I have swollen gums in between my top front four teeth without redness or tenderness after the wire change. What could be the reason for it?

Q. What causes swollen gums without redness or tenderness after orthodontic treatment?

Answered by
Dr. Mayank Khandelwal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 23, 2022 and last reviewed on: Jul 26, 2023

Hello doctor,

I am a 15-year-old male taking Ibuprofen and Melatonin. I woke up this morning with swollen gums in between my top front four teeth—no redness or tenderness. I just changed my wires a week ago and had a double z spring added to those four teeth to close gaps. I brush and floss twice a day and have not changed my brushing technique since I got the braces one and a half years ago. Should I be worried?



Welcome to icliniq.com.

Good to know that you are well aware of your oral health and have concerns about the changes occurring. Were you prescribed Ibuprofen and Melatonin by the treating orthodontist for braces purposes only or some other reasons? The wire change, as well as the elastomeric chain, given to close the space, causes a minor inflammatory reaction to the gums, and causes some swelling. To add to the biological reaction, some amount of food particles might have been entrapped between wires and chains and would have shifted to gums at the microscopic level. A chain of such reactions is the probable reason for swollen gums. If it causes pain while eating, talking, etc. or if the swelling does not go within 48 hours, consult the orthodontist. Check thoroughly near the swollen gums area if any particles are stuck around and remove them with an interdental brush or floss. I would suggest the following remedies to cure. Follow the brushing and floss routine. Rinse properly with water after every meal to ensure no food particles are stuck around the braces and wires. Chlorhexidine mouthwash rinse once every evening before bed can be done. This will clean the mouth and also kill any unwanted bacteria that are present. Do warm saline rinses three to four times daily for routine oral hygiene maintenance. If possible, avoid taking medication for the next two days or consult your general or prescribing doctor for approval. These should be enough to get the swollen gums reduced. Do reach out for further information or clarifications. Thank you.

Regarding follow up:

Please share the swollen gums photo in the follow-up queries.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
My wife has swollen gums with pain in wisdom tooth area. Please suggest solution.

.. treatment of wisdom tooth is extraction as wisdom tooth is not able to perform its function of chewing because it is present in the most posterior position of our oral cavity. So it is of no use in saving it by RCT (root canal treatment) and crown and   Read full

I have swollen gums near the extraction site. Please help.

.. your attachment (attachment removed to protect patient identity), clinically it is a sign of mild gum infection. Now you can do the following steps to overcome this problem: 1. Take Metronidazole 400 mg twice a day for three days, Augmentin 625 mg twi   Read full

Good and Bad Regarding Orthodontic Treatment

Presently we are witnessing numerous patients who after completing the treatment complain of periodontitis (gum problem in which loosening of teeth occurs), spacing between teeth, non-vital   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Orthodontist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.