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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Infection In Mouth With Tenderness In Gums?

Im Charlie, 6'4" 260lbs. I am inquiring about a mouth problem. About 3 years ago i had all my teeth removed at one sitting. they put me under in order to do it. My teeth were in pretty bad shape, and the infection was kicking me down in the dirt. After the stitches heals i got fitted for false teeth. After several attempts of them trying to get the bottoms to fit without hurting or gagging me, i gave up. So for about 3 years now i have not had any teeth on the bottom of my mouth. Here in the last week, i have noticed a tenderness in my lower gums. Now it feels like it did when i had a mouth full of rotten teeth. I looked in the spot that hurts and there is something exposed, the gum has pulled back about 1/4 long and 1/8 wide to expose something underneath that is off white around the edge and an ugly dark yellow in the middle. My question to you, and i understand that your not going to diagnose me, but help me revile the extent of my troubles maybe. I plan to make an appointment soon, but we have a deadline on this job. Anyways, could it be that my jawbone is being exposed due to no protection (lower dentures) or that maybe the dentist missed a tooth?
Fri, 25 Jul 2014
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Dentist 's  Response
Hello,
You have the possibility of a retained root being exposed. This may feel like a splinter in the gum. You may feel a hard structure that has some mobility. Removal by your dentist should be a simple procedure and offer relief. Use of a benzocaine gel may offer tempoaray relief. Rinse the area well with warm salt water and take some anti-inflammatory medication such as Tylenol or Advil.
Another possibility is trauma that has caused tissue damage that is now infected. An ulcerated lesion may heal by itself. Avoid all irritants including smoking, alcohol, spicy and acidic foods. Again, warm salt water rinses and antinflammatory medications may offer relief. Antibiotics or anti fungal treatment may be needed if there is a bacterial, viral or fungal infection present. Make sure that you consult your dentist if the area does not improve with the suggested methods or increases in discomfort.
Continue to monitor the area. There is a possibility of a systemic disease or lesion that needs further evaluation such as a biopsy. Your dentist will perform a clinical evaluation and recommend treatment for your condition. An xray evaluation can show any changes in the bone.
Make sure to keep well hydrated. Take vitamins and avoid deficiencies with a well balanced diet. A softer diet is recommended until the area heals. Inspect your denture for buildup or signs of wear. An illfitting denture may irritate tissue and make you prone to a fungal infection. Overall gum discomfort with redness may be an oral yeast infection and require nystatin medication.
Thank you for your inquiry. I hope your discomfort will decrease with my recommendations. I am glad to assist you further.
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What Causes Infection In Mouth With Tenderness In Gums?

Hello, You have the possibility of a retained root being exposed. This may feel like a splinter in the gum. You may feel a hard structure that has some mobility. Removal by your dentist should be a simple procedure and offer relief. Use of a benzocaine gel may offer tempoaray relief. Rinse the area well with warm salt water and take some anti-inflammatory medication such as Tylenol or Advil. Another possibility is trauma that has caused tissue damage that is now infected. An ulcerated lesion may heal by itself. Avoid all irritants including smoking, alcohol, spicy and acidic foods. Again, warm salt water rinses and antinflammatory medications may offer relief. Antibiotics or anti fungal treatment may be needed if there is a bacterial, viral or fungal infection present. Make sure that you consult your dentist if the area does not improve with the suggested methods or increases in discomfort. Continue to monitor the area. There is a possibility of a systemic disease or lesion that needs further evaluation such as a biopsy. Your dentist will perform a clinical evaluation and recommend treatment for your condition. An xray evaluation can show any changes in the bone. Make sure to keep well hydrated. Take vitamins and avoid deficiencies with a well balanced diet. A softer diet is recommended until the area heals. Inspect your denture for buildup or signs of wear. An illfitting denture may irritate tissue and make you prone to a fungal infection. Overall gum discomfort with redness may be an oral yeast infection and require nystatin medication. Thank you for your inquiry. I hope your discomfort will decrease with my recommendations. I am glad to assist you further.