Unusual Growth in Tooth Gap: Causes and Solutions - Dentistry

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Foreign objects growing in the gaps between teeth?


A few years ago, I lost a tooth, and since then, only a small portion has grown back.
Over the past year, a soft, fleshy growth resembling a granulation tissue has developed in the area where the tooth was lost.
It doesn't hurt unless I touch it; I have previously tried poking it with a toothpick, which caused bleeding.
Sometimes it shrinks, but after a while, it grows larger again.
I would like to know what this situation might be.
I maintain a regular brushing routine.

Miss Hong, 10~19 year old female. Ask Date: 2016/07/11

Dr. Huang Zhicheng reply Dentistry


Hello: We cannot make a diagnosis based solely on your written description.
We recommend that you visit an oral healthcare facility for evaluation and treatment.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/07/11

More Info


The situation you are describing, where a soft, fleshy growth appears in the gap left by a missing tooth, is not uncommon. This type of growth is often referred to as a "granulation tissue" or "soft tissue overgrowth." It can occur for several reasons, and understanding these can help in determining the best course of action.


Possible Causes
1. Granulation Tissue: This is a type of tissue that forms during the healing process. If the area where the tooth was lost has not healed properly, granulation tissue may develop as the body attempts to repair itself. This tissue is typically soft and can bleed easily when irritated.

2. Fibromas: These are benign tumors that can develop in the oral cavity. They are usually firm and can appear in areas where there has been irritation or trauma, such as from a missing tooth.

3. Hyperplastic Gum Tissue: Sometimes, the gum tissue can grow excessively in response to irritation or inflammation. This can happen if food particles or plaque accumulate in the area, leading to gum disease.

4. Cysts: In some cases, a cyst may form in the area where a tooth was lost. Cysts are fluid-filled sacs that can cause swelling and discomfort.

5. Infection: If there is an underlying infection in the area, this could also lead to abnormal growths or swelling.


Recommended Actions
1. Dental Evaluation: It is crucial to see a dentist for a thorough evaluation. They will likely perform a clinical examination and may take X-rays to assess the underlying bone structure and determine the nature of the growth.

2. Biopsy: If the growth appears suspicious or does not resolve with conservative treatment, a biopsy may be necessary to rule out any serious conditions.

3. Oral Hygiene: Continue to maintain good oral hygiene practices. Regular brushing and flossing can help prevent irritation and inflammation in the area.

4. Avoid Irritation: Try to avoid poking or irritating the growth with objects like toothpicks, as this can lead to bleeding and further inflammation.

5. Possible Treatments: Depending on the diagnosis, treatment options may include:
- Surgical Removal: If the growth is causing discomfort or is deemed problematic, surgical removal may be necessary.

- Medication: If an infection is present, antibiotics may be prescribed.

- Monitoring: In some cases, if the growth is benign and not causing any issues, the dentist may recommend monitoring it over time.


Conclusion
The growth you are experiencing in the gap left by your missing tooth could be due to several factors, including granulation tissue, fibromas, or other conditions. It is essential to consult with a dental professional who can provide a proper diagnosis and recommend appropriate treatment. Early intervention can prevent potential complications and ensure that your oral health is maintained. Remember, maintaining good oral hygiene and regular dental check-ups are key to preventing issues in the future.

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