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Medical Forum / General / Dentistry / April 2005

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More Gum redness than usual around abutments?

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xyzer@hotmail.com - 26 Apr 2005 07:31 GMT
I've been very busy this past month or so, and I haven't probably
brushed my teeth at night as well I should have, but I'm trying to get
back into brushing them for a longer time and just plain doing a better
job at night.  Anyway, one of the reasons I'm slightly concerned is
that the gums right above my two abutments (on each side/each
independent of the other) are looking a little more red than usual.
I've always had problems with my gums (bleeding, etc.) unless I just
brushed extremely well like 3 times a day and kept it up for
weeks/months at a time, but should I be concerned at all about abutment
decay?  Are slightly-redder-than-usual gums ever a symptom of abutment
decay?
Joel M. Eichen - 26 Apr 2005 10:32 GMT
Well, red gums suggests hyperemia, and/or inflammation.

Joel

> I've been very busy this past month or so, and I haven't probably
> brushed my teeth at night as well I should have, but I'm trying to get
[quoted text clipped - 7 lines]
> decay?  Are slightly-redder-than-usual gums ever a symptom of abutment
> decay?
Dr Steve - 26 Apr 2005 13:14 GMT
<xyzer@hotmail.com> wrote in message
> I've been very busy this past month or so, and I haven't probably
> brushed my teeth at night as well I should have, but I'm trying to get
> back into brushing them for a longer time and just plain doing a better
> job at night.

Or, you could just wait a bit and soak them in a glass  [deliberate sarcasm]

>Anyway, one of the reasons I'm slightly concerned is
> that the gums right above my two abutments (on each side/each
> independent of the other) are looking a little more red than usual.
> I've always had problems with my gums (bleeding, etc.)

That means you never have cleaned this area adequately.

>unless I just
> brushed extremely well like 3 times a day and kept it up for
> weeks/months at a time, but should I be concerned at all about abutment
> decay?

Yes!

> Are slightly-redder-than-usual gums ever a symptom of abutment
> decay?

Yes!

Could also be a sign of soft tissue infection, abscess of the tooth, abscess
of the gums, etc.  Go see your dentist.

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................
Steven Fawks - 26 Apr 2005 14:05 GMT
And remember:

There is nothing that a dentist can do to undo what a patient will not do.

Fawks

> Could also be a sign of soft tissue infection, abscess of the tooth, abscess
> of the gums, etc.  Go see your dentist.
>
> ~+--~+--~+--~+--~+--
> Stephen Mancuso, D.D.S.
W_B - 26 Apr 2005 17:08 GMT
>I've been very busy this past month or so, and I haven't probably
>brushed my teeth at night as well I should have, but I'm trying to get
[quoted text clipped - 7 lines]
>decay?  Are slightly-redder-than-usual gums ever a symptom of abutment
>decay?

When was the last time that you had a professional cleaning ?

It's probably time.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
xyzer@hotmail.com - 26 Apr 2005 20:16 GMT
> >I've been very busy this past month or so, and I haven't probably
> >brushed my teeth at night as well I should have, but I'm trying to get
[quoted text clipped - 16 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

Yeah, I'll probably be going within the next month or so.  I think it's
been about 6-8 months since I last went, so it's time to go again.  I
brushed my teeth more vigorously and for a longer time than I usually
do, and I could tell that it's more of a general inflammation of my
gums than simply the area around my abutments.  So, I don't think
there's an urgent concern at the moment (could be wrong of course),
other than the fact that I need to brush for a longer period of time
than what I've been doing.  The dentist of course always gets onto me
for not flossing well enough, and I've been able a few times to floss
enough and brush enough over a period of months to where I wouldn't
bleed when I brushed my teeth, but now I guess I need to start back
trying to get my gums back in shape over the longer run.  I'm
relatively young (early twenties), so hopefully I still can.
Steven Fawks - 27 Apr 2005 14:02 GMT
Young, gingivitis, and implants.....

Wouldn't have a sugar habit between meals would you?  Something
like soft drinks, mints, sugared tea or coffee, hard candies, etc.?

This makes the plaque grow so fast it's almost impossible to brush
enough.  Diet is equally important to home care.  One without the
other is rarely enough.

JME,
Fawks

> Yeah, I'll probably be going within the next month or so.  I think it's
> been about 6-8 months since I last went, so it's time to go again.  I
[quoted text clipped - 9 lines]
> trying to get my gums back in shape over the longer run.  I'm
> relatively young (early twenties), so hopefully I still can.
xyzer@hotmail.com - 27 Apr 2005 19:12 GMT
Well, whenever I brush properly and for a long enough amount of time,
my gums stop bleeding.  Of course, what I mean is that they stop
bleeding *when* I brush and floss them, as they don't just bleed for no
reason...that would be really bad.  Anyway, I have bridgework because I
had a peg tooth and the orthodontist basically arranged (over time) my
teeth (the two beside my two front teeth, don't know the number) for
bridgework.  I actually don't have a problem at all with cavities,
although I do have 3 fillings from early childhood.  I've been checked
every 6 months since childhood, and I'm now 24, although I have let the
time run too far since my last checkup.  The dentist usually does get
onto for not flossing well enough, although I have done well a couple
of times over the years.

And my diet... my diet is not as good as it was about 2 years ago, but
for about a  year or two I had  *SPECTACULAR* diet, almost to the point
of being sort of silly/extreme.  I ate a lot of wild alaskan salmon, a
lot of fruit (that could be the bad guy I guess), and drank a lot of
water, but I've never been big on soft drinks.  However, my gums were
pretty much the same during this time.  Really, it's genetics I think.
Also, even though I eat relatively well, I tend to eat a *lot* of food,
especially for someone as skinny as I am.  So, my mouth sees probably
at least a quarter more food per day than the average mouth does, on
average.  Anyway, I just need to floss better and brush better and
within a few weeks the bleeding always stops, but it's keeping up with
it that's the hard part sometimes.

> Young, gingivitis, and implants.....
>
[quoted text clipped - 21 lines]
> > trying to get my gums back in shape over the longer run.  I'm
> > relatively young (early twenties), so hopefully I still can.
Steven Fawks - 28 Apr 2005 13:53 GMT
Anyway, I just need to floss better and brush better and
> within a few weeks the bleeding always stops, but it's keeping up with
> it that's the hard part sometimes.

Excellent.  Motivation for great home care can be more difficult in
patients where they seem to 'get away with' less than perfect.

As you get older, gum disease becomes more of an issue.  Getting
everything under control now will reap dividends down the road.

Best wishes,
Fawks
 
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