Gum Swelling and Foreign Body Sensation: Dental Concerns Explained

Gingival swelling and foreign body sensation?

I have a gum issue with my upper left lateral incisor and canine.
This problem started several years ago, where occasionally a small abscess would appear on the gum above these two teeth.
Sometimes, the mucosa in the upper jaw around these teeth would also swell.
Interestingly, if I press down on the area just below my left nostril, I can feel a hard lump inside (though it is not visible to the naked eye).
When I press on that area while simultaneously pushing the swollen area in the upper jaw with my tongue, I can feel that lump move, and it feels swollen, as if there is a solid object inside.
However, this sensation disappears shortly after.
I once suspected it might be due to excessive heat in my body, but since the abscess and swelling would resolve quickly, I didn't pay much attention to it.
Recently, the gum above these two teeth has started to swell again (seemingly with a small abscess), and I can feel a connection between the swelling in my nostril and the oral cavity when I touch them (as described above).
Since this has been going on for many years, I thought it would be a good opportunity to ask a doctor about what the issue might be.
I would appreciate your guidance.
Thank you!

Xiong Xiong, 20~29 year old female. Ask Date: 2011/12/25

Dr. Zeng Guanghui reply Dentistry

Hello, thank you for your inquiry.
I would like to address your question and provide the following advice: There is a small abscess on the gums of the upper left molar and canine, and there is a hard lump inside the same side nostril.
This may indicate a bacterial infection at the periodontal area or the apex of the upper left incisor and canine, leading to an abscess or periapical cyst.
Since the apices of these two teeth are close to the nasal cavity, it is possible to feel a swollen area inside the nostril as well.
I recommend consulting a dentist for further diagnosis and treatment.
Wishing you peace and happiness!

Reply Date: 2011/12/25

More Info

Gum swelling and the sensation of a foreign body in the mouth can be concerning symptoms that warrant further investigation. Based on your description, it seems you are experiencing recurrent issues with your upper left incisors and canine teeth, specifically the appearance of small abscesses on the gums and swelling in the surrounding areas. Additionally, you mentioned a hard lump felt beneath the skin near your left nostril, which seems to be connected to the sensations in your mouth.

There are several potential explanations for your symptoms:
1. Periodontal Disease: The presence of gum swelling and abscesses can indicate periodontal disease, which is an infection of the tissues that support your teeth. This condition can lead to gum recession, bone loss, and, if left untreated, tooth loss. The abscesses you describe may be localized infections that form as a result of bacteria accumulating in the gum pockets.

2. Dental Abscess: A dental abscess can occur when bacteria infect the tooth's pulp or the surrounding gum tissue. This can lead to the formation of pus, which may manifest as a small bump on the gums. The recurring nature of your symptoms suggests that there may be an underlying issue that has not been fully addressed.

3. Sinus Issues: The sensation of a hard lump beneath the skin near your nostril could be related to your sinuses. The roots of the upper teeth, particularly the incisors and canines, are located close to the maxillary sinuses. Infections or inflammation in the sinuses can sometimes cause referred pain or swelling in the gums. This could explain the connection you feel between the nasal area and your oral symptoms.

4. Foreign Body Reaction: The sensation of having a foreign body in your mouth could also be due to a reaction to dental materials, such as fillings or crowns, especially if they are old or deteriorating. This can lead to localized inflammation and discomfort.

5. Allergic Reaction or Irritation: Sometimes, gum swelling can be caused by an allergic reaction to certain foods, dental products, or medications. If you have recently changed any products or introduced new foods into your diet, this could be a factor.

Given that these symptoms have persisted over several years, it is crucial to seek a thorough evaluation from a dental professional. Here are some steps you can take:
- Dental Examination: Schedule an appointment with a dentist to conduct a comprehensive examination of your teeth and gums. This should include X-rays to assess the health of the bone and surrounding structures.

- Periodontal Evaluation: If periodontal disease is suspected, a periodontal specialist may need to assess the depth of gum pockets and the overall health of your periodontal tissues.

- Sinus Assessment: If there is a suspicion of sinus involvement, your dentist may refer you to an ENT specialist for further evaluation.

- Treatment Plan: Depending on the findings, treatment may involve deep cleaning (scaling and root planing), antibiotics for infection, or other periodontal therapies. If a dental abscess is present, drainage and further treatment may be necessary.

- Monitoring Symptoms: Keep track of any changes in your symptoms, including the frequency and duration of the swelling and any associated pain. This information will be valuable for your healthcare provider.

In conclusion, while your symptoms may seem benign due to their intermittent nature, they could indicate underlying dental or health issues that require attention. Early intervention can prevent more serious complications and help maintain your oral health.

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