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

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

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

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.

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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

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.

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.
Medically reviewed by Dr. Preetha. J
Published At October 28, 2020
Reviewed At October 28, 2020

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

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

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!

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Prep / Recovery Guide

Inflamed Incisive Papilla Prep and Recovery Guide

How it works

The incisive papilla is a small tissue bump behind your upper front teeth. When it gets inflamed, it can cause pain and discomfort. Understanding its causes and care can help you manage it.

1

Papilla
Inflammation

2

Common
Causes

3

Self-Care
Management

4

Bump
Persists

5

Medical
Treatment

6

Preventing
Future

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Bharat Joshi
Dr. Bharat Joshi

Dentistry

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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