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Pain between tooth 46 and 47 lingering .
It's been 40 days since I accidentally cut gum end between tooth 46 and 47. Few days before I had tooth extraction (tooth 48 wisdom). It sometimes bleed after brush or if I poked with my 🤞 finger. It was paining before but the pain is dull now sometimes vanishes. There is no continuous bleeding as I approached multiple dentist ( 2 dentist and 1 ENT) they said there is no ulceration or any other abnormalities after 1 panoramic x-ray and 1 specific tooth xray done by the same doctors. My concern is when will it heal. Some say it will take months to fully heal. I am anxious. Please advice me some toothpaste for faster recovery. I am currently on medication ( vitamin c + b12 suppliments) . Please experts. Help me.
Answers (8)
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Based on the history, this most likely represents delayed healing of the interdental gingival papilla (between 46 and 47) due to repeated mechanical trauma.Minor gingival injuries usually heal within 2–4 weeks, but healing can be delayed for 6–12 weeks or longer if the area is repeatedly traumatized by brushing, finger poking, flossing, or food impaction
Health Tips
avoid poking with finger and tongue
use soft bristle toothbrush
use chlorhexidine mouthwash
maintain oral hygiene
use fluoride toothpaste
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Hello. I understand your concern. As per your given history i understand the anxiousness but the extraction site heals by 20-30days . Till then you need to maintain proper oral hygiene for good recovery and touching the site with bare hands is not advised . As our hands are never really sterile even after hand washing!
Next Steps
For faster recovery you can use Chlohex Heal mouth wash
Health Tips
Avoid touching with bare hands
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Based on your description, the overall findings are reassuring. Since you have already undergone examination by multiple specialists and both the panoramic and intraoral X-rays were reported as normal, the likelihood of a serious underlying problem is low.
The area between teeth 46 and 47 is delicate and can take longer to completely remodel after trauma, especially if it is repeatedly irritated by brushing, food impaction, or frequent checking with the finger. The occasional bleeding you notice when poking the area is often due to re-traumatization of healing tissue.
Next Steps
• Avoid touching or checking the area repeatedly.
• Use a soft-bristled toothbrush and brush gently.
• Maintain good oral hygiene, especially between 46 and 47.
• Continue the prescribed supplements if advised by your doctor.
• Warm saline rinses 2–3 times daily may help tissue healing.
• Ensure no food gets trapped in that area after meals.
There is no specific toothpaste that can significantly accelerate healing of a healed or healing gum injury. A regular fluoridated toothpaste for sensitive gums is sufficient.
As the pain is now dull, intermittent, and sometimes absent, this suggests improvement. Soft tissue healing may occur within weeks, while complete tissue maturation and resolution of residual sensitivity can sometimes take a few months.
Health Tips
If you notice persistent spontaneous bleeding, increasing pain, swelling, pus discharge, or a visible non-healing ulcer, revisit your dentist for re-evaluation.
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Hello,
Based on your description, the fact that you have already undergone evaluation by multiple specialists, including dental and ENT consultations, and that both panoramic and intraoral X-rays are normal is reassuring.
Soft tissue injuries between teeth can sometimes take several weeks to completely heal, especially in areas that are repeatedly traumatized during chewing, brushing, or by frequent checking with the finger. Intermittent bleeding after touching the area suggests that the tissue may still be healing.
My advice would be:
⢠Avoid repeatedly examining or touching the area with your finger.
⢠Maintain excellent oral hygiene and gently clean between the teeth.
⢠Continue using a soft-bristled toothbrush.
⢠Continue the prescribed vitamin supplements if recommended by your doctor.
⢠Avoid tobacco, smoking, and very spicy foods.
There is no specific toothpaste that can dramatically accelerate healing. The most important factors are eliminating repeated trauma and allowing the tissue adequate time to recover.
However, if the pain worsens, swelling develops, spontaneous bleeding occurs, or the area fails to improve over the next few weeks, consider a review with a Periodontist (gum specialist) for a detailed examination.
Regards,
Dr. Mohit Gautam
BDS, MDS (Endodontist)
Next Steps
Avoid touching the area and monitor for improvement over the next few weeks. Follow up with a Periodontist if symptoms persist.
Health Tips
Repeatedly checking a healing area with the tongue or finger can delay healing and prolong discomfort even when no significant disease is present.
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1. Do you smoke?if yes ,please stop it ;as it might be have affected the healing.
2.Are you taking medication on any medical condition apart from dental?, please provide that along with available xrays.
Next Steps
visit dentist for the same.
Health Tips
.
Here are few tips for the same.....
1.Gargle with lukewarm salt water after brushing your teeth
2.Kindly follow prescribed medication for the same also don't self medicate .
3.don't worry about it;have nutritious diet .
4.maintain oral hygiene.
5.don't poke with your fingers or tooth brush in that area.
Thank you!
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Hello
It would be better if you go for a physical examination once and also stop poking that area again again
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After reviewing your case, I want to reassure you that you are likely on a normal, albeit slow, healing path. The area between tooth 46 and 47 sits right next to your recent wisdom tooth extraction socket (tooth 48). When a wisdom tooth is removed, the surrounding gum tissue, bone, and structural support undergo significant remodeling.
The "cut" you felt 40 days ago was likely a localized injury to an already sensitive, healing interdental papilla (the gum triangular tip between teeth). Because you have already seen two dentists and an ENT, and your panoramic and periapical X-rays show no deep abnormalities, infection, or retained root fragments, we can confidently rule out serious pathology.
The dull, vanishing pain indicates the nerves are settling. The occasional bleeding you notice during brushing or poking occurs because the newly forming healing tissue (granulation tissue) is highly vascularized and fragile. Every time it is disturbed, it bleeds easily. Toothpastes alone do not heal cuts, but proper local management will.
Next Steps
To help this tissue mature completely and stop the bleeding, I recommend you implement the following steps:
Stop Probing the Area: I strictly advise you to stop checking or poking the gum with your finger or tongue. Continuous mechanical irritation restarts the healing clock and keeps the tissue fragile.
Modify Your Brushing Technique: Use an ultra-soft bristled toothbrush. When cleaning around teeth 46 and 47, do not scrub horizontally. Instead, use a gentle, sweeping motion away from the gums to avoid tearing the new tissue.
Introduce a Warm Saltwater Rinse: Discontinue aggressive commercial mouthwashes. Instead, rinse with warm saltwater (half a teaspoon of salt in a glass of warm water) 2 to 3 times a day, especially after meals, to keep the area clean and reduce local swelling.
Continue Your Current Supplements: I highly approve of your Vitamin C and B_{12} regimen. Vitamin C is essential for collagen synthesis and gum repair, so keep taking them as prescribed.
Health Tips
Expect a Slow Timeline: It is normal for deep gum remodeling following a nearby extraction to take a few months to fully mature. Do not let this timeline cause you anxiety.
A Word on Food Biofilms: Make sure sharp foods like chips, nuts, or hard crusts are chewed on the opposite side of your mouth for the next few weeks to prevent physical micro-trauma to the healing site.
When to Re-evaluate: While your current X-rays are clear, if you develop throbbing pain, sudden swelling in your jaw, bad taste, or spontaneous bleeding that does not stop after a few minutes, please return to your dentist for a clinical re-check
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Hello.. Yes the soft tissue will heal on its own.. Be little conscious while brushing and make sure you are using super soft bristle brush
Next Steps
super soft sensitive toothbrush plus omnident toothpaste (to prevent gums bleeding.. )and rinse your mouth with lukewarm water with pinch of salt 5, 6 times in a day
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.