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What causes a swollen papilla after orthodontic treatment?

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

Patient's Query

Hello doctor,

After an orthodontic adjustment three months ago, my incisive papilla was irritated, slightly numb, and swollen. I had a cleaning done and an x-ray taken by my dentist. I was suggested better flossing and mouth rinse. The issue is still there, which sometimes gets better, sometimes worse. My current medications are Zoloft, Cozaar, and Catapres.

Please help.

Thank you.

Answered by Dr. Mohammad Emranul Islam

Education:

BDS

Professional Bio:

Dr. Mohammad Emranul Islam is an Oral and Maxillofacial Surgeon with expertise in facial trauma management, corrective jaw surgery, dental implants, oral pathology, and cyst or tumor removal. He is skilled in both minor and major oral surgeries, combining precision with advanced surgical techniques. Dr. Emranul Islam is dedicated to providing safe, patient-centered care, ensuring functional restoration and aesthetic outcomes for optimal oral and facial health.

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

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The papilla is red and swollen palatally and looks like it bleeds to the touch. But it is nothing serious. If it does not cause pain or does not continue to grow, then you do not have to worry about it. It is a common complication of orthodontic treatments.

I suggest you rinse your mouth with warm saline water five to seven times daily. Try to keep the water on the upper lip and vestibular area. Also, rinse with chlorohexidine mouthwash twice daily. It is better to use water floss than traditional thread floss. This is because water flossing would keep the area clean without injuring the tissue.

Hope this helps.

Thanks and take care.

Patient's Query

Hello doctor,

Thank you for your reply.

Good to know that is a likely complication and not something else. I will add the required saline rinses and chlorohexidine mouthwash. I will also switch to water floss.

Thank you.

Answered by Dr. Mohammad Emranul Islam

Education:

BDS

Professional Bio:

Dr. Mohammad Emranul Islam is an Oral and Maxillofacial Surgeon with expertise in facial trauma management, corrective jaw surgery, dental implants, oral pathology, and cyst or tumor removal. He is skilled in both minor and major oral surgeries, combining precision with advanced surgical techniques. Dr. Emranul Islam is dedicated to providing safe, patient-centered care, ensuring functional restoration and aesthetic outcomes for optimal oral and facial health.

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

Hi,

Welcome to icliniq.com.

Thank you so much for your feedback.

Medically reviewed by iCliniq medical review team
Published At May 15, 2023
Reviewed At June 17, 2026

Education:

BDS

Professional Bio:

Dr. Mohammad Emranul Islam is an Oral and Maxillofacial Surgeon with expertise in facial trauma management, corrective jaw surgery, dental implants, oral pathology, and cyst or tumor removal. He is skilled in both minor and major oral surgeries, combining precision with advanced surgical techniques. Dr. Emranul Islam is dedicated to providing safe, patient-centered care, ensuring functional restoration and aesthetic outcomes for optimal oral and facial health.

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

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

Education:

BDS

Professional Bio:

Dr. Mohammad Emranul Islam is an Oral and Maxillofacial Surgeon with expertise in facial trauma management, corrective jaw surgery, dental implants, oral pathology, and cyst or tumor removal. He is skilled in both minor and major oral surgeries, combining precision with advanced surgical techniques. Dr. Emranul Islam is dedicated to providing safe, patient-centered care, ensuring functional restoration and aesthetic outcomes for optimal oral and facial health.

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

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