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Advanced cosmetic and general dentistry

Why Are Puffy and Oozing Gums Worse Than Furcation Involvement?

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My gums are puffy and sometimes bleed or ooze pus around a tooth that my dentist says has furcation involvement. Does the furcation issue mean that I will lose the tooth? My dentist wants to do a repeat root canal. – Thanks. Luca from FL

Luca,

Dentists worry more about pus around a tooth than furcation involvement. Pus indicates an active infection that requires immediate attention, whereas a furcation problem often progresses gradually and can remain manageable for years.

Root Canals and Infection Control

A properly healed root canal does not shorten the life of a tooth. The procedure removes infected pulp and seals the canal system. When failure occurs, infection usually returns quickly—within a few months—and becomes evident on follow-up exams. After successful healing, recurrence is unlikely.

What Does Furcation Involvement Mean?

A tiny dental brush is inserted between a furcation involvement to clean the area

A tiny dental brush is inserted between a furcation involvement to clean the area

When bone loss or gum recession exposes the space between molar roots, dentists call it furcation involvement. This condition indicates reduced bone support, but not necessarily a failing tooth. Many affected teeth maintain most of their support and remain firmly in place.

A furcation traps plaque, so daily cleaning becomes essential. Dentists often recommend special tools, such as an interdental brush, to help patients keep these areas clean and inflammation under control.

  • Clean the furcation daily using a small interdental-style brush
  • Focus on gentle but thorough plaque removal
  • Ask your dentist or hygienist to show you how to use the brush

Why Do Pus-Filled Gums Need Urgent Care?

Bleeding gums alone often point to early gum disease and usually improve with deep cleaning and careful home care. Pus, however, indicates a deeper periodontal infection. A pocket has formed where bacteria grow undisturbed, beyond what brushing or flossing can reach.

Whether the tooth can be saved depends on remaining bone support. Some cases require surgical treatment to open the area for daily cleaning. Sometimes, the damage may be too advanced to preserve the tooth.

This post is sponsored by Lowell accredited cosmetic dentist Dr. Michael Szarek. His commitment to continuing education helps him provide some of the best dental care in Lowell.

Why Are My Gums Sensitive Between Two Teeth?

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Man holding the side of his face from gum sensitivity between his teethI have gum sensitivity between my top right first and second molars. I’ve repeatedly told my dentist that the sensitivity is in my gums, not my teeth. After multiple exams, my dentist recommended removing the second molar. Why remove a tooth when it doesn’t hurt? – Thanks, Fermin from Cathedral City, CA

Fermin,

Ask your dentist to refer you to a gum specialist (periodontist). If you feel discomfort in your gums between teeth, don’t allow a dentist to remove a tooth without an accurate diagnosis. Preserving your teeth is the best way to protect your oral health.

When a patient complains of gum discomfort, a dentist should check the gum pockets between the teeth. You may have a periodontal abscess, which can occur with deep pockets between the teeth. Food particles and bacteria can irritate your gum tissue. When the debris in the pockets disintegrates, your discomfort resolves until something else gets trapped in the pockets.

Deep cleaning to remove debris and bacteria might help, but you won’t know unless you get a second opinion or see a specialist.

Regular flossing should remove trapped food particles between your teeth. If you don’t floss daily, make time to do so. Ask the periodontist’s hygienist to watch your flossing technique if you already floss daily. The hygienist will give you instructions for more effective flossing.

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post. Read how Dr. Szarek strives to give his patients the best dental care in Lowell.

My dentist told me to back off of booze so I won’t need dental implants

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My dentist told me to back off of booze. I have some perio issues with loose teeth and she said that my drinking habits can be a contributing factor. Yes she told, not asked me to cut back on booze. I was almost going to be insulted but I figured if she is right, she is saving me money on dentures or dental implants. Then the thought occurred to me that she might have just been getting to try me to stop drinking so much because a few times she asked me if she smelled alcohol on my breath. Does alcohol have anything to do with gum disease? Thanks. Ron

 

Ron – Your dentist is looking out for your best interests. A recent (September 2015) article in the Journal of Periodontology Online, Alcohol Consumption and Periodontitis: Quantification of Periodontal Pathogens and Cytokines, reports the findings in a study that included non-drinkers, occasional drinkers, and regular drinkers.

Among regular drinkers, there were more instances of sensitive gums that bleed easily, and the need for periodontal (gum) disease care. Another symptom of periodontal disease is that gums start to pull away from the teeth, forming pockets between the gums and teeth. Even regular drinkers without periodontal disease exhibited deeper pockets than occasional drinkers and non-drinkers.

Why the difference between regular drinkers and occasional or non-drinkers? Alcohol consumption dries the mouth. A dry mouth contributes to plaque buildup, which inflames the gum tissue. Sensitive, inflamed gums bleed, and if left untreated, can separate from the teeth and in time result in full-blown gum disease.

If gums don’t properly adhere to your teeth, the teeth lack support and can loosen. Left untreated, loose teeth will eventually fall out, and yes, some form of tooth replacement, perhaps dental implants, will be recommended.

If you are a regular alcohol drinker, your dentist’s recommendation is correct. Consuming less alcohol can improve the situation.

It’s important for all patients to speak openly about their drinking habits with their dentist. This will help your dentist correctly advise you and assist you with preventive dental care and help you avoid the need for tooth replacement.

This post is sponsored by Lowell dentist Dr. Michael Szarek.

Bleeding gums

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There are several reasons that your gums might bleed. A new flossing routing can cause your gums to bleed until they adjust to the routine. Aggressive tooth brushing might be the problem.

Gingivitis, the beginning stage of periodontal disease, can also cause your gums to bleed. You might notice this when you brush your teeth, even if you don’t brush them aggressively. If you don’t floss, or if you have teeth that are difficult to floss, plaque can build up and make gums swell and bleed. People with a dental bridge should take extra care to floss around and beneath the bridge to keep food from getting trapped and irritating the gums.

Pregnancy gingivitis results from hormonal changes during pregnancy and can cause gums to swell and bleed. Also, certain medications, such as blood thinners can make gums bleed.

If your gums are persistently bleeding, make an appointment with your dentist. Early detection of a problem can make treatment easier.

This post is sponsored by Lowell cosmetic dentist Dr. Michael Szarek.

Does a tongue scraper help bad breath?

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Does a tongue scraper help bad breath? – Eddie

Eddie – Although a tongue scraper will not eliminate bad breath, it may reduce it. Tongue scrapers reduce the bacteria that can cause bad breath.

If you are unable to eliminate bad breath after regularly brush and flossing your teeth, using a mouth rinse specifically for neutralizing odor, and using a tongue scraper, see your dentist. Periodontal disease, or gum disease, can cause bad breath. Bacteria from your gums can cause bad breath when sulfur compounds from the bacteria are released.

Your dentist will examine your teeth and gums to help determine the source of the odor. If you have periodontal disease, it will be promptly treated to prevent further damage to your teeth and gums.

This post is sponsored by Lowell cosmetic dentist Dr. Michael Szarek.