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Gingivitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
Doctor :   Hi
User :   hello there
Doctor :  
How can i help you?
User :   I have rapid gum loss, 3 weeks now...I think its trenchmouth
Doctor :  
ok
User :   roommate has it and I have actually been away from him for 3 weeks
Doctor :  
ok
User :   i imagine that antiobiotic is needed
Doctor :   what symptoms do you have?
User :   my gums are receding daily back from my front upper and lower teeth
User :   exposing the roots of a crown i had
User :   and now its spreading across the other front teeth
Doctor :   do you have pain in gums?

User :   a dull numb for the past few days, bleeding and sensitivity earlier in the past 2 weeks
Doctor :  
ok
Doctor :  
is there any redness ulcer on the gums?
User :   there was, but not a localized type
Doctor :   ok

User :   purchased an alcohol based mouthwash
User :   today
Doctor :  
ok
User :   rinsed and this has sensitized the entire mouth
Doctor :   ok
User :   but had been avoiding that type...imagined that a antibacterial of stronger strength might help
Doctor :   ok
Doctor :  
do you have fever
User :   no fever, ive had swollen lymph at jawline
Doctor :   ok

User :   but that was more pronounced a week ago
User :   roomate has swollen lymph lower neck rightside
Doctor :  
ok
User :   my roommate is also my lover. we are a monogamous couple of 7+ yrs
Doctor :  
ok
User :   but we have been apart for 3 weeks
Doctor :  
ok
User :   my general dental health is worse than his
User :   and i find this is becoming aggressive
Doctor :   ok

User :   half a mm or slightly less moving from left side upper teeth to right side
User :   half a mm loss every 48hrs
Doctor :   ok

User :   i just drove 8hrs , smoking and drinking coffee, so im sure that has not helped
User :   but if habits are leading to aggression of this loss, i can mitigate. I am concerned that its bacterial and need antibiotic and i am uninsured at the moment
User :   white film around new loss
Doctor :   ok

User :   led me to suspect vincent's or trenchmouth
Doctor :  
why do you think it is vincents or trench mouth?
User :   ive had slow irritation of the gingiva in the past
User :   but nothing this acute
User :   this is rapid
Doctor :  
ok
User :   its not just me
User :   and I know that stress is high in my life at this time
Doctor :  
so you are making a self diagnosis by looking into the stuff in the internet?
User :   being uninsured gives me limited options....I am well aware that self diagnosis is unwise
Doctor :   ok
User :   the literature online is limited
Doctor :   online literature is for informative purpose only and not for diagnosis and treatment
Doctor :   most of the time it Leeds to wrong self diagnosis
User :   I lost my job in august
User :   i have little experience in seeking uninsured care
Doctor :   ok
User :   horror stories of long waits, unnecessary ER visits and high bills just to see a precious doctor is something Id rather avoid.
Doctor :   ok

User :   I dont think antibiotics would hurt
User :   I am also not afraid of mouth pain, my roommate is a bit more dramatic
Doctor :   ok
User :   so I am trying to navigate this situation in a rational way
User :   but the gums are receding fast, i have already a severe concern over my teeth
Doctor :  
ok
User :   this is above and beyond any type of mouth problem i have experienced
Doctor :   ok
User :   so it is an emergency matter to me.
User :   so what do you suggest?
Doctor :  
first off all there is no confirmation of what the disease you are suffering from either it is gingivitis, or periodontitis ot ulcerative gengitivis
Doctor :   and all of them do not require the antibiotics
User :   and timing of my roommate and I is coincindental?
User :   seasonal?
Doctor :   meaning?
User :   we both have similar symptoms
Doctor :   ok
Doctor :  
is that means it is trench mouth?
Doctor :  
why cant be it is gingivitis?
User :   no, i suspect its a bacterial or viral infection
User :   who knows it could be an early manifestation of HIV
Doctor :   ok
User :   I dont know what it is, but Im certain that periodontal disease will follow with tooth loss
User :   and gums dont grow back
Doctor :  
but not always
User :   ok
User :   i have destroyed my toothbrush and purchased new ones
Doctor :  
what all remedies you have done till now?
User :   brushing, rinses with saltwater. occasional peroxide rinsing
Doctor :  
ok
User :   I have used Biotene moisturizing non alcohol rinse. I was in texas in a dryer climate
User :   and in the past in that climate, I had teeth and gum pain
Doctor :   ok

User :   I have not experienced any great amount of pain
User :   but roommate has, he may have also been more aggressive and possibly irritated his gums more
Doctor :   ok

User :   I took one advil a day for 4 days
User :   he has obtained vicodin. I personally dont want pain killers
Doctor :   ok

Doctor :  
do you still smoke ?
User :   yes, two packs a day
User :   quitting of course is the best option
User :   for overall health
Doctor :  
than how can the gingivitis get better?
User :   i have smoked for 19yrs
Doctor :  
if you cant quit while there is danger of tooth loss than when you will leave?
User :   and a rapid onset in less than 3weeks?
Doctor :  
rapid onset means in days and not in weeks
User :   its happening at that rate, a noticeable daily loss
User :   i have one molar left.
User :   only front 7 upper and lower
Doctor :   do you know what all the factors that will destroy the gums?
User :   15 teeth left
User :   there are many factors
Doctor :  
ok
User :   smoking and caffeine are some that I can control
User :   along with brushing/flossing
Doctor :  
what factors are there in you?
User :   poor dental hygiene, smoking, coffee. I dont drink cola
Doctor :  
alcohol ??
User :   i had 2 drinks on christmas eve, but no drinking for the previous 3 weeks
Doctor :  
ok
User :   typical social drinking, 2 to 3 on a weekend night
User :   roommate has a bigger problem with that
Doctor :  
if you like to retain the remaining teeth and get better from the present gingivitis
Doctor :  
you need to follow this
Doctor :  
stop smoking from immediate effect
Doctor :   not to consume alcohol and carbonated beverages and caffeine containing liquids
User :   i do drink a lot of coffee
Doctor :  
need to stop it for few weeks
Doctor :  
not to use alcohol based mouth washes
User :   just used one today
Doctor :  
it will further aggravate the condition
User :   will toss it
Doctor :  
the main stay of the treatment here is the oral hygeine
User :   smoking cessation treatment like nicotine patch or gum...is this an option?
Doctor :  
no tobacco or tobacco product of any sort by mouth
User :   ok
Doctor :   if you have pain take pain relief medications, but the teeth hygeine is to be maintained by proper brushing
User :   ive moved from a medium to a soft brush
Doctor :  
at least 3 to 4 time a day you need to brush your teeth
Doctor :   for 3 weeks
User :   ok
Doctor :   liquid diet for the first week or two
Doctor :  
this is to rest the teeth and gums
Doctor :  
avoid spicy and hot or cold foods
User :   do you mean mainly soups or supplemental vitamin enriched drinks?
Doctor :   any thing which you like to eat in the form of liquid can be consumed
User :   ok.
Doctor :  
you can use peroxide wash but needs to be mixed in water and not to use directly
User :   ok
Doctor :  
mix one part in 6 to 8 parts of water and than you can rinse the oral cavity
User :   this is quite a regimen, I shall seek further advice from a dentist within 3 weeks
User :   I suspect that the gingival loss will continue
User :   for a short while.
Doctor :   ok
User :   but if your advisement is correct, then things will improve
Doctor :   any improvement can be seen if the suggestions are followed appropriately
User :   thank you for your time
Doctor :  
yes it is good to see dentist and get the debridment done.
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