Gingiva
Hello Doctor: Recently, the gum between my two front teeth has swollen.
I am wearing braces and I have a habit of brushing my teeth after every meal.
Is this a bacterial infection or simply due to heat in my body? Should I seek medical attention? Please advise, thank you.
en, 10~19 year old female. Ask Date: 2010/06/03
Dr. Zhuang Suhui reply Dentistry
Hello: Swelling of the gums is likely due to gingival inflammation or trauma, and it is not related to excessive heat in the body.
You should seek medical attention and treatment.
Reply Date: 2010/06/03
More Info
Swollen gums between teeth can be a concerning issue, and it's great that you're paying attention to your oral health. There are several potential causes for this condition, and understanding them can help you determine the best course of action.
Causes of Swollen Gums:
1. Gingivitis: This is the most common cause of swollen gums. It occurs due to plaque buildup on the teeth, which can irritate the gum tissue. If not treated, gingivitis can progress to more severe gum disease (periodontitis).
2. Periodontitis: If gingivitis is left untreated, it can lead to periodontitis, a more severe form of gum disease that can cause gum recession and tooth loss. Symptoms include swollen gums, bad breath, and sometimes pain.
3. Infection: A localized infection, such as a dental abscess, can cause swelling in the gums. This is often accompanied by pain and may require immediate dental intervention.
4. Hormonal Changes: Hormonal fluctuations, such as those occurring during menstruation, pregnancy, or menopause, can make gums more sensitive and prone to swelling.
5. Allergic Reactions: Sometimes, reactions to dental materials (like those used in braces) or certain foods can cause gum swelling.
6. Poor Oral Hygiene: Even with regular brushing, if the technique is not effective or if you miss areas, plaque can accumulate and lead to gum issues.
7. Diet: A diet high in sugar and low in nutrients can contribute to gum disease. Additionally, dehydration can lead to dry mouth, which increases the risk of gum problems.
8. Stress: Stress can impact your immune system and make you more susceptible to infections, including those affecting your gums.
When to See a Dentist:
- If the swelling persists for more than a few days.
- If you experience pain, especially if it is severe or worsening.
- If you notice any pus or discharge from the swollen area.
- If you have persistent bad breath or a bad taste in your mouth.
- If you have a fever or feel unwell overall.
What You Can Do:
1. Maintain Good Oral Hygiene: Continue brushing twice a day and flossing daily. Pay special attention to the areas around your braces, as they can trap food and plaque.
2. Rinse with Salt Water: A warm saltwater rinse can help reduce inflammation and promote healing.
3. Avoid Irritants: Stay away from tobacco products and limit sugary foods and drinks.
4. Stay Hydrated: Drink plenty of water to help keep your mouth moist and wash away food particles.
5. Use an Antimicrobial Mouthwash: This can help reduce plaque and bacteria in your mouth.
6. Consult Your Orthodontist: Since you are wearing braces, it may be beneficial to discuss your symptoms with your orthodontist. They can check if the braces are contributing to the gum swelling and provide specific care instructions.
In summary, swollen gums can be caused by various factors, including poor oral hygiene, infections, or even hormonal changes. It is essential to monitor your symptoms and seek dental care if the swelling persists or worsens. Regular dental check-ups are crucial, especially when wearing braces, to ensure that your oral health remains in good condition.
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