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Q. Gums below incisors and canines are turning dark with pain post wisdom tooth surgery. Why?

Answered by
Dr. Bharat Joshi
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 12, 2020

Hello doctor,

I had wisdom tooth surgery two weeks ago. However, now the gums below my incisors and canines hurt and are turning darker. What do I do?

I am using Chlorhexidine mouthwash.

#

Hello,

Welcome to icliniq.com.

I have seen the picture (attachment removed to protect patient identity). Please do not worry. This is melanotic pigmentation caused due to the deposition of melanin. It is not a pathology and had nothing to do with extraction. However, esthetically if it irritates you, it has a surgical treatment called de-pigmentation done by scalpel, laser, or electrocautery (scalpel method is least expensive).


The Probable causes:

Melanin pigmentation.

Differential diagnosis:

Melanotic pigmentation.

Probable diagnosis:

Melanotic pigmentation.

Treatment plan:

Surgery.

Preventive measures:

Please stop mouthwash as it can cause staining.

Regarding follow up:

No need but if estheticaly you feel uncomfortable, report me before surgery.

Thank you doctor,

Is it normal if it pains, and I cannot chew hard food? I am having trouble sleeping too.

#

Hello,

Welcome back to icliniq.com.

It is normal. Actually, if you can see the picture, you can see areas below black pigmentation that depict occlusal load. So pain is not due to pigmentation. It is due to the occlusal load. Do not worry. Also, one of your teeth has an exposed root. I am prescribing a desensitizing paste, apply over the anteriors for a month and then tell me if there any improvement.


The Probable causes:

Biting force and trauma.

Investigations to be done:

X-ray.

Differential diagnosis:

Occlusal trauma and recession.

Probable diagnosis:

Occlusal trauma and recession.

Treatment plan:

Desensitizing paste for one month. Stop your mouthwash and do warn saline rinses six hourly a day for one week.

Regarding follow up:

After a week, otherwise if symptoms worsen.


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