Gum ectropion is mostly caused by swelling of the gums, and is considered to be possibly related to wisdom tooth pericoronitis, periapical abscess, and gingivitis. It can be treated with medication or surgery depending on the cause.
1. Wisdom tooth pericoronitis: When the patient has wisdom teeth, the gingival hyperplasia in the distal and middle portions of the wisdom teeth forms blind pockets. If the teeth are not cleaned in time after meals or before bedtime, the food residues trapped inside the blind pockets will harbor bacteria, causing inflammation and swelling of the gums, resulting in protruding of the dental bed.
The antibiotics available are metronidazole and clindamycin, in addition to aspirin, ibuprofen and other commonly used painkillers can be given, and in severe cases, incision and drainage, peri-coronal gingival flap excision, wisdom tooth extraction can be performed.
2. Periapical abscess: due to oral hygiene or spicy food caused by inflammation of the root tip of the tooth, if not treated in a timely manner, the inflammation spreads and progresses to break through the periosteum to the gingiva, which will result in localized periapical protrusion of the gums. It can be treated by opening the pulp or root canal filling.
3. Gingivitis: When the oral cavity is not clean and infected with anaerobic bacteria, the anaerobic bacteria proliferate and multiply, and the local gums will be stimulated by the anaerobic bacteria to become inflamed and swollen, which will result in the protrusion of the tooth bed. It can be treated by scaling.
Gum ectropion needs to go to the hospital stomatology department in time, under the guidance of the doctor for treatment.