Prosthetic stomatitis - photos, causes, symptoms, treatment

Author of the article:

Soldatova Lyudmila Nikolaevna

Candidate of Medical Sciences, Professor of the Department of Clinical Dentistry of the St. Petersburg Medical and Social Institute, Chief Physician of the Alfa-Dent Dental Clinic, St. Petersburg

Placing a crown on a tooth is a very common procedure. However, we often hear complaints that after it the patient’s gums under the crown become inflamed. Let's try to answer the question, why does this happen?

Why does the gum under the crown hurt? Causes of pain.

The dentist will be able to determine exactly what case you have, and only he will be able to prescribe the most effective treatment.

Common problems:

• The crown is directly adjacent to the gums, so it is not surprising that irritation may occur between the gum and the foreign body. In addition, very often small particles of food get stuck in the space between the gum and the crown.
• Another reason for gum swelling and tissue inflammation may be that it is time to replace your crown - remember that they do not last forever and have a certain service life.
• Also, if the gums under the crown hurt, the tooth may be to blame. In any case, inflammation of the gums under the crown indicates a problem that only a dentist can fix.
• Crown injury. To ensure that the artificial structure is securely fixed and does not put pressure on the gingival margin, the orthopedist creates a small “step”. But sometimes this fails. In such cases, the crown begins to put pressure on the soft tissue, which disrupts the blood circulation process.
• In addition, if the edges of the crown overhang, they gradually rub the gums, causing microtrauma and compromising the integrity of the mucous membrane. Because of this, the soft tissues begin to become inflamed.
• Poor preparation for crown installation
• The most common cause of complications is poor preparation for surgery. It includes poor quality work and doctor errors. The most common ones include:
• Damage to the gums during grinding of dental tissues to install a crown. A diamond drill can touch soft tissues, leaving small damage on them, which in the future can become foci of inflammation.
• Poor quality of root canal filling.
• Perforation of the canal during fixation of the structure or during processing of the pin, which can also lead to gum inflammation.
• In rare cases, it happens that the gums under the crown are swollen due to a piece of instrument getting into the root canal. Of course, such situations, indicating the negligence of doctors, are rare, but this cause of inflammation of the gums near the crown should not be excluded.

Symptoms

At the initial stage, in the first 2-3 weeks after installation of the prosthetic system, discomfort is considered a natural side effect due to the patient’s body becoming accustomed to the foreign structure placed in the oral cavity. However, if unpleasant or painful sensations persist for several months, or are severe, it is recommended to undergo repeated clinical diagnostics. Among the negative symptoms indicating a pathological situation are:

• Formation of swelling and redness of the gums in the area of ​​contact with the prosthesis;
• The occurrence of periodic bleeding and pain;
• Identification of areas where ulcerative lesions are localized;
• A persistent increase in body temperature, as well as bad breath.

The presence of inflammation is usually associated with problems with eating and articulation, and can also lead to disruption of sleep patterns and loss of appetite.

Signs of inflammation

You need to pay special attention to the following symptoms:

• Pain. Most often, its cause is inflammation of the soft tissue under the crown or irritation of the root canals.
• Edema. This is a signal that inflammation has begun.
• A fistula is a channel from which pus comes out; it may appear some time after swelling.

It is worth remembering that after prosthetics, the first two to three days may be uncomfortable. In this case, you do not need to take any additional measures; if pain interferes with the usual course of business, take pain medications.

Why does gum inflammation occur during dental prosthetics and how is it treated?

There are several reasons why gum inflammation may occur during prosthetics:

• dentist's mistake;
• allergy;
• incorrect load distribution.

Dentist mistake

An incorrectly selected prosthesis, inattentive and incorrect fitting, at the first stages of use cause the patient a feeling of discomfort. Then this feeling develops into an inflammatory process and constant pain, as the gums are injured. And it gets injured for many reasons, for example, due to an overly rigid base, protruding parts, or carelessly turned edges.

How to relieve pain

However, it is possible to relieve the painful symptoms of swollen gums under the crown using folk remedies:

• Mix a tablespoon of chopped thyme, chamomile and yarrow. Pour 200 ml of boiling water and let it brew for half an hour. Wait for the mixture to cool to room temperature and use as a rinse three times a day.
• The oak bark is simmered over low heat under a closed lid for 20-30 minutes. An infusion of sage leaves is added to the resulting decoction. A warm decoction will have a beneficial antiseptic and anti-inflammatory effect.

