He may have developed a PTA or peri-tonsillar abscess. If so, likely his glands may be swollen, and possibly run a temperature. There are also other issues that could be causing the severe pain. He should see an ENT doctor ASAP.
I would not utilize salt water for now, and ask the physician for advice once a diagnosis has been made. I hope that helps.
Dr. Steven Aeschliman, DDS, PS. Periodontist
My suggestion is for you to have a full exam and a CT scan to assess the reasons for the dentures cutting into your gums. It is very likely that you are losing the bone underlying the dentures, and therefore the edges are being force further into your gums because of the lack of support. I can take this CT scan in the office, as well as complete an exam if you are interested. Sometimes, implants can help with this type of problem. I hope that helps. Dr. Steve Aeschliman, Periodontist.
Steve@periocentral.com. I am a periodontist.
Yes, diabetes can have very serious issues when it comes to your teeth, and bleeding. If a diabetic has higher blood sugar levels, and if the A1C levels are above 6 or so, you will notice a higher bleeding amount, and likely this is not just gingivitis, rather it can have progressed to periodontitis. There can be a vicious cycle between the diabetic control and the infection around your teeth, and they are related at a very high level. You should have a full periodontal exam, along with making sure that your physician is happy with your diabetic control. I hope that this answer helps you. Dr. Steve Aeschliman.
The best answer to your questions would require a full comprehensive exam of your teeth, as well as a physical to make sure that there are no other systemic causes for your bleeding gums. In addition, full mouth radiographs (x-rays) and possibly a CT scan would better our ability to help you and correctly diagnose the issues.
I suggest that you see a periodontist for the comprehensive exam. I would be happy to help. Thanks for your question. Dr. Steve.
Recession is very common, and has many reasons why it occurs. The most common one is that of what is called a thin biotype. That is, your genetics often can be the biggest factor in why the gums recede. The bone and gums can be thin from inheritance, and therefore recede with time and normal use/wear of the teeth. Another reason is brushing too hard, or having a frenum pull that pulls the gums down.