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Having TMJ syndrome. Gums swollen, soreness behind front two teeth. Related to TMJ?

Good morning Dr. Grief, Question, I have TMJ Syndrome and I was wondering was this associated with the the other day I woke up and my top gums were swollen? They went down bout a day later but right behind the front two teeth is VERY painfull and soar. Makes it hard to eat, almost feels like a cut or something. Do you have any idea what that is?
Asked On : Tue, 26 Mar 2013
Answers:  4 Views:  925
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Dentist 's  Response
hello there ,

TMJ problems can be associated primarily with the pain and soreness in the upper front teeth and swollen gums as you have mentioned .

Swelling in the gums indicate inflammation of the gums known as gingivitis , it is caused due to poor oral hygiene , deposition of bacterial plaque and calculus deposits deep in the gum pockets and on the root surfaces of the teeth.

you may also experience bleeding gums , pain , sensitivity and redness in the gums .

This needs professional scaling and root planing by a dentist to remove all the irritants ,plaque and calculus which will subside the gum swelling rendering good oral health.

Pain in the upper front teeth is may be due to some dental infection or decay process , it can be confirmed by taking a X ray examination of the area accordingly treatment can be planned.

i hope this helps ,

take care.
Answered: Wed, 27 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response

Thanks for posting your query.
The soreness and swollen gums may be due to-
Periodontal infection due to poor oral hygiene.
Deep dental caries .
Traumatic injury.
Please get oral prophylaxis done.
Decayed teeth has to be restored or root canal treated.
Maintain good oral hygiene.
Complete course of antibiotics-analgesics has to be taken.
Hope this helps.
Answered: Sat, 30 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for posting the query,

Tooth pain long with swelling indicates infection of the tooth , that had spread to the periapical tissue leading to formation of abscess .or it can be caused by trauma by heavy forces placed on the teeth causing destruction of surrounding structures or there can be inflammation of the pulp if there is excessive surface errosion due to TMJ syndrome .

Visit to Dentist get a clinical examination done , take an x-ray of the tooth depending upon which the treatment will be decided. Restoration of tooth has to be done , drainage of abscess should be done if present .
Take tab brufen TDS for pain relief

Maintain a good oral hygiene, use lukewarm saline gargles , use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Wed, 27 Mar 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

It appears as your upper front teeth has developed an infection and causing soreness and swelling.

In this case you must visit your dentist for clinical evaluation and get x ray done for concerned teeth.

this will exactly show you the underlying pathology.

after that if possible and supporting structures are favorable then you can get root canal treatment done.

your present symptoms are not related to TMJ syndrome.

this is totally a different entity developed due to periapical pathology.

hope i have answered your query.

take care .


Answered: Mon, 8 Apr 2013
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