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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do pain, numbness and itching of the gums and teeth indicate periodontal disease?

Answered by
Dr. Priyanka Tiwari


Practicing since :2013

Answered : 1889 Questions

Posted on Mon, 15 Oct 2018 in Dental Health
Question: Hi doctor,
I have had terrible oral hygiene for the last 30 years (due to abuse from a former caregiver that used to put piping hotforks and spoons in my mouth that caused me to develop severe oral aversion). I have this nagging sensation inone of my teeth (top left third from the last molar). The gum feels irritated and itchy and this has been happening off and on for 2 years now. When I rub my nail or my tongue against the top of the tooth where it meets the gum, there is a thin hard ridge along the very top of the tooth. The tooth also hurts at times. I also get a numb/ full sensation in my cheekbone just above this area. I got an ex ray today but the doctor did not explain the findings to me. I am terrified that I have periodontal disease, a severe gum infection and bone loss. I am attaching the xray for your review. Thank you.
Answered by Dr. Priyanka Tiwari 1 hour later
Brief Answer:

Seems like abrasion or root exposure. Follow these measure. Consult the dentist.

Detailed Answer:


I have read your query and gone through the xray you have attached. As far as I have observed and according to your clinical history is supposes that you are having a deep cervical abrasion or gingival recession causing root exposure.

I would suggest you consult a dentist for Application of cavity varnish can give you relief to some extent.

Use a desensitizing toothpaste along with a soft bristle toothbrush.

Go for complete mouth scaling and polishing.
Use antiseptic mouthwash gargles twice daily.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Priyanka Tiwari 24 minutes later
is this periodontal disease?
Could it be a gum infection? How would they tell since the gum soft tissue cannot be seen on an xray?
Do i have bone loss based on the images?
Answered by Dr. Priyanka Tiwari 54 minutes later
Brief Answer:

Detailed below. Nothing to be worried.

Detailed Answer:


I have read your query and gone through your radiograph as far as I have observed there is:

1- No periodontal disease
2- No as such major bone is present.
In radiograph I have observed you have a slight horizontal bone loss it could be due to Periodontal pocket or Recession.

3- On your clinical symptoms I am telling you itching or numbness could be due to Abrasion in the cervical region of the tooth or due to gingival recession if clinically present.

There is nothing to be worried so much. No major finding is seen in the radiograph.

Consult a dentist for cavity varnish application (restoration) if cervical abrasion is seen clinically and oral prophylaxis (scaling and curettage). Follow the advised measures.

Hope I have answered your query.

Take care

Dr Priyanka Tiwari, Dentist
Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

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