Pain in the inner gingiva of the left posterior molar?
Hello, doctor.
Recently, I have been experiencing pain in the gums at the back of my lower left side near the tongue, and I can move it slightly (but not enough to see the entire tooth root).
There is also some swelling.
What should I do? What could be the problem?
JoJo, 10~19 year old female. Ask Date: 2016/02/25
Dr. Zeng Guanghui reply Dentistry
The above situation is likely caused by gingival inflammation and swelling.
It is recommended to consult a dentist for periodontal treatment and to maintain good oral hygiene.
Reply Date: 2016/02/25
More Info
Understanding pain and swelling in the lower left gum area can be concerning, and it's essential to address these symptoms promptly. Based on your description, it sounds like you may be experiencing a dental issue that could involve several potential causes.
One common reason for pain and swelling in the gums is gingivitis, which is an inflammation of the gum tissue often caused by plaque buildup. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss. Symptoms of gingivitis include redness, swelling, and bleeding of the gums, especially when brushing or flossing.
Another possibility is an abscessed tooth, which occurs when a bacterial infection leads to a pocket of pus forming at the root of a tooth. This can cause significant pain, swelling, and sometimes fever. An abscess requires prompt dental treatment, as the infection can spread if not addressed.
Additionally, you might be experiencing a condition known as pericoronitis, which is the inflammation of the gum tissue surrounding a partially erupted tooth, often seen with wisdom teeth. This condition can cause localized pain and swelling and may require treatment to alleviate the symptoms and prevent further complications.
To manage your symptoms in the meantime, here are some steps you can take:
1. Maintain Oral Hygiene: Ensure that you are brushing your teeth at least twice a day and flossing daily. This can help reduce plaque buildup and inflammation.
2. Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce swelling and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.
3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation. Be sure to follow the recommended dosage on the packaging.
4. Avoid Irritants: Try to avoid very hot, cold, or spicy foods that may irritate the affected area. Soft foods may be easier to manage while you're experiencing discomfort.
5. Cold Compress: Applying a cold compress to the outside of your cheek near the affected area can help reduce swelling and numb the pain.
6. Hydration: Stay hydrated and avoid sugary drinks that can exacerbate dental issues.
However, these are temporary measures, and it is crucial to see a dentist as soon as possible. A dental professional can perform a thorough examination, possibly including X-rays, to determine the exact cause of your symptoms and recommend appropriate treatment. This may include professional cleaning, antibiotics for infection, or other interventions depending on the underlying issue.
In summary, while there are several potential causes for the pain and swelling in your lower left gum area, it is essential to seek professional dental care to receive an accurate diagnosis and appropriate treatment. Ignoring these symptoms could lead to more severe complications, so prompt action is advisable.
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