Acute Necrotising Gingivitis
I have had very severe pain, ulcers and bleeding gums for the past three days. My whole mouth is sore and I cannot eat properly. My spouse tells me I have bad breath. What could I be suffering from?
The condition you describe is termed Acute Necrotising Gingivitis. You will need to see a dentist for gum treatment or, if necessary, be referred to a gum specialist.
Features:
- ulcers on tips of gum between teeth and along gum line
- bleeding gums
- sudden onset and pain
- foul odour
- increased salivation
- metallic taste
- repeated infections lead to bone loss or periodontitis, with additional features:
- enlarged gum margins
- triangular gaps between teeth
- gum recession (teeth appear longer)
Causes:
- bacterial infection
- Factors that increase your risk:
- poor oral hygiene
- smoking
- systemic diseases e.g. diabetes
- stress
Management:
- proper tooth brushing and mouth rinse
- professional cleaning of gum areas
- antibiotics
- oxidising antiseptics
- gum surgery