Gum Swelling: Inflammation or Wisdom Tooth Issues? - Dentistry

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Gum swelling can often be a source of discomfort and concern, especially when it is accompanied by pain. Based on your description, it seems that you are experiencing swelling on the inner side of your upper right teeth, particularly near the last two molars. This condition could be attributed to several factors, including gum inflammation or issues related to your wisdom teeth.

Firstly, gum inflammation, also known as gingivitis, is a common dental issue that can occur due to plaque buildup, poor oral hygiene, or even hormonal changes. Symptoms of gingivitis include swollen, red gums that may bleed when brushing or flossing. If the swelling is localized and painful, it could indicate that the gum tissue is reacting to bacteria or food particles trapped around the teeth, particularly if you have not been able to maintain optimal oral hygiene in that area.

On the other hand, since you mentioned that your wisdom teeth have been present for several years, it is also possible that they could be contributing to your symptoms. Wisdom teeth, or third molars, often become impacted if there is not enough space in the jaw for them to emerge properly. This can lead to inflammation of the surrounding gum tissue, known as pericoronitis, which is characterized by swelling, pain, and sometimes infection. If your wisdom teeth are partially erupted, food can easily become trapped beneath the gum flap, leading to irritation and swelling.

Given that your symptoms have progressed from mild discomfort to noticeable pain when touched, it is essential to seek dental evaluation. A dentist can perform a thorough examination, including X-rays if necessary, to determine the exact cause of your symptoms. They will assess the health of your gums and the position of your wisdom teeth to provide an accurate diagnosis.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Maintain Oral Hygiene: Continue to brush your teeth at least twice a day and floss daily, paying special attention to the area around the swollen gums. Consider using an antibacterial mouthwash to help reduce bacteria in your mouth.

2. Warm Salt Water Rinse: Rinsing your mouth with warm salt water can help soothe inflamed gums and reduce swelling. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.

3. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, be sure to follow the recommended dosage instructions.

4. Avoid Irritants: Try to avoid very hot, cold, or spicy foods that may irritate the swollen area.

5. Dental Consultation: As mentioned earlier, it is crucial to see a dentist for a professional evaluation. They may recommend treatments such as scaling and root planing for gum disease or extraction of the wisdom teeth if they are causing problems.

In conclusion, while your symptoms could be due to gum inflammation or issues with your wisdom teeth, a dental professional will be able to provide a definitive diagnosis and appropriate treatment plan. Ignoring these symptoms could lead to more severe complications, so it is advisable to seek care promptly.