Small white blisters on the gums?
Hello, doctor.
About a month and a half ago, I injured my front tooth, causing a crack and a small chip.
At that time, the dentist only repaired the cracked part and advised me not to use my front teeth for eating.
They also used periodontal splinting, securing the injured teeth with a thin wire to the adjacent healthy teeth.
Now, I have small white bumps on my gums.
Is this inflammation? Is it normal? Do I need to return for an immediate check-up? Additionally, I would like to ask if my teeth do not hurt but feel a bit loose and painful when tapped, what is the likelihood of recovery? Thank you.
Ivy, 20~29 year old female. Ask Date: 2016/06/24
Dr. Zeng Guanghui reply Dentistry
The front tooth has a small chip due to trauma.
During the clinic visit, the fractured part was restored, and periodontal stabilization was performed.
However, there are small white particles on the gums, which need to be assessed to determine if they are dental plaque or fine debris adhering to the gum tissue.
If there is swelling and pain, it indicates gingival inflammation, and a follow-up visit is necessary for examination.
Although the tooth is not painful, percussion testing elicits discomfort and slight mobility, which is due to injury to the periodontal ligament.
Maintaining oral hygiene and avoiding chewing hard objects may still allow for recovery.
Regular follow-up examinations are recommended.
Reply Date: 2016/06/24
More Info
Based on your description, it sounds like you are experiencing some post-injury complications related to your gums after the dental trauma you sustained about a month and a half ago. The presence of small white bumps on your gums can be concerning, and it's important to understand what they might indicate.
The white bumps you are observing could be a result of several factors. One possibility is that they are related to inflammation or irritation of the gum tissue due to the trauma. When the gums are injured, they can become inflamed, leading to the formation of small white lesions or bumps. These lesions may be a type of oral mucosal injury, which can occur after trauma, and they may be accompanied by some degree of swelling and tenderness.
Another potential cause for the white bumps could be the formation of a fibrous tissue response as part of the healing process. After an injury, the body works to repair the damaged tissue, and in some cases, this can lead to the development of fibrous tissue that appears white. This is generally a normal part of healing, but it can sometimes be mistaken for an infection or other pathological condition.
It's also important to consider the possibility of a secondary infection, especially if the area is tender or if you notice any discharge. If the white bumps are accompanied by increased redness, swelling, or pus, this could indicate an infection that may require treatment.
Regarding your concern about the pain when tapping on the teeth, this could suggest that there is still some instability in the affected teeth. If the teeth feel loose or painful upon percussion, it may indicate that the supporting structures (such as the periodontal ligament) are compromised. The healing process can vary significantly depending on the severity of the initial injury and the individual’s overall oral health.
In terms of whether you need to return to the dentist, it is advisable to do so, especially since you are experiencing these symptoms. A dental professional can perform a thorough examination, possibly including X-rays, to assess the condition of your teeth and gums. They can determine if the white bumps are a normal part of the healing process or if they indicate a more serious issue that requires intervention.
In summary, while the white bumps on your gums could be a normal part of the healing process following your dental injury, they could also indicate inflammation or infection. Given the pain associated with tapping on your teeth and the presence of these bumps, it is prudent to seek a follow-up appointment with your dentist. They can provide a definitive diagnosis and appropriate treatment to ensure your recovery progresses smoothly.
In the meantime, maintain good oral hygiene by gently brushing your teeth and avoiding any irritants, such as spicy or acidic foods, that could exacerbate the condition. If you notice any worsening of symptoms, such as increased pain, swelling, or fever, seek dental care promptly.
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