Can Dentures Cause Gum Inflammation? Your Dental Pain

Dentures can lead to gingivitis?

A little over a month ago, I had a dental crown placed (without root canal treatment).
For the first week after it was placed, I didn't feel any pain, but I became sensitive.
However, in the last week or two, the pain has become unbearable.
I visited another dental clinic for an examination, and they suggested that the metal of the crown might be unsuitable or too tight, leading to gingivitis.
I then returned to my original dental clinic, where the dentist said that I was still not adjusted to the crown.
They provided me with pain relief medication and an ointment for gingivitis, advising me to see if I could adapt further.
In this situation, is there a possibility of adjustment? Thank you.

E, 20~29 year old female. Ask Date: 2015/11/18

Dr. Zhang Xiangyuan reply Dentistry

Dear netizen, based on your description, you had a dental crown placed over a month ago, and you have been experiencing pain in the last one to two weeks.
It is advisable to monitor the symptoms of discomfort in your tooth to see if there is any improvement, or if the sensitivity and pain become more pronounced, or if any other pain occurs.
If the pain persists, you should consult a dentist to examine the crown and the tooth to determine if they are properly fitted, if any adjustments are needed, or if there are other issues with individual teeth that require treatment.
Thank you for your inquiry.

Reply Date: 2015/11/18

More Info

Yes, dentures can indeed cause gum inflammation, and your situation is not uncommon among new denture wearers. When you first get dentures, your mouth undergoes a significant adjustment period. The discomfort and sensitivity you experienced initially are typical as your gums and oral tissues adapt to the new appliance. However, if the pain has escalated to a level that is unbearable, it is essential to address the underlying issues.

There are several reasons why dentures can lead to gum inflammation:
1. Improper Fit: If the dentures are too tight or too loose, they can irritate the gums. A tight fit can cause pressure sores, while a loose fit can lead to friction and movement that irritates the gum tissue. This can result in inflammation and pain.

2. Material Reaction: Some individuals may have allergic reactions to the materials used in dentures, particularly metals. If your dentist suspects that the metal in your dentures is causing an adverse reaction, they may recommend a different material or a different type of denture altogether.

3. Poor Oral Hygiene: Just like natural teeth, dentures require proper cleaning. Food particles and plaque can accumulate on dentures, leading to gum irritation and inflammation. It’s crucial to clean your dentures daily and maintain good oral hygiene.

4. Adjustment Period: As mentioned, there is an adjustment period when you first start wearing dentures. During this time, your gums may be sensitive and inflamed as they adapt to the new appliance. However, if the discomfort persists beyond a few weeks, it may indicate a more serious issue.

5. Underlying Dental Issues: If there are existing dental problems, such as gum disease or infections, these can be exacerbated by the presence of dentures. It’s essential to have a thorough dental examination to rule out any underlying conditions.

In your case, since the pain has intensified over the past couple of weeks, it is advisable to follow up with your dentist. Here are some steps you can take:
- Re-evaluation: Request a thorough re-evaluation of your dentures. Your dentist should check the fit and make any necessary adjustments. Sometimes, minor adjustments can significantly alleviate discomfort.

- Material Check: Discuss the materials used in your dentures with your dentist. If there is a possibility of an allergic reaction, they may suggest alternatives.

- Pain Management: Continue using the pain relief medications prescribed by your dentist. If the pain persists despite medication, inform your dentist for further evaluation.

- Oral Hygiene: Ensure you are maintaining excellent oral hygiene. Clean your dentures daily with a soft brush and denture cleaner, and rinse your mouth with an antibacterial mouthwash to help reduce inflammation.

- Follow-Up: If your symptoms do not improve or worsen, do not hesitate to return to your dentist or seek a second opinion from another dental professional. Persistent pain and inflammation should not be ignored, as they can lead to more severe complications.

In conclusion, while it is possible to adapt to new dentures, significant pain and inflammation warrant further investigation. Your comfort and oral health are paramount, so proactive communication with your dental care provider is essential.

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