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Good afternoon! I'd be happy to help you figure out what's going on. I'm glad to hear you are following all of the dentist's oral hygiene recommendations and are boosting your immune system. Could you answer a few questions for me?
1) Is there any dental work in this area? Fillings or crowns? If so, how old are they?
2) Did anything in your medical history change at the time this inflammation started, 3 months ago?
3) Did you have any injury to the tissues in that area, including popcorn or tortilla chip debris?
I understand why you'd be so worried about this. Everyone heals at a different rate, so it's not completely abnormal for it to not be perfect at 3 weeks post-op. Your periodontist and dentist are probably pleased that it has made some progress. I didn't receive any demographics about you. Are you male or female? What is your age? Any important medical history other than those vitamin deficiencies?
Good! I'm glad we can rule out autoimmune diseases. And you're already treating your vitamin deficiencies. Vitamin deficiencies can definitely affect your gum tissue and cause inflammation, so it could be that that was a contributor to the start of this problem.
Is there any chance you are having any big hormone surges? Pregnancy?
Another deep cleaning would only be necessary if they determine that there is still bacteria in the gum tissues (which should not be the case if you're doing a great job with your home care). Do you remember if they used a laser to treat the gums during the deep cleaning? That is a great option for reducing inflammation.
Okay, good to know. Hormone changes can cause some major inflammation, so that was my next guess.
I would recommend Biotene toothpaste because it is the mildest brand you can find and will not cause any additional irritation. Using the extra soft toothbrush is the way to go.
I would return to the periodontist at 4 weeks post-op, so one more week.....
Does that answer your question?
I'm so glad you mentioned that! Mouth breathing definitely contributes to inflammation of the gums around front teeth. Does the lower night guard prevent you from closing your lips?
One great product to try for dry mouth is also made by Biotene: their dry mouth gel. It's great to use right before bed. Place a small amount on your tongue and use your tongue to spread it around the inside of your mouth. Then place your nightguard in for the night.
Anything that dries out the tissues will predispose them to inflammation. I have some more information on dry mouth if you'd like. I can upload a PDF for you to view. (I write patient education materials for dental blogs)
Here is the dry mouth article.