Necrotising gingivitis

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May 5, 2023
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During December to January I noticed swelling and bleeding in my gums accompanied but recession of my interdental papilla.

After about a month of this I went to an NHS dentist who sent me to a hygienist, stating I had plaque and tartar buildup. The hygienist told me I had recession on my bottom front teeth and told me to come back every 6 months.

However, the problem came back again 3 weeks later but instead of the pain being in my gums it was more in my teeth and jaw this time. I decided to get a general checkup at a private dentist and they did x-rays and checked my probe depths. They again told me that nothing was wrong.

The only problem is I’m unsure as to why I had such fast gum recession in a small amount of time, literally only taking two months before black triangles in between my teeth started to form. After looking online the only thing I could find was stuff on Necrotising Gingivitis. As I had intense bleeding and recession similar to the symptoms described I was wondering if I had this problem and perhaps it was missed? Although I have no inflammation my gums are still sloughing and sensitive

Should I try and get myself in with a specialist, as the speed in which my gums are receding currently despite the lack of inflammation is quite concerning? I’m worried if I don’t sort it now I could eventually have bone loss.

I did have orthodontic treatment around 2 years ago, but the black triangles weren’t present after I had the braces removed, I’m wondering if this could be linked?
 

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Dr M

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Definitely not necrotizing gingivitis. A simple google search can tell you this. Recession can be due to a lot of reasons, including one being the type of gingival biotype you are classified as. A thin biotype usually has black triangles forming due to the simplest of reasons, such as brushing too hard, since the amount of attached gingiva is not a lot. I would not be to worried if probing depths reveal no real attachment loss. You can stick to using a soft tooth brush only. If you want to treat this for aesthetic reasons, you can seek the opinion of a periodontist. They will confirm the presence or lack of any periodontal disease, and then can inform you about gingival grafts procedures to cover up these areas.
 

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MattKW

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You certainly don't have Acute Necrotising Ulcerative Gingivitis (ANUG), Have only seen a few in my life and they are very distinctive, plus foul-smelling.
As for recession, it is quite minor, and could be partly due to the orthodontic treatment. The only thing I think you should do iis have your lower wisdom teeth removed to prevent distal decay in the adjacent molars.
 

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Joined
May 5, 2023
Messages
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View attachment 5890

During December to January I noticed swelling and bleeding in my gums accompanied but recession of my interdental papilla.

After about a month of this I went to an NHS dentist who sent me to a hygienist, stating I had plaque and tartar buildup. The hygienist told me I had recession on my bottom front teeth and told me to come back every 6 months.

However, the problem came back again 3 weeks later but instead of the pain being in my gums it was more in my teeth and jaw this time. I decided to get a general checkup at a private dentist and they did x-rays and checked my probe depths. They again told me that nothing was wrong.

The only problem is I’m unsure as to why I had such fast gum recession in a small amount of time, literally only taking two months before black triangles in between my teeth started to form. After looking online the only thing I could find was stuff on Necrotising Gingivitis. As I had intense bleeding and recession similar to the symptoms described I was wondering if I had this problem and perhaps it was missed? Although I have no inflammation my gums are still sloughing and sensitive

Should I try and get myself in with a specialist, as the speed in which my gums are receding currently despite the lack of inflammation is quite concerning? I’m worried if I don’t sort it now I could eventually have bone loss.

I did have orthodontic treatment around 2 years ago, but the black triangles weren’t present after I had the braces removed, I’m wondering if this could be linked?



5653E8D2-9A6B-4F54-B6F3-C8858BAFACB8.jpeg

The image here is during the time of inflammation
 

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MattKW

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Still not ANUG, just localised gingivitis. Attached is a typical pic, with highlighted text. Never seen it in a non-smoker or someone with balanced nutrition, or someone who regularly brushed.
 

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