How to Treat Lip Abscesses Caused by Braces: Tips and Precautions - Dermatology

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Lip abscess


I have braces, and it seems that my lips got cut by the brackets, initially forming a white spot that later turned into a pustule.
It started as one pustule and then developed into four, and it seems to be spreading.
Additionally, I have a habit of biting my lips, which may introduce bacteria from my hands, leading to a bacterial infection.
What treatment should I pursue? Is it okay to pop them? What precautions should I take, and what should I do if I accidentally pop them?

Le Mei Mei, 10~19 year old female. Ask Date: 2015/08/29

Dr. Wu Yuxin reply Dermatology


Please stop the habit of biting your lips and seek medical attention as soon as possible to identify the underlying cause and receive appropriate treatment.

Reply Date: 2015/08/29

More Info


Treating lip abscesses caused by braces can be a challenging situation, especially when the initial injury leads to infection and the formation of pus-filled bumps. Here are some steps and precautions to consider for effective treatment and prevention of further complications.


Immediate Care and Treatment
1. Avoid Picking or Popping: It is crucial to resist the urge to pop the abscesses. Popping them can lead to further infection, spreading bacteria, and worsening the situation. Instead, allow the abscesses to drain naturally if they are ready to do so.

2. Maintain Oral Hygiene: Keeping your mouth clean is essential. Rinse your mouth with warm salt water several times a day. This can help reduce inflammation and promote healing. Make sure to avoid any mouthwashes that contain alcohol, as they can irritate the area further.

3. Use a Soft-Bristled Toothbrush: When brushing your teeth, use a soft-bristled toothbrush to avoid further irritation to the affected area. Be gentle around the braces and the abscesses.

4. Topical Antibiotics: If the abscesses are open, applying a topical antibiotic ointment (like Neosporin) around the area can help prevent further infection. However, avoid applying it directly inside your mouth unless recommended by a healthcare professional.

5. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage on the label.


When to See a Dentist
If the abscesses do not improve within a few days, or if you experience increased pain, swelling, fever, or any signs of systemic infection, it is essential to see a dentist. They may need to drain the abscess professionally and prescribe antibiotics to combat the infection.


Preventive Measures
1. Avoid Lip Biting: Since you mentioned a habit of biting your lips, it’s important to work on breaking this habit. Consider using lip balm to keep your lips moisturized and reduce the urge to bite.

2. Regular Orthodontic Check-ups: Regular visits to your orthodontist can help ensure that your braces are not causing undue irritation to your lips and cheeks. They can make adjustments if necessary.

3. Use Orthodontic Wax: Applying orthodontic wax over the brackets can create a barrier between the braces and your lips, reducing irritation and the likelihood of developing abscesses.

4. Healthy Diet: A balanced diet rich in vitamins and minerals can help boost your immune system, which is crucial for healing. Stay hydrated and avoid overly spicy or acidic foods that can irritate the mouth.


What to Do If an Abscess Bursts
If an abscess bursts, it is important to:
1. Clean the Area: Rinse your mouth gently with warm salt water to clean the area. Avoid using any harsh mouthwashes immediately after.

2. Monitor for Symptoms: Keep an eye on the area for signs of worsening infection, such as increased redness, swelling, or pus. If you notice these symptoms, seek dental care promptly.

3. Follow Up with a Dentist: Even if the abscess bursts, it’s advisable to consult with a dentist to ensure that the infection is fully resolved and to discuss further treatment options if necessary.

In conclusion, while dealing with lip abscesses caused by braces can be uncomfortable, following these guidelines can help manage the situation effectively. Always prioritize good oral hygiene and consult with a healthcare professional when needed to ensure proper healing and prevent complications.

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