Of course, if the gum under the crown is inflamed, these methods can only relieve the pain momentarily, but they will not eliminate the cause of the disease, so you will still have to see a doctor.

Methods of therapy

Regardless of the symptoms, a treatment plan for the inflammatory process on the gums should be drawn up by a doctor. After examining the oral cavity and identifying the cause of inflammation, the specialist prescribes the most effective remedies.

Pharmacy solutions for rinsing

The most popular means are:

1. Miramistin is an antiseptic for topical use.
   The main active ingredient is benzyldimethyl-myristoylamino-propylammonium chloride monohydrate. The drug has a broad bactericidal, antifungal and antiviral effect. When shaken, the solution forms a thick foam. For inflammation of the gums, rinse the mouth 3-4 times a day. The course of treatment is 1-2 weeks.
2. Chlorhexidine is a topical treatment agent with anti-inflammatory and antibacterial effects.
   The active substance in the drug is chlorhexidine bigluconate. Chlorhexidine is used as a mouth rinse 3 times a day until complete recovery.
3. Furacilin is a drug with a pronounced antibacterial and anti-inflammatory effect.
   Available in the form of tablets for preparing a solution. The main active ingredient is nitrofural. The tablets are diluted with water in a ratio of 4 tablets per 1 liter of water. Rinse the mouth with the prepared solution up to 5 times a day.
4. Stomatophyte – a preparation intended specifically for treating the oral cavity. It has a deodorizing, anti-inflammatory and regenerating effect.
   Available in the form of a concentrated solution. The product contains extracts of medicinal herbs - chamomile, sage, calamus, oak bark, arnica, mint and thyme.

   Before use, the product must be diluted in a proportion of 10 ml per ¼ glass of water. Rinsing is carried out 3-4 times a day for 2 weeks.

5. Forest balm is a mouth rinse containing tea tree oil.
   Thanks to it, the balm actively strengthens the gums, relieves inflammation and improves blood circulation. You should rinse your mouth with the drug after every meal or brushing your teeth. The kit includes a special measuring cup.
6. Malavit is a homeopathic remedy that has a decongestant, analgesic and deodorizing effect. Used as an additional treatment for infectious diseases. Dilute 10 ml of the drug in a glass of water and rinse your mouth once a day.

What are the most popular prosthetic options in the absence of a large number of teeth, according to reviews from patients and specialists?

In this publication we will talk about how to choose a container for storing dentures.

Here https://www.vash-dentist.ru/protezirovanie/semnyie-p/chto-nuzhno-znat-pensioneram-zubov.html you will find all the most important things about preferential dental prosthetics for pensioners.

Gels and ointments

The following topical preparations have proven effective:

1. Cholisal is a gel with a combined effect.
   It has an anti-inflammatory and antimicrobial effect, quickly relieves pain. The effect of the drug begins within a couple of minutes after application to the gums. The composition includes two active substances - choline salicylate and cetalkonium chloride. Cholisal is available in the form of a transparent gel, which is applied to the affected areas of the oral mucosa 2-3 times a day before or after meals.
2. Metrogyl denta is a drug with a pronounced anti-inflammatory effect.
   It contains metronidazole and chlorhexidine. The use of this gel helps relieve pain and eliminate unpleasant symptoms such as itching and burning. Metrogyl denta is applied to areas of gum inflammation after preliminary cleaning of the oral cavity twice a day.
3. Solcoseryl - dental paste has an active regenerating effect.
   Thanks to dialysate from the blood of dairy calves, the drug improves metabolic processes in tissue cells, and polidocanol helps relieve pain. After application to a clean oral mucosa, the paste forms a protective film that protects the gums from mechanical damage for 3-5 hours. The product is used up to 5 times a day until complete recovery.
4. Kamistad is another drug with a combined effect.
   Lidocaine relieves pain, and chamomile eliminates inflammation, disinfects and accelerates tissue healing. The gel is squeezed onto your finger in the form of a strip 0.5 cm long and rubbed into the affected areas of the gums. The course of treatment depends on the severity of the inflammation and lasts until complete recovery.
5. Asepta is a drug prescribed for infectious and inflammatory processes in the oral cavity.
   It contains metronidazole, chlorhexidine, propolis and vitamin supplements. This gel relieves inflammation, reduces pain and itching, and also accelerates wound healing by improving metabolic processes in tissues. The drug is applied after brushing the teeth to the affected areas 2-3 times a day for 1-2 weeks.
6. Parodontocide is a herbal antiseptic. Its composition includes essential oils of sage, mint and cloves, as well as phenyl acylate. The use of the gel helps reduce gum inflammation, relieve pain, destroy germs and bacteria, and freshen breath.

