Maxillary incisor papilla protrusion
In the afternoon, I noticed a bump on the gums behind my upper front teeth when I habitually bit my lower lip.
It hurts when I press on it.
Doctor, what could be wrong? I'm a bit worried it might be something serious like a tumor.
Tim, 20~29 year old female. Ask Date: 2020/07/08
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Tim,
Hello! Based on what you've described, it is possible that you have periodontal inflammation.
Further examination is needed to determine the cause.
Take care! Wishing you all the best and smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2020/07/08
More Info
When you notice a bump in your upper jaw, particularly behind your front teeth, it can understandably cause concern, especially if it is painful when pressed. There are several potential causes for this type of gum bump, and while it is natural to worry about serious conditions like tumors, most cases are related to more benign issues.
One common cause of gum bumps is gingival hyperplasia, which is an overgrowth of gum tissue. This can occur due to various factors, including poor oral hygiene, certain medications (such as anticonvulsants or calcium channel blockers), or hormonal changes. If the bump is soft and can be moved slightly, it is likely to be a benign condition.
Another possibility is a periodontal abscess, which is a localized infection in the gum tissue. This can happen if there is an underlying issue such as gum disease (periodontitis) or a tooth infection. Symptoms of an abscess may include swelling, pain, and sometimes a bad taste in the mouth. If you suspect an abscess, it is essential to seek dental care promptly, as untreated infections can lead to more severe complications.
Additionally, the bump could be a fibroma, which is a benign growth of connective tissue. Fibromas can develop in response to chronic irritation, such as from biting the gums or having misaligned teeth. They are typically firm and painless unless they become irritated.
If you have been habitually biting your lip or the inside of your mouth, this could also lead to irritation and the formation of a bump. Chronic irritation can cause the tissue to thicken and form a fibrous lump.
In rare cases, a bump in the gums could indicate a more serious condition, such as a tumor or cyst. However, these are less common, especially if the bump has appeared suddenly and is associated with pain or discomfort.
Given your symptoms, it is crucial to consult a dentist or an oral surgeon for a thorough examination. They may perform diagnostic imaging, such as X-rays, to assess the underlying bone and teeth and determine the exact nature of the bump. A biopsy may also be necessary if there is any suspicion of a more serious condition.
In the meantime, maintaining good oral hygiene is essential. Brush your teeth at least twice a day, floss daily, and consider using an antibacterial mouthwash to help reduce inflammation and bacteria in the mouth. Avoid irritating the area further by refraining from biting your lips or cheeks.
In summary, while the presence of a bump in your upper jaw can be alarming, many causes are benign and treatable. Prompt dental evaluation is the best course of action to determine the cause and appropriate treatment. Remember, early intervention can prevent complications and ensure your oral health remains in good standing.
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