Gingival polyp
Hello Doctor, my tooth was previously impacted, resulting in a fracture of my upper left central incisor.
I also underwent orthodontic treatment as a result.
After six months of orthodontics, I had a porcelain crown placed.
A year and a half after the incident, I noticed a polyp on the outer side of my upper left gum.
What should I do? Will it resolve on its own? Thank you.
Wuming, 20~29 year old female. Ask Date: 2005/05/19
Dr. Liu Tiancai reply Dentistry
Hello: When a front tooth is fractured, it may injure the dental nerve, leading to necrosis.
If there is a bacterial infection later, an abscess may form.
The polyp you discovered could possibly be an abscess.
Please consult a dentist for an X-ray to clarify the situation.
If the pulp is necrotic, it can be treated with root canal therapy, which will clean and sterilize the root canal, causing the polyp to naturally disappear.
Sincerely, Dr.
Liu Tian-Cai, Dentistry.
Reply Date: 2005/05/19
More Info
Gum polyps, also known as gingival polyps, are abnormal growths of tissue that can occur on the gums. They can arise due to various factors, including trauma, inflammation, or irritation. In your case, the history of trauma to your left upper first incisor and subsequent orthodontic treatment may have contributed to the development of the gum polyp.
Causes of Gum Polyps
1. Trauma: As you've experienced, trauma to the teeth or gums can lead to the formation of polyps. The injury can cause inflammation, leading to abnormal tissue growth.
2. Chronic Irritation: Factors such as ill-fitting dental appliances, poor oral hygiene, or chronic inflammation from periodontal disease can also contribute to the development of gum polyps.
3. Infections: Certain infections, including viral or bacterial infections, can lead to the formation of polyps as the body responds to the infection.
4. Hormonal Changes: Hormonal fluctuations, particularly during puberty, pregnancy, or menopause, can affect gum tissue and lead to the development of polyps.
5. Genetic Factors: Some individuals may have a genetic predisposition to developing gum polyps or other oral lesions.
Symptoms of Gum Polyps
Gum polyps may present with various symptoms, including:
- A visible growth or lump on the gums
- Swelling or inflammation around the affected area
- Discomfort or pain, especially when chewing or brushing teeth
- Bleeding from the gum tissue
- Changes in the color of the gum tissue, which may appear red or swollen
Treatment Options
1. Observation: If the gum polyp is small and asymptomatic, your dentist may recommend a wait-and-see approach. Many gum polyps can resolve on their own, especially if the underlying cause is addressed.
2. Improved Oral Hygiene: Maintaining good oral hygiene can help reduce inflammation and irritation, which may promote healing of the gum tissue.
3. Dental Treatment: If the gum polyp is associated with dental issues, such as periodontal disease or an ill-fitting dental appliance, addressing these problems may help resolve the polyp.
4. Surgical Removal: If the gum polyp is large, painful, or persistent, your dentist may recommend surgical excision. This procedure is typically straightforward and can be performed in the dental office.
5. Biopsy: In some cases, if there is concern about the nature of the polyp, a biopsy may be performed to rule out any serious conditions, such as oral cancer.
Conclusion
In your situation, it is essential to consult with your dentist or an oral surgeon to evaluate the gum polyp. They can provide a thorough examination and recommend the best course of action based on the size, symptoms, and underlying causes of the polyp. While some gum polyps may resolve on their own, professional evaluation is crucial to ensure that there are no underlying issues that need to be addressed. Remember, early intervention can prevent potential complications and promote better oral health.
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