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Gingivitis in lower front teeth, toothpaste allergy, small white hole on gum, pregnant. Cause of worry?

Hello, I just visited the dentist last saturday, due to bad gingivitis on my lower front teeth . I found out i was also allergic to the toothpaste i was using. I just noticed a very small whole on my gum, with a black dot in it. I have a dentist appointment for next saturday, and Im pregnant. It doesnt hurt at all and pain has gone away. Should i be concerned or wait until next saturday
Asked On : Mon, 18 Mar 2013
Answers:  7 Views:  170
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Dentist 's  Response
hello ,

your clinical history and symtoms suggests you have developed gingivitis most probably due to harmonal changes in the preganacy , such a condition is called as pregnancy gingivitis.

The lesion you have developed with white hole on the gum is gingival abscess called pregnancy tumour which is usually seen in pregnant females due to harmonal imbalance.

you need symptomatic treatment for maintaining the gum health , go for professional scaling and root planing by a dentist that helps in reducing inflammation.

Mouth rinsing with lukewarm saline or antiseptic mouthwash helps in giving soothing effect to the gums and teeth .

i hope this helps ,

take care.
Answered: Mon, 18 Mar 2013
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Dentist Dr. Neha Gupta's  Response
I am Dr.Neha Gupta (dentist) and am glad to address to your query here.
it is due to poor oral hygiene or deposits. But sometimes it can be due to some deficiency like vitamin C or because of some hormonal changes at particular age like puberty gingivitis. But if you have in general unhealthy gums the you have to really maintain good oral hygiene. Getting cleaning done once is not gonna solve the problem. You have to go for regulars cleanings after every 6 months. Along with this maintain very good oral hygiene like brushing twice daily along with flossing. Do warm saline rinses 2-3 times a day and you can massage your gums with some good OTC gum paint. You can take vitamin C supplement which makes the gums healthy.
Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Answered: Tue, 19 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Pregnancy causes hormonal changes that increase you risk of developing oral health problems like inflammation of gums known as gingivitis and periodontitis.

The small hole near the gum line with black dot on it, this growth is called as pregnancy tumor. It may often cause eating and speaking difficult and can cause discomfort.

This symptoms usually disappears on their own after baby's birth.
At home you practice good oral hygiene habits, brush your teeth with a soft bristle toothbrush twice daily.
Use floss and interdental cleaners .
Use saline water gargles 3-4 times a day , gargle your mouth with chlorhexidine mouthwash solution twice daily.

Visit to your dentist and go for complete mouth scaling and polishing.

Hope this helps out .

Answered: Tue, 19 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response

Thanks for posting your query in hcm forum,

Gingivitis occurs due to accumulation of plaque and food debris.

Deep scaling along with curettage has to be done.
Maintain good oral hygiene.
Brush your teeth twice daily.
Chlorhexidine mouthrinses may prevent plaque accumulation.
hope this helps.
Answered: Tue, 19 Mar 2013
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Dentist Dr. Yogesh Tripathi's  Response
prgnancy commonly has bad effects on tooth and gingiva both due to lack of proper oral hygiene and also due to harmonal changes
pregnancy induced gingivitis is common occurring although pregnancy induced tumour (the hole on the gum with a black dot ) is not so common

probable causes include
1.poor oral hygiene
2.vitamin c or folic acid deficiency
3.any other nutritional deficiency
4.harmonal changes
now about your query , stay calm and dont panic ,just wait till your next appointment and have your scaling crrettage and root planing done by your dentist.That will clear out the condition
in the meanwhile what i would suggest is that you maintain proper oral hygiene by following ways
1.luke warm saline rinses 4-6 times daily
2.use an antiseptic mouthwash after breakfast if you are allergic to toothpaste
3.use gum astringent like oracep .take a drop of it on your clean index finger and rub it gently on your gums after each rinse
stay healthy and maintain calm
best wishes for your pregnancy
Answered: Tue, 6 Aug 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014

Gingivitis is caused due poor oral hygiene ,improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.

It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics.

i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline wateror antiseptic mouthwash like chlorhexidine or betadine.
Answered: Wed, 7 Aug 2013
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Dentist, Periodontics Dr. Palvi 's  Response
thanks for the query...
condition you mentioned is because of three reasons-
- lower front teeth are most prone to develop gingivitis because of greater tendency of accumulation of plaque and calculus in this area...
- hormonal changes due to pregnancy exaggerates the condition and
- due to allergic reaction to your tooth paste..
so first of all, stop using the toothpaste...
visit your dentist and go for proper scaling and root planing... and maintain good oral hygiene by brushing twice daily, after meals... do warm saline rinses also... this will reduce inflammation... don't go for any major dental procedure for time being...
and inflammation has to be reduced because it has indirect effects on fetus also... so please go for it...
take care...
Answered: Wed, 7 Aug 2013
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