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HomeAnswersOrthodontistgum infectionI got swollen gums after the wire change. What is the reason?

What causes swollen gums without redness or tenderness after orthodontic treatment?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 23, 2022
Reviewed AtJanuary 30, 2024

Patient's Query

Hello doctor,

I am a 15-year-old male taking Ibuprofen and Melatonin. I woke up this morning with swollen gums in between my top front four teeth—no redness or tenderness. I just changed my wires a week ago and had a double z spring added to those four teeth to close gaps. I brush and floss twice a day and have not changed my brushing technique since I got the braces one and a half years ago. Should I be worried?

Hi,

Welcome to icliniq.com.

Good to know that you are well aware of your oral health and have concerns about the changes occurring. Were you prescribed Ibuprofen and Melatonin by the treating orthodontist for braces purposes only or some other reasons? The wire change, as well as the elastomeric chain, given to close the space, causes a minor inflammatory reaction to the gums, and causes some swelling. To add to the biological reaction, some amount of food particles might have been entrapped between wires and chains and would have shifted to gums at the microscopic level. A chain of such reactions is the probable reason for swollen gums. If it causes pain while eating, talking, etc. or if the swelling does not go within 48 hours, consult the orthodontist. Check thoroughly near the swollen gums area if any particles are stuck around and remove them with an interdental brush or floss. I would suggest the following remedies to cure. Follow the brushing and floss routine. Rinse properly with water after every meal to ensure no food particles are stuck around the braces and wires. Chlorhexidine mouthwash rinse once every evening before bed can be done. This will clean the mouth and also kill any unwanted bacteria that are present. Do warm saline rinses three to four times daily for routine oral hygiene maintenance. If possible, avoid taking medication for the next two days or consult your general or prescribing doctor for approval. These should be enough to get the swollen gums reduced. Do reach out for further information or clarifications. Thank you.

Regarding follow up

Please share the swollen gums photo in the follow-up queries.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mayank Khandelwal
Dr. Mayank Khandelwal

Orthodontist

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