Gum Swelling and Upper Jaw Issues: What You Need to Know

Swelling of the upper jaw and gums?

Hello, I have a strong fear of dentists, so I have avoided seeking help for my dental issues, which has led to a mouth full of decayed teeth.
Last year, the tooth next to my front tooth, which was already crooked, has developed an increasingly larger gap with my front tooth.
There is a growth on my gum that I am unsure about.
I visited a dentist, but they didn't provide much information, so I didn't pay much attention, thinking it would resolve on its own.
However, it has started to develop a pus-filled head, and my gum has swollen.
My upper jaw is also swollen, but I don't feel any significant discomfort; the only sensation is that my bite feels off.
The swollen area is near my canine tooth, which is sharp and often rubs against the area.
Recently, I've noticed that the rubbed area is gradually wearing down.
I have a habit of smoking and occasionally chew betel nut, but only 3-5 pieces when it's cold, and I haven't been chewing betel nut for more than six months.
Could this be oral cancer, or can you provide some insight into what might be happening?

Yuan, 20~29 year old female. Ask Date: 2016/03/26

Dr. Zeng Guanghui reply Dentistry

The gap between the front teeth is too large, which can lead to the accumulation of dental plaque and cause gum inflammation.
In severe cases, it may even result in the formation of abscesses.
If the swelling becomes significant, it can sometimes be irritated by the underlying teeth.
Additionally, smoking and betel nut chewing can exacerbate the inflammation.
It is advisable to consult Dr.
Zhao for treatment of the gum inflammation issue to prevent it from worsening.

Reply Date: 2016/03/26

More Info

It sounds like you're experiencing a complex set of dental issues that are causing you significant discomfort and concern. Let's break down your situation and address your questions regarding gum swelling, potential dental problems, and the implications of your symptoms.

Understanding Your Symptoms
1. Gum Swelling and Abscess Formation: The swelling of your gums, especially with the presence of pus, suggests that you may have developed a dental abscess. This is often caused by a bacterial infection that can arise from untreated cavities, gum disease, or trauma to the teeth. The fact that you mentioned a "bump" on your gums that has developed into a pus-filled area indicates that the infection is likely localized and could be affecting the surrounding tissues.

2. Upper Jaw Swelling: The swelling in your upper jaw could be a direct result of the infection from your gums. When an abscess forms, it can lead to localized swelling, which may extend to the jawbone and surrounding areas. This can also affect your bite and cause discomfort when chewing, as you've described.

3. Concerns About Oral Cancer: While your symptoms could be alarming, especially given your smoking and betel nut habits, it's important to note that not all oral lesions are cancerous. However, persistent swelling, pain, or changes in the oral mucosa should be evaluated by a dental professional. Oral cancer can present with various symptoms, including non-healing sores, lumps, or changes in the texture of the tissue, but these symptoms alone do not confirm a diagnosis.

Potential Causes
- Cavities and Gum Disease: The decay in your teeth, particularly the crooked tooth next to your front tooth, can lead to gum disease, which may explain the swelling and pus formation.

- Infection: If the decay has reached the pulp of the tooth, it can lead to an infection that spreads to the surrounding gum tissue, causing swelling and pain.

- Trauma: If you are experiencing wear on your teeth due to grinding or improper alignment, this can exacerbate your symptoms and lead to further complications.

Recommendations for Relief and Treatment
1. Seek Immediate Dental Care: Given the severity of your symptoms, it is crucial to see a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the extent of the infection and the best course of treatment. This may involve draining the abscess, treating the infection with antibiotics, and addressing any cavities or gum disease.

2. Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage your discomfort. Warm saltwater rinses may also provide temporary relief and help reduce inflammation.

3. Oral Hygiene: Maintain good oral hygiene by brushing gently around the affected area and flossing daily. Avoid irritating substances such as tobacco and betel nut, as these can worsen your oral health and increase the risk of complications.

4. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, fever, or spreading pain, seek emergency dental care immediately.

5. Consider Lifestyle Changes: If you are concerned about oral cancer, reducing or quitting smoking and betel nut use can significantly improve your oral health and reduce your risk of developing serious conditions.

Conclusion
Your situation requires prompt attention from a dental professional to prevent further complications. While your symptoms may not necessarily indicate oral cancer, they do suggest a significant dental issue that needs to be addressed. Don't let your fear of the dentist prevent you from seeking the care you need; early intervention can lead to better outcomes and relief from your discomfort.

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