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Reddish spot on the gum. No pain. Had a tooth injury in the past. Is that the same reason?

Hi there,I am an 18 years old female and I just woke up and noticed I have a small red spot directly above my lateral incisor on the left side. It doesn't hurt to touch and isn't's smooth and doesn't stick out from the rest of my gums. I am worried though, because it is directly above a tooth that I had injured 4 years ago along with my left central incisor. Both of these teeth were shoved back to the roof of my mouth after accidentally running into someone's skull while playing capture the flag. The teeth stayed in tact and my dentist simply numbed my mouth and put the teeth back in place by using his two fingers and blotting it...after they were set in place, he placed an invisalign across my top 4 front teeth for about 2 months. I can still feel hot and cold with those two teeth, it's a little dull but I can still feel it.

So all in spot on gum right above the left lateral tooth, no pain or bleeding, just noticed it this morning, have had an injury on this tooth in the past but haven't had any problems with it in the past 4 years. I am incredibly nervous...
Asked On : Fri, 12 Apr 2013
Answers:  6 Views:  146
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Dentist 's  Response
Dear friend.

Thanks for sharing your concern.

Also thanks for giving complete history.I would like to explain you that according to the history given,it appears as though your lateral incisor is non vital and has developed periapical abscess.

But since you have mentioned in your history that there is no associated pain or swelling and also you can feel the sensation there, then definitely it could be a lesion due gum infection also.

There is only two possibility here.

Either it is a gum infection causing redness there due to pocket or the second and most likely reason being the tooth has turned non vital upon receiving the blow directly or indirectly.

Therefore please make a visit to your dentist and a simple clinical evaluation along with an x ray will confirm the diagnosis.

meanwhile you can do warm saline rinses.

Hope it helps.


Take care.
Answered: Thu, 25 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Redness on the gums indicates infection in the tooth, there are chances of infection in the tooth leading to pus formation which is drained in the overlying gums.
Consult to the Dentist and get the clinical examination of the affected side take an x-ray of the associated tooth, Drainage of abscess is required.
Take a course of antibiotics and anlgesics.
Go for symptomatic treatment of complete mouth scaling and polishing.
Maintain a good oral hygiene.

Hope this helps out.
Answered: Fri, 26 Apr 2013
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  User's Response
Hello Dear
As per information provide by you it seems the upper left alteral incisor need treatment now. As, at the time of trauma, RCT was not done, and now due to infection that red spot has developed.It be better to see your dentist and consult this problem with him. If possible apply OTC available anaesthetic gel over it and do warm saline rinses four times a day.
Dr. Amit K. Gaba
Answered: Fri, 26 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for writing in.
Your injured tooth which has got replanted 4 years back as infected .
This resulted in formation of periapical abscess underneath the tooth.
A thorough clinical and x-ray evaluation will help to aid in condition of teeth.
The pus has to be drained and curetted.
In such cases,usually Root canal treatment is done as soon as possible.
Take complete course of antibiotics-analgesics too.
Please do not bite hard objects using the involved tooth.
Crown has to be placed if required ,after RCT.
I wish you good health.
Answered: Thu, 25 Apr 2013
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Dentist Dr. Benley George's  Response
The trauma to your tooth has now resulted in an infection over the tooth. It seems to be a gum boil in relation to the tooth. You should get an x ray taken of the tooth which will show the presence of an infection. The tooth should be root canal treated and a crown should be placed over it. Consult an Endodontist at the earliest. You need not worry it is only a small problem.

Answered: Thu, 25 Apr 2013
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Dentist Dr. Jyoti Ranjan Sahoo's  Response
you are have dental history of trauma 4yrs back. and the tooth was out of socket.. well it was re-positioned bt its vitality is still doubtful. sometimes due to trauma the soft tissue( pulp) inside the tooth get necrotized and which leads to abscess . this might be the reason or 2ndly jst a periodontal infection.

u need to go for a dental check up
1. vitality test
2. x-ray
3. if tooth is involving then go for RCT
4. if tooth is fine then u jst need few medicines for gum infection
Answered: Thu, 25 Apr 2013
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