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What could be done to manage severe gum infection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 27-year-old female with a severe gum infection. I have an appointment scheduled for tomorrow morning, but I am just looking for more clarification due to the rapid onset. I have shared the pictures with you.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I reviewed your pictures (attachment removed to protect the patient's identity). Well, this can be fixed. Consult the dentist. They will perform some cleaning, and some medicines will work simultaneously. So do not worry, as this infection will not last long.

Try to maintain oral hygiene properly, and use mouthwash after brushing twice daily.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Were you able to view the pictures? I am wondering if we can wait until the next weekday? Unfortunately, dental care is difficult to find at the weekends.

Please advise.

Thank you.

Hello,

Welcome back to icliniq.com.

I saw pictures (attachments removed to protect patient identity). And if there is no problem, you can wait. Do whatever I have suggested in my previous answers until you visit a dentist. The weekend is hard for everyone to find any care.

Please let me know if you want some help.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Based on the pictures, I know it would be difficult to diagnose properly, but does this appear to be consistent with necrotizing gingivitis?

Please advise.

Thank you.

Hello,

Welcome back to icliniq.com.

Without a diagnosis, we cannot say, but it seems like necrotizing gingivitis (a painful infection of the gums). Do you have any pain? Or any symptoms in the body other than gum problems. Because somewhere, I see calculus in the picture (attachments removed to protect patient identity) and gum infection.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Yes, I have swollen lymph nodes, jaw pain, a low-grade fever, and discharge from the ulcers. The glandular swelling began about two days ago, and the ulcers appeared today.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Hello,

Welcome back to icliniq.com.

Then it could be a necrotizing type. But I cannot confirm until you visit a dentist. This could be acute necrotizing gingivitis if ulceration and lymph node swelling and fever are there. Maintain your oral hygiene properly and use any good mouthwash suggested by a dentist or pharmacist.

Also, you can take Metronidazole tablets (antibiotics) twice a day for the next three days.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

So in your opinion, is it likely to get significantly worse in the next two days?

Please advise.

Thank you.

Hello,

Welcome back to icliniq.com.

No, it will not get worse, but you may feel uncomfortable with these symptoms, so I am suggesting some precautions. It seems like necrotizing gingivitis, but it is not yet confirmed until you visit a dentist.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I am concerned about the permanent damage and tooth loss.

Please advise.

Thank you.

Hello,

Welcome back to icliniq.com.

The dentist can fix tooth loss, and permanent damage can be stopped at this stage. The only permanent damage that can happen is losing the gums contour and blood flow. That can only happen if this is not treated right now. And tooth loss is not that easy until there is severe bone loss.

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Should I get treated in the next two days? Please advise.

Thank you.

Hello,

Welcome back to icliniq.com.

Yes, the sooner you get treatment, the healthier your gums will be.

I hope this has helped you.

Thank you.

Answered byDr. Purva Jingar

Medically reviewed byiCliniq medical review team

Published At November 7, 2022
Reviewed AtOctober 25, 2024

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