Gum Ligament Injuries: When to Seek Further Dental Care - Dentistry

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Gingival ligament injury


Hello, I have been experiencing pain in my tooth gap and saw a doctor who said it was a ligament injury.
Initially, there was no pain until the next day during lunch, but it started hurting again at dinner and has been painful for two days now.
I took the anti-inflammatory medication prescribed by the doctor, but it seems ineffective.
I've also noticed that the area around my gums is becoming red.
I would like to inquire if my condition has worsened and if I should see a doctor again, or if I should wait to observe the effects of the medication.
Thank you.

S, 20~29 year old female. Ask Date: 2016/01/11

Dr. Zeng Guanghui reply Dentistry


The above situation may indicate a more severe case of inflammation and infection of the gums and periodontal ligaments.
It is recommended to consult a dentist for further diagnosis and treatment.

Reply Date: 2016/01/11

More Info


When dealing with gum ligament injuries, it's crucial to understand the nature of the injury and the appropriate steps to take for recovery. From your description, it seems that you initially experienced pain that subsided but then returned, accompanied by redness in the gum area. This could indicate that the injury is not healing as expected or that there may be an underlying issue that requires further attention.

Gum ligaments, or periodontal ligaments, play a vital role in supporting the teeth and maintaining their position within the jawbone. Injuries to these ligaments can occur due to trauma, such as a fall or impact, and can lead to pain, swelling, and inflammation. The fact that your pain has persisted for two days, despite taking anti-inflammatory medication, suggests that the injury may be more severe than initially assessed.

Here are some considerations and recommendations based on your situation:
1. Persistent Pain and Redness: The return of pain and the development of redness in the gum area are signs that you should seek further dental care. While some injuries may improve with time and conservative treatment, the persistence of symptoms can indicate complications such as infection or more significant ligament damage.

2. Infection Risk: Redness and swelling can be signs of infection, especially if the area is tender to touch. If the gum tissue is inflamed, it may be a response to bacteria or debris that has accumulated in the area. Infections can lead to more severe complications if not addressed promptly.

3. Follow-Up Appointment: It is advisable to schedule a follow-up appointment with your dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to assess the extent of the injury and rule out any underlying issues. Early intervention can prevent further complications and promote better healing.

4. Medication Review: If the anti-inflammatory medication prescribed is not providing relief, discuss this with your dentist. They may need to adjust your treatment plan or prescribe a different medication, such as antibiotics if an infection is suspected.

5. Home Care: In the meantime, continue to practice good oral hygiene. Gently brush your teeth and avoid any hard or crunchy foods that may exacerbate the pain. Rinsing with warm salt water can help reduce inflammation and promote healing.

6. Monitoring Symptoms: Keep an eye on your symptoms. If you notice any worsening of pain, increased swelling, or the development of pus, seek dental care immediately. These could be signs that the condition is deteriorating.

In summary, given your symptoms of persistent pain and redness, it is essential to seek further dental care. Your dentist can provide a comprehensive evaluation and determine the best course of action to ensure proper healing and prevent complications. Remember, timely intervention is key in managing dental injuries effectively.

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