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Why do I have localized gingival enlargement around my teeth?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

The bump behind my top two front teeth is swollen and slightly tender. It has been this way for approximately two months now. I went to my dentist, who suggested that I take out my Invisalign to see if that was the problem, because my primary care doctor could not find any reason behind this swelling.

My dentist says that they are "stumped" and have no idea what could be causing this, as there is not enough plaque or tartar to be causing this much swelling. I also want to mention that I have been having issues with dry mouth for the past several months due to one of my medications.

I just need this to stop being swollen so I can go back to living a normal life.

Please help me.

Thank you.
Answered by Dr. Bharat Joshi

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I understand your concern.

Please be careful. It is nothing but inflammatory gingival enlargement (in front also, but localized) due to either any preoperative trauma or any injury in the past. I suggest you do not worry.

I suggest you go for gingivoplasty (the surgical recontouring of the gingival tissue surrounding the teeth) and gingival curettage (a surgical treatment that removes the periodontal pocket's soft tissue lining with a curette, leaving just the gingival connective tissue lining).

It will shrink the gingiva and restore it to its normal dimension. Please be assured that it is not a tumor or any debilitating disease, but just gingival enlargement. It will be shown as a regression after the treatment procedures. One precaution is that you must avoid wearing Invisalign or any appliances at that place for at least 15 to 30 days.

I hope I helped you with my answer.

Take care.

Thanks and regards.

Patient's Query

Hello doctor,

Thank you for your response.

Is there anything I can do for the swelling in the meantime until I can get in to see a periodontist?

Please advise.

Answered by Dr. Bharat Joshi

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I suggest you take warm saline rinses only 12 hours a day. Please do not take any medication since it will not provide any therapeutic effect. Also, if possible, please remove your Invisalign so that the gingiva is not pressed under any active or passive force.

Please feel free to ask for further concerns.

Take care.

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At September 11, 2023
Reviewed At May 21, 2026

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

Consult this doctor

Education:

MDS Periodontology

Professional Bio:

Dr. Bharat Joshi is a highly skilled Periodontologist with extensive years of clinical experience. He specializes in the prevention, diagnosis, and treatment of gum diseases and conditions affecting the supporting structures of the teeth. Dr. Joshi is dedicated to providing advanced periodontal care, including surgical and non-surgical treatments, to help patients maintain optimal oral health and achieve long-lasting, healthy smiles through personalized and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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