Swelling Between Lower Lip and Gums: Causes and Solutions

Swelling and redness between the lower lip and the gums?

Last year, I experienced pain in the tooth next to my lower right incisor and visited a dental clinic.
The dentist performed a root canal treatment but did not fill the cavity, and the issue did not improve.
When I sought a second opinion at another clinic, the dentist suggested that the problem might be related to gum inflammation and proceeded with root canal treatment and filling.
After some time, I developed redness and swelling between my lower lip and the gums next to my lower incisors.
When I went to the hospital for an examination, the doctor confirmed inflammation, which lasted for over a month before healing.
However, nearly a year later, the same issue recurred, with redness and swelling again appearing between my lower lip and the gums next to my lower incisors.
I visited another clinic, where the dentist took an X-ray and indicated that there was a problem with the root of that tooth.
The options presented were: 1.
Extraction, or 2.
Flap surgery to access the tooth, fill the cavity, and then suture it, but this would require a visit to a larger hospital.
I would like to ask the doctor if the condition of "redness and swelling between my lower lip and the gums next to my lower incisors" is indeed as the last dentist described.
If possible, are there any other treatment options available? I appreciate the doctor's response and thank you for taking the time to address my concerns!

Niming, 20~29 year old female. Ask Date: 2018/02/03

Dr. Zeng Guanghui reply Dentistry

Pain in the lower right teeth underwent root canal treatment.
If there is still inflammation at the apex of the tooth root, it may lead to swelling and redness of the gums.
If the root canal has already been medicated and sealed, it indicates that the root canal treatment is complete; however, if inflammation at the apex persists, extraction or a procedure known as apicoectomy may be recommended.
This involves flap surgery, drilling into the apex, filling it, and then suturing.
It is advisable to consult a dentist for further examination and treatment.

Reply Date: 2018/02/03

More Info

Understanding the swelling between the lower lip and gums, particularly in the context of dental health, can be quite complex. Based on your description, it appears that you have been experiencing recurrent issues with inflammation in the area between your lower lip and the gums adjacent to your lower front teeth. This situation is often indicative of underlying dental problems, particularly those related to the roots of the teeth or the surrounding gum tissue.

The swelling you are experiencing could be attributed to several factors. One common cause is periodontal disease, which is an infection of the gums that can lead to inflammation and swelling. If the gums are inflamed, they may become swollen and tender, leading to discomfort and pain, especially when pressure is applied. Another potential cause could be an abscess, which is a localized collection of pus that can occur due to bacterial infection, often stemming from untreated cavities or gum disease. This can lead to significant swelling and pain in the affected area.

In your case, the previous dental treatments you underwent, including root canal therapy, suggest that there may have been an issue with the tooth's root or surrounding tissues that was not fully resolved. If the root canal was not successful or if there is a persistent infection, it could lead to recurrent swelling and discomfort. The fact that you have experienced this issue multiple times over the course of a year indicates that there may be an ongoing problem that needs to be addressed more thoroughly.

Regarding the treatment options presented by the dentist, both extraction and flap surgery (where the gum is lifted to access the underlying bone and tooth root) are valid approaches depending on the severity of the infection and the condition of the tooth. Extraction may be necessary if the tooth is deemed non-restorable, while flap surgery could allow for cleaning and treatment of the infection without losing the tooth.
If you are hesitant about these options, it is essential to seek a second opinion from another dental professional, preferably an oral surgeon or a periodontist, who specializes in gum diseases and complex dental issues. They may offer additional insights or alternative treatment options, such as advanced endodontic treatments or regenerative procedures that could help preserve the tooth and alleviate the inflammation.

In the meantime, maintaining excellent oral hygiene is crucial. This includes brushing your teeth at least twice a day with a soft-bristled toothbrush, using fluoride toothpaste, and flossing daily to remove plaque and food particles from between the teeth and gums. Additionally, using an antibacterial mouthwash can help reduce bacteria in the mouth and may assist in managing inflammation.

If the swelling persists or worsens, or if you experience increased pain, fever, or other systemic symptoms, it is vital to seek immediate dental care. These could be signs of a more severe infection that requires prompt treatment.

In summary, the swelling between your lower lip and gums is likely related to underlying dental issues, possibly stemming from previous treatments. It is crucial to consult with a dental professional who can provide a thorough examination and recommend the best course of action tailored to your specific situation. Your oral health is paramount, and addressing these issues sooner rather than later can prevent further complications.

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