Dr. Bharat Joshi
Dentistry
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Patient's Query
Hello doctor,
I got braces last year as there were spaces between my teeth. For the last ten days, I noticed a nodule coming out behind the braces between canine and premolar on the left side of the mandible. It is painful only while brushing when the bristles rub against it. Before this, (after my consultation with orthodontist for braces), I had slight swelling in the same region associated with pain. Now due to lockdown, I am unable to consult for my next appointment. It started as painful swelling and now appears as a nodule which is pale-colored. I just want to know if I should take this nodule seriously.
Hello,
Welcome to icliniq.com.
See, as per your details, it seems to be gingival polyp due to irritation from braces. But you are saying it is turning pale so it can be lipoma also. I request you to please send a good clinical picture and tell me some more details regarding the nodule to confirm my diagnosis. Please tell me about the consistency, bleeding, and pain now.
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Patient's Query
Thank you doctor,
It is painful while brushing my teeth. It is soft, but there is no bleeding.
Hello,
Welcome back to icliniq.com.
Thank you very much for the picture (attachment removed to protect patient identity). It is nothing but gingival enlargement, which is response to orthodontic therapy. Do not worry. Let your orthodontic therapy be completed then, just by scaling and curettage, this enlargement will subside. No lipoma, no fibroma nothing serious but response to ortho treatment which is normal.
The Probable causes
Probable diagnosis
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