Cyst formation in the middle of a tooth?
Hello, doctor.
I do not smoke or drink alcohol.
Recently, the tissue between my two middle lower teeth has swollen up, resembling a small ball that can be moved and bleeds when touched.
What could this symptom be? I am currently undergoing orthodontic treatment; could it be due to inadequate brushing, or should I see an oral surgeon for an examination?
Niming, 10~19 year old female. Ask Date: 2017/07/05
Dr. Zhu Guanyu reply Dentistry
Hello, Miss.
During the orthodontic treatment period, your teeth require extra care, as neglecting oral hygiene can easily lead to cavities, periodontal disease, and inflammation of other tissues.
However, to understand the actual condition, a thorough clinical examination and assessment by a dentist is necessary.
It is recommended that you visit your original orthodontist for further treatment, and you are also welcome to seek care at our hospital.
Thank you for your message.
Wishing you safety and health.
Sincerely,
Dr.
Kuan-Yu Chu
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2017/07/05
More Info
It sounds like you are experiencing a concerning issue with your oral health, particularly with the swelling and bleeding between your teeth. Based on your description, it is possible that you are dealing with a dental cyst or an abscess, which can occur due to various reasons, including infection, inflammation, or even as a result of dental procedures such as orthodontics.
Symptoms and Possible Causes
The "small ball" you describe that can be moved and bleeds when touched could be indicative of a few conditions:
1. Dental Cyst: This is a fluid-filled sac that can form in the jawbone or soft tissues of the mouth. Cysts can develop due to infection, tooth decay, or as a result of impacted teeth. They may not always cause pain but can lead to swelling and discomfort.
2. Abscess: An abscess is a localized collection of pus that can occur in the gums or around the root of a tooth. This condition is often painful and can be accompanied by swelling, redness, and bleeding. It typically arises from untreated tooth decay or gum disease.
3. Gingival Hyperplasia: This condition involves the overgrowth of gum tissue, which can occur due to irritation, hormonal changes, or certain medications. It can create pockets that trap food and bacteria, leading to inflammation and bleeding.
4. Orthodontic Irritation: Since you mentioned that you are undergoing orthodontic treatment, the braces or wires may be irritating the gum tissue, leading to swelling and bleeding. Poor oral hygiene during orthodontic treatment can also exacerbate these issues.
Recommended Actions
Given the symptoms you are experiencing, it is crucial to take the following steps:
1. Consult a Dental Professional: It is essential to see a dentist or an oral surgeon as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the exact nature of the swelling and bleeding. Early diagnosis and treatment are vital to prevent further complications.
2. Maintain Oral Hygiene: While waiting for your appointment, continue to practice good oral hygiene. Brush your teeth gently but thoroughly, especially around the swollen area. Use a soft-bristled toothbrush and consider using an antibacterial mouthwash to help reduce bacteria in your mouth.
3. Avoid Irritating Foods: Steer clear of hard, crunchy, or spicy foods that could further irritate the swollen area. Soft foods may be easier to manage while you are experiencing discomfort.
4. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult with a healthcare professional before taking any medication, especially if you have underlying health conditions.
5. Follow-Up Care: Depending on the diagnosis, your dentist may recommend treatments such as drainage of an abscess, removal of a cyst, or adjustments to your orthodontic appliances. Follow their advice closely to ensure proper healing.
Conclusion
In summary, the symptoms you are experiencing could be due to a dental cyst, abscess, or irritation from orthodontic treatment. It is crucial to seek professional dental care to obtain an accurate diagnosis and appropriate treatment. Maintaining good oral hygiene and avoiding irritating foods can help manage your symptoms in the meantime. Remember, early intervention is key to preventing more serious complications in your oral health.
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