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Advanced cosmetic and general dentistry

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.

I Still Have Gum Disease After Two Years of Deep Cleanings

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After searching for three weeks, I found an affordable dentist to treat me for gum disease. I had called several offices, and their fees were too high. Although I have dental insurance, most fees exceed my budget, so I selected my current dentist. My concern is that in June of this year, it will be 2 1/2 years since treatment started. I go for a deep cleaning about every four months, and I still notice that my gums bleed when I brush my teeth, and some of my teeth are still a little loose. My dentist doesn’t think it is cause for concern.

The situation is a little better, but I still don’t think I made the right choice. I have two missing teeth and need porcelain veneers for two chipped teeth. We were waiting until the gum disease was under control to take care of the issues with my teeth, but I’m beginning to think it will take another two years to complete my treatment. Was it a mistake to choose a dentist with low fees just to get treatment? I’m concerned that I will have to go into debt to get the care I need. Thanks. Kristina from Saginaw, MI

Kristina -Thank you for contacting Dr. Szarek’s office.

The length and frequency of your treatment suggest that although your dentist is making treatment affordable for you, he might not be able to resolve your periodontal disease.

Can I Get Porcelain Veneers or Dental Implants with Gum Disease?

Your gums must be healthy before a dentist places porcelain veneers or dental implants.

  • Porcelain veneers – Custom-made shells of porcelain are made to fit the fronts of your teeth. Your gum tissue will frame the veneers like natural teeth. Bleeding and inflamed gums will worsen with porcelain veneers.
  • Dental implants – Healthy gums and bone support dental implants and keep them stable. Unhealthy gum tissue can prevent your dental implants from healing.

Gum Disease Signs and Symptoms

The signs and symptoms of gum disease include:

  • Bleeding, sore, and inflamed gums
  • Infected or inflamed gums
  • Gum recession
  • Gum tissue separates from teeth
  • Loose teeth
  • Chronic bad breaths

If you are experiencing the signs and symptoms, they must be controlled before you get cosmetic dentistry treatment or dental implants.

What Can You Do If  Gum Disease Will Not Go Away?

If you are still experiencing discomfort and some of the signs and symptoms of gum disease after a series of deep cleanings, it is time to ask your dentist for a referral to a periodontist (gum specialist). If your dentist is unwilling to refer you to a specialist, you can self-refer if your dental insurance allows it or get a second opinion.

Does Affordable Treatment Result in Low-Quality Care?

Drastically lower fees may indicate that a dentist takes shortcuts or lacks the skills or experience to resolve specific issues. Still, even dentists with high prices can provide inadequate treatment if they don’t have expertise in an area.

A porcelain veneer held next to a tooth

You need healthy gums for porcelain veneers

We recommend getting a second opinion. A conscientious dentist will let you know if they can resolve the issues with your gums. If not, the dentist will refer you to a periodontist—a specialist in diagnosing and treating problems with your gums.

Find a dentist who will provide care yet work with your budget. But look for dentists with advanced training in treating periodontal (gum disease). There are several ways a dentist can make care affordable for you, including:

  • Completing dental work in phases whenever possible
  • Offering payment plans
  • Offering financing options

The condition of your teeth and your gums are closely related. After your gum disease is controlled, a cosmetic dentist can let you know your options for improving the appearance of your smile with porcelain veneers and dental implants. For now, it’s crucial to get a second opinion. Remember to check with your dental insurance company for dentists and periodontists within the network. It will help you avoid unnecessary out-of-pocket costs.

 

Lowell, Massachusetts, accredited cosmetic dentist Dr. Michael Szarek sponsors this post.