A 30-year-old female patient presents with red, puffy gums around a dental bridge that was placed 1 year ago. She says it's uncomfortable when she brushes that area. What are the potential causes and the next steps?
This patient appears to have localized periodontal disease, likely due to plaque accumulation around the dental bridge. The inflammation is a response to bacterial buildup. The next steps would involve professional cleaning of the area. The dentist may also consider removing and replacing the bridge if it's contributing to plaque buildup. The patient should be taught how to clean around the bridge properly to prevent recurrence.