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Small indentation/hole in gums below bottom front teeth. What could this be?

Hi, I have just noticved a small indentation/hole in my gums immediately below one of my bottom front teeth, my teeth are in decent condtion although I have noticed a slight change in the health of my gums which im not sure is the start of receeding gums, at the moment I'm more worried about this indentation/hole. Would you have any adive as to what it could be besides goign to see a dentist, by the way it doesnt hurt.
Asked On : Sun, 31 Mar 2013
Answers:  6 Views:  9802
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Dentist 's  Response
Thanks for writing,

A hole in the gingiva can be a sinus opening, but for that infection has to be present nearby. As you have stated the condition of your teeth are decent so it can be a reason due to your gums. Oral prophylaxis (scaling) will be required to improve your gums condition.

A diagnostic x-ray and a clinical examination will be required to reach to any confirmed conclusion.

Maintain your oral hygiene well, brush twice daily, use a mouthwash along.

Stay healthy,
Thank you.
Answered: Wed, 1 May 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
according to the history presented by you i would like to inform you that i won't be able to provide you with the diagnosis , as clinical check up needs to be done first.
These holes seem to be periodontal pockets, and need a dentist's attention.
as you said your teeth are crowded, therefore in such cases, periodontitis is very common.
i would recommend you to visit your dentist, get your teeth cleaned, as well as maintain your oral hygiene.
Hope this helps you.
Wishing you good health...
Answered: Thu, 2 May 2013
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1 Doctor agrees with this answer

Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

According to your history i suspect that there is deepening of the gingiva known as gingival recession
This condition can be due to periodontal infection, faulty tooth brushing technique, mechanical wearing due to bruxism, infection in the adjacent tooth.
I would suggest you to visit the Dentist and get the checkup done, take an x-ray of the tooth.
Go for symptomatic treatment of complete mouth scaling and polishing.
Brush your teeth with a soft bristle toothbrush.
Maintain a good oral hygiene use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Wed, 1 May 2013
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Dentist Dr. Farah Hussain's  Response
Hello there ,

Thanks for writing your query,

Your clinical history suggeats you have developed an indentation or hole in the gums due to draining gingival abscess .

It 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.

trauma to the gums may also lead to formation of abscess.

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 water or antiseptic mouthwash like chlorhexidine or betadine.

i hope this helps ,

take care
Answered: Wed, 8 May 2013
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Dentist Dr. Sonia Nayab's  Response
hi there

thanks for asking your query

gum health is compromised if oral hygiene is not maintained properly

plaque and tartar around teeth cause infamation of gums known as gingivitis and if left untreated then it may lead to little severe form known as periodontitis which cause pocketing,gum recession and tooth mobility

first thing you have to do is to get your scaling and root planning done by dentist

also get the evaluation done for cavities,if so then get it treated.

secondly maintain very good oral hygiene by brushing twice a day,flossing regularly,gargle withantiseptic mouthwash

these things will help you in maintaining good health of gums

hope this will help

Answered: Tue, 30 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for choosing health care magic forum.
The indentation or hole in gums is due to the localized periodontitis of the involved tooth.
Deep scaling and root planning has to be done.
IF there is gingival recession,tooth coloured filling material can be used to restore the tooth.
Plenty of fluids and nutritional rich food has to be taken.
Vitamin becosules,iron and folic acid tablets has to be taken.
Use interdental toothbrush and dental floss to clean your teeth.
Routine dental check-up has to be done.
Take care.
Answered: Wed, 1 May 2013
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