HomeAnswersDentistryinflamed incisive papillaWhat causes a painful bump on the gums between the two upper front teeth?

I have a painful bump on my gums between the upper two front teeth. What can I do?

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

Answered by

Dr. Bharat Joshi

Medically reviewed by

Dr. Preetha. J

Published At October 28, 2020
Reviewed AtOctober 28, 2020

Patient's Query

Hi doctor,

I am a 25-year-old male. I remember having this problem two years back when I ate something that caused a painful bump on my gum between my upper two front teeth. It was said that the swelling should go away after a few days, and I should avoid eating crispy and hot food. I did exactly like that, and the bump went away. Earlier this year, I had the same problem. I waited for it to heal again on its own. The swelling has reduced, but there is still a small bump that I can move with my tongue. It has not gone away for months now, and sometimes when eating grainy food such as rice, it hurts when a grain goes over there while chewing. It is uncomfortable. What can I do about it?

Answered by Dr. Bharat Joshi

Hello,

Welcome to icliniq.com.

Please be calm. It is nothing but inflamed incisive papilla. It can be caused due to some hard food chewing or specific trauma by either toothpick or Perio-Aid. I suggest you take proper oral hygiene and wait for four to five days so that the swelling can subside. I am prescribing some medications for control of swelling and pain.

The Probable causes

Trauma or food particle lodgement.

Investigations to be done

None.

Differential diagnosis

Inflamed incisive papilla.

Probable diagnosis

Inflamed incisive papilla.

Treatment plan

Medications: Dologel (Lignocaine, Choline Salicylate, and Benzalkonium chloride)or Oraheal (Choline Salicylate topical and Lidocaine topical) twice a day for pain only Metrogyl (Metronidazole) gel twice a day for five days (hoping you do not have any allergy to this medicine). Rexidin (Chlorhexidine 0.2%) mouthwash (please note the concentration) twice a day in water for five days. If the problem does not subside, curettage of the tissue may be required.

Preventive measures

Warm saline rinses six-hourly a day for five days. Avoid eating hot food and tea from the papilla side (take from the left or right side).

Regarding follow up

Please go through my instructions; it will heal properly. In case no improvement is there, or if you feel any allergic signs from any of the medications, do contact me. Regards.

Patient's Query

Hello doctor,

Thank you for your reply.

I will try the treatment plan. Though I had this problem for the past eight months, will this treatment plan still work after such a long time of having the problem?

Answered by Dr. Bharat Joshi

Hello,

Welcome back to icliniq.com.

Please be calm. Yes, it will work. I suggest you carry on the treatment and update me after seven to ten days. My purpose of recall after seven to ten days is to judge the reason for reoccurrence. So I request you to please update me on whether treatment options are successful or not.

The Probable causes

Treatment continuation.

Regarding follow up

I recommend you do two things. If no improvement occurs after seven days, please update me. In case improvement occurs, then report me when you find the chances of re-occurrence. Lastly, treatment is not affected by duration. Regards, and take care.

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

Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

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