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Swollen gum on the front teeth, increasing in size. Have a set of braces put in. Cause?

My gum is swollen in the front of my two top front teeth and is is also swollen behind. I have had it for 2 weeks and thought it should be gone by now. It started growing a little after i got my 4th set of braces and they put a double chain on my teeth. I don t know if this is from the braces or something but i really need to know.
Asked On : Wed, 18 Jul 2012
Answers:  5 Views:  268
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Dentist 's  Response
THE braces you are wearing now ,is interfering with your oral hygiene maintenance.
food debris and plaque has deposited in between your teeth resulting in inflammation of gums called gingivitis.there is pseudopocket formation along with pus accumulation.
get ultrasonic scaling by your dentist.if necessary,root-planning and curettage has to be done.
the enlarged gums can be reshaped by gingivoplasty and gingivectomy.
use orthodontic toothbrush to clean your teeth.
chlorhexidine mouthrinses can be used to prevent plaque accumulation.
take tab.doxycycline-100 mg,once daily for 7 days to make your gums intact,firm and resilient again.
Answered: Mon, 15 Oct 2012
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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,
As you are wearing Braces for orthodontic treatment, gums becoming swollen is common if proper oral hygiene is not maintained.
Ask you orthodontist to prescribe or dispense any good orthodontic tooth brush along with proper method of using it.
Getting your teeth cleaned by dentist would also help a lot instead of using any drugs like antibiotics.
One important thing is to get an x-ray done, as it will show if there is any underlying pathology related to tooth or periodontium related to it so as to get treatment accordingly.
Use of mouthwash prescribed by your dentist for a short period will also help you.
Remember, in orthodontic treatment, patient's role in keeping cleanliness to optimum level is of utmost importance. Always wash your teeth even with gargles after eating food, avoid sticky food stuff as they are difficult to get cleaned once they stick to braces thereby gums become more prone to inflammation & swelling.

Take care.
Answered: Mon, 15 Oct 2012
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Dentist Dr. Bibhu Dutt Nanda's  Response
hello and welcome to HCM forum,
swollen gums past 2 weeks states that you are suffering form chronic gingivitis(inflammation of gums),
this usually occurs after getting the braces but is not the cause of it.
gingivitis occurs as a results of poor oral hygiene, as we all know braces make it difficult to clean the teeth from all surfaces, therefore increased plaque deposition causes infection followed by gingivitis, it is nothing to worry about, i would recommend you to undergo full mouth scaling, as well as use interdental brushes along with mouthwash, to keep your mouth healthy.
i wish you good health.
take care.
Answered: Thu, 19 Jul 2012
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for the question.
You are experiencing swelling most likely due to the pressure of the chain pushing the teeth together. Also you probably have limited ability for hygiene due to the chain on your teeth. However, other pathologies occur in the gums and it would be best to go to a dentist to be evaluated for something like a giant cell granuloma or pyogenic granuloma. Some dental pathologies need urgent care and evaluation. Floss up and down not back and forth. Swish with Listerine and see if it resolves in a few days. If not go to your dentist.

Best wishes and good health

Dr. Ward
Answered: Mon, 15 Oct 2012
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Dentist, Orthodontics Dr. Atwal Vikram's  Response
the swelling you are experiencing is due to the touching of e chain on the gums leading to
localized irritation or due to plaque accumulation around the chain. you must keep the
good oral hygiene by using orthodontic brush and mouth wash.
take care
Answered: Wed, 18 Jul 2012
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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