive plan for maintaining your oral health, which may include regular cleanings, specific home care techniques, and dietary recommendations to minimize inflammation.

5. Potential for Underlying Conditions: In some cases, persistent inflammation can be a sign of systemic issues, such as autoimmune conditions or other health problems. A specialist can help determine if further medical evaluation is necessary.

In conclusion, while routine dental care is essential, your ongoing symptoms warrant a more specialized approach. Seeking care from a dental specialist can provide you with the targeted treatment you need to address the food trapping and inflammation effectively. It is always better to address dental issues sooner rather than later, as they can lead to more significant problems if left untreated. Don't hesitate to make that appointment; your oral health is vital to your overall well-being.

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