Dr. Naveen Thomas
Dentistry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
From two to three weeks I have been experiencing buccal bleeding. I have inflamed gingiva behind one of the upper teeth. I can sense the lump with my tongue on the gum. I went to the dentist and he told me that it was gingivitis and he gave me a special mouthwash for gingivitis. But, I do not see any improvement since two weeks even after using the mouthwash. Every one or two days that inflamed part of mouth starts bleeding and I have to spit and start suctioning with my own mouth to get all the blood off and then the bleeding stops. I have managed to take some pictures with my phone.
Please help.
Hi,
Welcome to icliniq.com.
The photos are not at all clear to give exact diagnosis (attachment removed to protect patient identity). You should start taking antibiotics like Amoxicillin and Metronidazole for five days to reduce the gum swelling. If you can buy medicine over-the-counter then buy the following;
1. Capsule Amoxicillin CV 500 mg (combination of Amoxicillin and Clavulanate) thrice daily for five days.
2. Take Betadine gargle or warm saline gargle thrice daily.
3. Send a good picture also. Consult a dentist and ask about flap surgery for the affected area.
Patient's Query
Hi doctor,
I went to an endodontist and she gave me Amoxicillin for five days. I did not take Metronidazole as she said I did not have any pus. She also said that she would not make any flap surgery as it was not necessary. She said to wait for the antibiotic response and then we would see. After taking the antibiotic, bleeding stopped and the inflammation of that area decreased significantly. Then I realized that what I had was a bacteria accumulation problem of some sort in that area. But, yesterday I began to feel inflammation in that area again, but no bleeding. I really would like to avoid flap surgery. Kindly guide.
Hi,
Welcome back to icliniq.com.
If you are again having swelling so soon after taking antibiotics then it means that you have some sort of pathology in that area. Did the endodontist suggest an x-ray of the site? Do you have some sort of pain in any of the teeth at the site? Get an x-ray done of the area to rule out infection of any teeth. If the inflammation is just due to some gum problem then you should consult a periodontist and at least do curettage and root planing and if not flap surgery.
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Dentistry
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