- The type of cleaning may have changed. There are various types of cleanings that vary on the depth of treatment around the tooth root. A routine or basic cleaning, usually called a prophylactic cleaning is most common and usually involves minimal invasiveness in the gums. There are also more involved cleanings such a full mouth debridement, or scaling and root planing which is appropriate in the presence of periodontal disease and tends to be much more invasive with a greater chance of inflammation and soreness.
- More time may have passed between the standard 6 month hygiene appointment. This would potentially allow for increased plaque buildup around the teeth and gums with subsequent greater swelling.
- Medication, diet, or health changes may have occurred. Many medications increase the chance of gum swelling. Health concerns such as diabetes also play a strong factor in overall gum health and recovery ability.
- Different hygienist than you normally see. Dental professionals are just like everybody else. We all have different personalities, abilities, and skill levels to perform certain tasks. Some hygienists are more skilled than others, and you may have encountered a hygienist who was not as delicate at her cleaning as you have experienced in the past.
Regardless of the cause, I would recommend you contact your dentist to address this issue. The dentist will likely recommend some anti-inflammatory medication, warm saltwater rinse, and/or some sensitivity toothpaste if you have increased sensitivity in the teeth.
However, regardless of the cause, the best cure is usually warm salt water. After a dental cleaning when we anticipate that the gums may be more sore than normal, we recommend rinsing with warm salt water 3-4 times a day for the next 2-3 days. Take a juice glass of warm water and add a teaspoon of salt. Stir. Rinse for 30-60 seconds and spit out. The salt water is very soothing to sore gums and helps promote healing of inflamed, tender gums. You can also take Ibuprofen (an anti-inflammatory) if needed for the pain during this time.
You should continue to floss and do your hygiene treatment, it should decrease. If not, consulte your dentist.
Justin W. Ruffner, DDS
Outer Cape Dental Group
If you have any concern you can always see the dentist for a follow up.
the possible reasons:
1) Hygienist was too aggressive and not careful when cleaning the gums around your teeth causing trauma. (Not likely if the same hygienist you always see).
2) Previous cleanings were not performed well, leaving buildup below the gum line, and the hygienist had to really get in there and clean.
3) The cleanings in the past you had were regular above the gum prophylactic cleanings, and the most recent cleaning you had is "deep scaling" or scaling and root planing to treat periodontal disease.
4) Using a new toothpaste or mouthwash since the cleaning. (Possible allergy).
5) Bacterial infection. If a more thorough cleaning up you teeth was needed, sometimes bacteria can find their way inside your gums at the junction of where your gums meet your teeth.
5) My recommendation would be to take 400 mg ibuprofen every 6 hours for a couple of days (If you do not have an allergy to it and are not taking any other medicines) and rinse with the original (antiseptic) or all naturals Listerine mouthwash three times a day for a minute each time.
6) If things do not get better, then you should see your dentist, other things that can cause generalized swelling and soreness of the gums can include lack of certain vitamins as well as autoimmune diseases.
It would be highly unlikely for it to be autoimmune related but if you have no improvement you should consult with your dentist.
Thanks for asking, let me ask you -
- When was your last cleaning? and during the cleaning, did your teeth or your gums hurt?
When was your last Cleaning done? Were you told that you had any gum disease (periodontal disease)?
Assuming that you had been having healthy gums and are going on regular/routine 6 months hygiene recall visits, if you had a "prophylaxis" aka regular cleaning and based on the symptoms you describe, it could be usually due to aggressive usage of hand instruments or ultrasonic scalers. Many times, they have to be done if the treating dentist or hygienist has noticed any calculus aka tartar below the gum line that they had attempted to remove by possibly being aggressive.
The other possibility is that the amount of tartar below the gum line has been more extensive and they were only able to remove part of it, then the tissues shrink leaving a trap of leftover tartar under the gum line, which may lead to the situation described by you. If this is the case, then you may need a possible gum treatment if you are diagnosed for periodontal disease.
If you did not have any tartar issues and if still you had this situation, then it just describes overzealous usage of hand and ultrasonic instruments. If this is the case, then you may use some chlorhexidine mouthwash 0.12% 15 ml, 3 to 4 times a day and continue normal brushing and flossing and follow up with your dentist or hygienist, if it persists.
Alternatively, you may use warm salt water rinses 3 to 4 times a day as well.
Hope this helps and you feel better.
This sounds very unusual after a routine clean. Sometimes, there may have been a particularly large amount of calculus that was cleaned off and irritated your gums. Or perhaps it is completely unrelated to the cleaning, maybe associated with a problem with another tooth. It is very difficult to give you an exact reason without a proper assessment. I would recommend
that you come in for a thorough examination by a dentist. Give us a call on 02 4731 4655 if you would like to make an appointment with us.
Hope this helps.
A number of reasons exist that could explain your sore gums. It may have simply been a deeper clean than you are used to, there may have been more buildup on the teeth than usual, or there may be an underlying condition that is causing the inflammation. I would recommend calling the dentist who completed the clean for you and advising them of this unexpected development and allow them to provide you with the support you require.
Dr Rick Iskandar
Director, Principal Dentist
Mobile: 0434 210 136<tel:0434%20210%20136>
Thank you for your question. It is perfectly normal to be swollen and have red gums after a cleaning for a week, especially if you haven't been to the dentist in a while. It could mean that since you last had a cleaning, there was more calculus in deeper areas. This inflammatory process should dissipate in a week. It's important to inform your dentist of these issues and follow up if the swelling continues.
Jeff Litman DMD
All the Best,