instruction: hello doctor I am a 49 year old female I weigh about 62 keg and my height is 168 am I have a long time problem with receding gums on all my teeth the teeth are quite tight also I have also had esophagus hernia for many years and the stomach does not close properly and this makes it so that I feel the effect of my stomach acid like heartburn it is very unfortunate for the teeth because it also changes oh in my mouth and makes it acidic this happens especially when I sleep at night since I feel some dull pain in my teeth at night or when I wake up in the morning I am trying to do something so I take the medicine that hinders acid production before I go to bed prazol and I also rinse my mouth with water whenever I wake up even at night still I think this acidity weakens my gums and teeth the tooth that is in the picture has been fixed a few times with neck filling but now I feel there is some inflammation there that causes pain and the gum is very sensitive I can hardly brush this tooth I have an ointment that I started to use yesterday it is called carident and is made of framycetini sulfas painum and natrii benzos do you have any recommendations on what I should do I could go to a dentist to try to put a new neck filling but I am afraid that the gum has gone so low already that there is not enough of it left to put another filling I am not even sure what will happen when I have this tooth extracted if it will be possible to make up for the hole in the gum I am quite worried about it
output: hi I checked your query and attached files I can totally understand the situation you are going through the best part is you know the root cause is stomach issue you are doing best and accurate already to keep the oh maintained I would like to add some points do saline water mouth rinses instead of normal water rinses take a pinch of salt in a half cup of lukewarm water and do its rinse before sleeping and after breakfast do it for one week this is the best remedy by book and by practice so far for strengthening the gums as healthy gums will grow they will attach to tooth more firmly change your brushing habit do brush with very light hand pressure this canine tooth root exposure as is evident in the picture clearly indicates that while brushing unconsciously more pressure or harsh brushing is done at this corner of the mouth so if this is the case try breaking down your habit this will prevent gum from going down further at this stage extraction is not recommended take brufen 400 my twice a day for three days this will cover the inflammatory condition at the gum line of this sensitive tooth now get slight scaling done of this area and get neck filling done again this will save the tooth do not brush this area as it is very sensitive oral gel revomet plus metronidazole and chlorhexidine gel can help with swollen gums put at the affected part thrice a day for five days do all these recommended things and please give me followup after five days I hope this helps acidic oh of mouth due to stomach problem and hard brushing habit it would be very helpful if a pa ray is done of lower right canine filling act root canal treatment filling and scaling medications plus scaling followed by filling I need follow up right after five days