The flesh behind the front teeth is swollen

The swelling of the flesh behind the front teeth is called red and swollen gums. There are many reasons for this condition, and oral diseases such as gingivitis and periodontitis can cause such symptoms. When we solve the problem, it is not only about eliminating swelling, but comprehensive treatment of the disease is the fundamental goal. The prognosis for swelling caused by different causes is also different. The key is that we must first figure out the cause.

Clinical manifestations

The clinical manifestation is redness, and the gingival margin should be thin and close to the tooth surface. When the gums are red and swollen, the free gingiva and gingival papillae are bright red or dark red. In patients with severe gingivitis and periodontitis, the inflammatory congestion range may spread to the attached gingiva, which is consistent with the range of the periodontal pocket. At the same time, the gingival margin becomes thicker, the gingival papillae become rounded and blunt, and separate from the tooth surface and no longer adhere closely. The gums are soft and enlarged, with a shiny surface and sometimes eroded and exudative gum margins.

treat

For patients with chronic gingivitis, after basic periodontal treatment, such as effective self-plaque control, supragingival cleaning, and subgingival scraping, the inflammation will subside and the gingival tissue can be completely restored to health. Adolescent gingivitis is treated by cleaning to remove plaque and tartar, and local medications such as gingival pocket irrigation, local medication, and gargle can be used when necessary. For individual patients with gingival hypertrophy, gingivectomy can be performed if necessary.

Prognosis

After complete treatment, patients with chronic gingivitis should see significant relief of gingival redness and swelling, and their gums should recover or basically return to a healthy state. If not treated promptly or improperly, gum redness and swelling may persist and may further develop into periodontitis. This may be due to incomplete removal of plaque and tartar, poor patient cooperation, inadequate self-plaque control, or the presence of other plaque retention factors such as systemic diseases.

The redness and swelling of the gums caused by adolescent gingivitis and pregnancy gingivitis may subside or disappear on their own after the hormone levels return to normal. However, since both adolescent gingivitis and pregnancy gingivitis are caused by changes in hormone levels that aggravate existing chronic gingival inflammation, the existing chronic inflammation will not subside naturally.

After systematic and comprehensive treatment, patients with periodontitis will experience reduced gingival redness and swelling, reduced probing depth to less than 5 mm, clinical attachment loss will stop or attachment will be gained, the occlusal relationship will gradually become stable and balanced, and X-ray examinations will show that bone resorption and destruction have stopped or bone tissue has regenerated. If treatment is not timely or improper, gingival redness and swelling may persist. This may also be due to incomplete removal of plaque and tartar, poor patient cooperation, poor self-plaque control, or the continued existence of other plaque retention factors, suffering from systemic diseases and other factors.

Therefore, it is still necessary to use comprehensive periodontal treatment to treat the original chronic gingival inflammation and restore the gums to or basically restore their healthy state.

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