ethnoscience

In folk medicine there are the following recipes:

1. Aloe is a natural antiseptic. A freshly cut and peeled leaf of the plant is applied to the affected area for 5-10 minutes or overnight. Duration of use - until complete recovery.
2. Chamomile relieves inflammation well. To prepare the infusion, take 1 tablespoon of dried flowers and pour a glass of boiling water. After cooling, the infusion is filtered and used for oral baths - put in the mouth and keep for half an hour. The course of application lasts until the wounds heal.
3. Oak bark is used to rinse the mouth. To prepare the decoction, take 20 g of dry bark and pour a glass of boiling water. Leave for 1 hour. After this, filter and rinse your mouth 2-3 times a day.
4. A rinse solution is made from soda and salt 1 tsp. Both ingredients are added to a glass of warm water and used after each meal. This solution helps reduce inflammation and cleanse the oral mucosa of harmful bacteria and germs.

Any medicine must be selected by the attending physician. Only an experienced specialist can determine which drug will be more effective in a particular case. Self-treatment can aggravate the condition and cause complications.

The video provides additional information on the topic of the article.

What will the dentist do if the gums become inflamed after installing a crown?

First of all, the doctor will order an X-ray to determine the cause of inflammation of the gums under the crown. Treatment by the dentist will also be selected based on this information.

Most often in these cases it is necessary to remove the crown. Additionally, patients are prescribed anti-inflammatory treatment and antibiotics. It is possible to re-prosthetize a tooth after the gums have become inflamed only when the anti-inflammatory treatment has ended. And only then will a new crown be installed.

It is important to understand that folk remedies will not be effective in this case and will not replace seeing a doctor. If you realize that discomfort continues for more than three days, be sure to consult a doctor. Inflammation is a serious process that affects the body as a whole, so it is important to recognize the cause as early as possible and determine effective treatments for inflammation.

First aid

If the problem takes you by surprise and you can’t immediately see a dentist, use these tips:

• Rinse your mouth with warm chamomile infusion.
• If you have a high temperature, take an antipyretic.
• If there is severe pain, take a painkiller tablet.
• For swelling, use a cool compress and apply it to your cheek for 10 minutes.
• Dilute one Furacilin tablet in a glass of warm water until completely dissolved. Rinse your mouth every two hours.

Care

To avoid problems with structures, you should properly care for them. For teeth with crowns, you can use an irrigator and specialized solutions for it, for example, ASEPTA with extracts of medicinal herbs. This will ensure proper cleaning in hard-to-reach places and will be a good prevention of problems with crowns.

In addition, the specialized ASEPTA ACTIVE paste, made on the basis of natural herbs and special enzymes, will help you maintain a healthy state. It eliminates pathogenic bacteria, relieves gum inflammation and prevents bleeding, providing comprehensive protection to tooth enamel.

Daily use of ASEPTA mouth rinse will also help to avoid inflammation; it combines analgesic, anti-inflammatory and antimicrobial effects. It increases the effectiveness of periodontal treatment and prevents the development of many diseases.

What to do if the denture rubs

Only a qualified dentist can determine the factors that led to damage to the gum tissue and determine the appropriate treatment method. The best solution in such situations is to postpone the visit to the clinic.

If the cause of rubbing is the incorrect shape of the prosthetic structure, the doctor will make adjustments, gradually adjusting the system to the desired parameters. In case of extensive inflammation, a complete replacement of the system is allowed. It is worth noting that independent attempts to correct prostheses, as a rule, lead either to damage to the device or to aggravation of the situation with inflammation.

In order to relieve pain at home and alleviate the condition of the body, which has worsened due to the inflammatory process, the following methods can be used:

• Rinsing the mouth with a decoction with the addition of medicinal herbs;
• Applying anesthetic gels to the surface of the gums;
• Installation of overlays that limit contact between the prosthesis and gums;
• Massage that helps restore blood circulation;
• Taking analgesics to relieve pain.

