Swollen gums causing dislocation of teeth. What can be done?

Question

Hi doctor,

I have developed swollen gums from about six months and four months ago, my front gums were also swollen. During the course of two to three days, my front teeth began to develop a gap. Within a weeks time, one of the teeth became loose and more dislocated. My nearby dentist suggested me to put a cover on the teeth after filling it from the bottom. I do not want my teeth to remain dislocated and fixed in that position. I want my teeth back in the normal position.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your images (attachment removed to protect patient identity). This is midline pathological diastema, that means there was either an aggressive infection or the formation of a cyst (midline palatal cyst) that cause the gap. This can also happen due to trauma. In your case, if there is no more swelling or there is no more drainage of pus, you can go for fixed orthodontic appliances followed by a retainer. You do not want to build up your teeth with filling material. But in case if there is any primary cause, you need to treat it first. Please reply to my questions. Do you have an X-ray of your mouth? Is there any swelling or is there any swelling below your chin? From when do you have blood pressure or any history of diabetes? I need an IOPA (intraoral periapical radiograph) and OPG (orthopantomogram) of the region to view the cause. Brush twice daily with an ultrasoft brush.