Swelling and Displacement of Front Teeth: Causes and Concerns

Q: Swelling and Displacement of Front Teeth: Causes and Concerns

Hello： If a dentist has confirmed that the tooth is not loose, it is advisable not to worry too much. <br>Short-term acute gingivitis can cause gum swelling, a feeling of tooth mobility, and even slight occlusal abnormalities, which are all expected. <br>These issues will resolve

Swelling and displacement of the incisors?

Hello, I would like to inquire about the following issue: My upper second incisor was filled two years ago.
After the filling, it did not react much to cold or heat, but it was more sensitive to tapping (not to the point of pain).
The dentist mentioned that the filling was quite deep and close to the nerve, which is why it was more sensitive.
Recently, over the past month, I have noticed that this incisor feels uncomfortable at night, with a sensation of swelling or congestion, and I have observed that this tooth slightly shifts inward.
The occlusion feels noticeably different and uncomfortable.
However, during the day, after I wake up, it returns to its original position, and the swelling sensation subsides.
When I have been more stressed lately, the aforementioned sensations become particularly pronounced.
I have consulted a dentist, but the symptoms were not explained, and it was determined that the tooth is not loose.
I would like to ask what could be causing the aforementioned situation? Is it a serious issue that the position of the tooth sometimes changes slightly?

A Mao, 30~39 year old female. Ask Date: 2020/03/18

Dr. Lin Jiayong reply Dentistry

Hello: If a dentist has confirmed that the tooth is not loose, it is advisable not to worry too much.
Short-term acute gingivitis can cause gum swelling, a feeling of tooth mobility, and even slight occlusal abnormalities, which are all expected.
These issues will resolve once the gingivitis is treated.
Thank you!

Reply Date: 2020/03/18

More Info

Understanding the swelling and displacement of your front tooth can be quite concerning, especially when it involves discomfort and changes in position. Based on your description, there are several potential causes and considerations that could explain your symptoms.

Firstly, the sensitivity and discomfort you are experiencing in your upper second incisor, particularly after a deep filling close to the nerve, could be indicative of several dental issues. When a tooth is filled deeply, it can sometimes lead to pulpitis, which is inflammation of the dental pulp. This condition can cause the tooth to become sensitive to temperature changes and pressure, leading to discomfort when biting or tapping on the tooth. The swelling or feeling of congestion you describe at night could be a sign of inflammation, possibly exacerbated by clenching or grinding your teeth during sleep, which is common in individuals experiencing stress or fatigue.

The slight inward displacement of the tooth you mentioned could be attributed to several factors. One possibility is that the surrounding gum tissue may be inflamed or swollen, which can cause the tooth to appear to shift position. This can happen if there is an underlying periodontal issue, such as gingivitis or periodontitis, which can affect the supporting structures of the tooth. Although you mentioned that your dentist did not find any looseness in the tooth, it is still important to consider the health of the gums and bone surrounding the tooth.

Another factor to consider is the impact of your overall oral health and habits. If you have been under increased stress or have experienced changes in your routine, this could lead to habits such as teeth grinding (bruxism), which can put additional pressure on your teeth and exacerbate any existing sensitivity or discomfort. Additionally, if you have been favoring one side of your mouth for chewing due to discomfort in other areas, this could lead to uneven wear and shifting of your teeth.

In terms of the severity of the issue, while occasional sensitivity and minor positional changes may not be immediately alarming, they should not be ignored. Continuous discomfort, noticeable changes in tooth position, and swelling are signs that further evaluation is warranted. It would be advisable to revisit your dentist or seek a second opinion, particularly from a specialist in periodontics or endodontics, who can assess the health of the tooth and surrounding structures more thoroughly.

In summary, the symptoms you are experiencing could be related to pulpitis, periodontal issues, or habits such as bruxism. It is crucial to address these concerns promptly to prevent further complications, such as potential tooth loss or the need for more invasive treatments. Regular dental check-ups, maintaining good oral hygiene, and managing stress can help mitigate these issues. If you notice any worsening of symptoms or new developments, do not hesitate to seek professional advice.

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