However, if symptoms persist for a long time, the best solution would be to consult a dentist.

Prevention

Following preventive recommendations helps reduce the likelihood of developing inflammatory processes. These include:

• Careful adherence to the rules of hygienic oral care - regular brushing of teeth, rinsing and the use of special products to remove food debris;
• Following medical recommendations for handling the prosthesis - removing the removable structure at night and treating it with a disinfectant solution;
• Regular massage of gum tissue improves blood circulation and reduces pain.

In addition, after prosthetics, it is recommended to visit a doctor at least once every six months to conduct a routine examination and eliminate possible problems in the early stages of development.

Clinical researches

ASEPTA® mouth rinses are designed to protect gums from inflammation and improve oral hygiene. The main indications for their use are:

• acute and chronic gingivitis;
• acute and chronic periodontitis;
• stomatitis;
• post-extraction alveolitis;
• toothache of infectious origin.

Clinical trials conducted in laboratories have shown that after 3 weeks of using ASEPTA® rinse, gum bleeding is reduced by 28.3%, inflammation is reduced by 32.3% and the hygienic condition of the oral cavity is improved by 33.5%*.

Sources:

1. Clinical and laboratory assessment of the influence of domestic therapeutic and prophylactic toothpaste based on plant extracts on the condition of the oral cavity in patients with simple marginal gingivitis. Doctor of Medical Sciences, Professor Elovikova T.M.1, Candidate of Chemical Sciences, Associate Professor Ermishina E.Yu. 2, Doctor of Technical Sciences Associate Professor Belokonova N.A. 2 Department of Therapeutic Dentistry USMU1, Department of General Chemistry USMU2
2. Clinical experience in using the Asepta series of products Fuchs Elena Ivanovna Assistant of the Department of Therapeutic and Pediatric Dentistry State Budgetary Educational Institution of Higher Professional Education Ryazan State Medical University named after Academician I.P. Pavlova of the Ministry of Health and Social Development of the Russian Federation (GBOU VPO RyazSMU Ministry of Health and Social Development of Russia)
3. Report on clinical trials to determine/confirm the preventive properties of commercially produced personal oral hygiene products: mouth rinse "ASEPTA PARODONTAL" - Solution for irrigator." Doctor of Medical Sciences Professor, Honored Doctor of the Russian Federation, Head. Department of Preventive Dentistry S.B. Ulitovsky, doctor-researcher A.A. Leontiev First St. Petersburg State Medical University named after academician I.P. Pavlova, Department of Preventive Dentistry.

Inflammation of the gums during prosthetics: treatment

Since it is impossible to do without the intervention of a qualified specialist if inflammation occurs, then, first of all, you need to visit the clinic.

The dentist will examine the gums and implants, identifying the cause of inflammation, and decide what to do - correct or completely remove the orthopedic structure. In addition, the teeth will be cleared of plaque and deposits, and sources of chronic infection will be eliminated. Only after completing these procedures will the specialist begin symptomatic treatment.

Stomatitis - photo, treatment

Smart people say that you need to know the enemy by sight, so we have prepared several photographs in which stomatitis is visible. Perhaps they will help you diagnose the problem in a timely manner and begin treatment on time.

FACT : Most often, denture stomatitis occurs due to improper fitting of dentures. To avoid this, you should not save on dental services and contact proven, qualified specialists. Your health depends on it.

Stomatitis - symptoms and treatment

The symptoms that prosthetic stomatitis causes are very different, but more often the disease takes the form of trophic and atrophic changes in the mucous membrane. Side effects may include pathological rashes and ulcerative inflammation. Sometimes malignant tumors such as granulomas or leukoplakias form. Diffuse hyperplasia may also occur on the hard palate.

Here is a list of the most common symptoms:

• Pain and discomfort in the oral cavity.
• Burning and itching when eating sour or spicy foods.
• Formation of erosions (ulcers, white or red spots, etc.) on the tongue, palate, gums, and inner sides of the cheeks.
• Looseness and swelling of the gums.
• Redness of the mucous membrane.
• Possible enlarged lymph nodes.

If you observe these symptoms, it is quite possible that you have stomatitis. But you shouldn’t start treatment right away; it’s better to consult a doctor so that he can make an accurate diagnosis (down to the type of stomatitis, and there are only four of them), identify possible allergies, and write a prescription that matches your medical history.