Inflammation of the gums (or gingivitis covering the wisdom teeth) is a common problem in adults, not only causing pain and discomfort but also leading to many dangerous complications if not handled properly. What should I do when I have pus-filled wisdom tooth gingivitis or what medicine should I take?…
If you have questions like the above, you will find the answers to these questions through the article below! We invite you to find out!
What is wisdom gingivitis? The reason why this happens
Wisdom gingivitis or wisdom tooth gingivitis is a condition in which the gums around the erupting wisdom teeth become inflamed. Wisdom teeth are the 3rd largest molars, located in the innermost and the last teeth to erupt, usually between 17-25 years old, sometimes later, sometimes later.
Wisdom tooth gingivitis occurs when the wisdom tooth has only partially emerged from the gum, can be seen relatively clearly or is still mostly covered, so it is difficult to see. Because wisdom teeth often take a long time to erupt, the soft tissue (gum) that covers the teeth for a long time can be left by tiny food particles and bacteria that accumulate underneath without any way of cleaning. cause gingivitis. Wisdom gingivitis often occurs with lower wisdom teeth.
How do I know if I have gingivitis?
Not everyone with wisdom teeth has this condition. Wisdom tooth gingivitis has similar symptoms to gingivitis in other tooth locations, including:
- Swollen, red, easy bleeding gums
- Painful gums, especially when biting food or touching opposite teeth
- Eating is not good, mouth has an unpleasant taste.
More seriously, an infection from gingivitis can cause you to:
- Swollen lymph nodes under the jaw
- Stiff jaw, difficult to open mouth when eating, talking
Purulent gingivitis is caused by the immune system’s white blood cells gathering under the inflamed gums to destroy bacteria and foreign particles.
Complications of wisdom gingivitis if not treated
Inflammation of the wisdom teeth often causes a lot of discomfort, so patients often go to the doctor to get the right treatment. If you leave it for a long time, treat it late, you are at risk of experiencing the following complications:
- The inflammation can turn into a pus-filled abscess, which erodes into the jawbone, adjacent tooth roots, and nerves.
- Infection can follow lymphatic and vascular spread in the jawbone, oral cavity and other organs in the head and neck area.
- If wisdom teeth grow obliquely, pushing on adjacent teeth for a long time will cause damage to that tooth or affect the arrangement and misalignment of adjacent teeth.
- In addition, the inflammation of the gums covering the wisdom teeth makes oral hygiene difficult, affecting the general condition of the entire oral cavity.
How to treat wisdom gingivitis?
When you have wisdom gingivitis, you need to see a doctor soon because this condition will not go away on its own. Your dentist or orthodontist will check the condition of your teeth and gums. X-rays are also often needed to look at the position and direction of the teeth, and whether or not there is damage to the wisdom teeth, adjacent teeth, and jawbone.
Depending on the inflammation and characteristics of the tooth, the doctor can choose one of the following levels of intervention:
Case 1: Wisdom teeth grow normally, do not pierce the adjacent teeth
- Clean only the inflamed gums below from bacteria, plaque, food leftovers
- The part of the gum that covers the tooth can be partially removed to make it easier for the teeth to grow (a wisdom tooth resection).
After treatment, you need to continue self-monitoring and follow-up appointments (if any) to ensure healthy teeth and gums until the wisdom teeth fully erupt.
Case 2: Wisdom teeth are or will be able to push adjacent teeth
A minor wisdom tooth extraction is necessary to completely correct wisdom gingivitis:
- Local anesthesia, sedation or general anesthesia (if necessary) will help you not feel pain while the doctor manipulates (however, movements, pressure due to impact are still felt during anesthesia). numb)
- The doctor makes an incision just enough on the gum to access the inflammation and wisdom teeth. If the tooth is impacted, the part of the jawbone that covers the tooth will be ground to remove it.
- Wisdom teeth can be broken down into parts for easier removal
- After the entire tooth is extracted, the root cavity is cleaned and the gums are sutured.
- Filling protects the adjacent tooth if there is damage to this tooth.
Based on the X-ray images, your doctor may recommend that you remove wisdom teeth that are asymptomatic but have the potential to cause similar problems later on.
What medicine to take for wisdom tooth gingivitis?
After cleaning the inflammation and removing wisdom teeth if necessary, the doctor will prescribe you the following medicines:
- Antibiotics:Penicillin, tetracycline, metronidazole … help to completely solve the infection, protect the gums from bacteria attack while waiting for recovery.
- Anti- inflammatory drugs:Non-steroidal anti-inflammatory drugs such as ibuprofen have anti-inflammatory effects and are safe for most people
- Painkiller:usually paracetamol.
The doctor will also teach you how to clean, use antiseptic mouthwash … to take care of your teeth while waiting for the wound to heal.
Note that with the information about gingivitis over wisdom teeth, what medicine to take above, you should not buy medicine to take it yourself. This is because medication alone without proper treatment will not help resolve the inflammation.
How to prevent wisdom gingivitis?
Due to the characteristics of wisdom teeth , gingivitis in wisdom teeth can still occur even if you take very good care of your teeth. However, poor oral hygiene definitely increases the risk of gingivitis and other oral diseases.
The best way to prevent gingivitis over wisdom teeth is to maintain good oral hygiene every day and quickly go to the doctor if you see symptoms of unhealthy gums. You should also periodically visit your dentist at least once a year so that your doctor can check, detect and treat oral problems early such as tartar, gingivitis, missing teeth, tooth decay, etc.
Hopefully, the above useful information about the causes, signs and treatment of wisdom gingivitis (or gingivitis over wisdom teeth) will help readers have appropriate and timely judgment and treatment to Protect and take good care of your teeth.