HomeAnswersDentistryinflamed incisive papillaI have a swollen incisive papilla after orthodontic treatment.

How to treat swelling, irritation, and numbness in the incisive papilla after an orthodontic adjustment?

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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.

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Published At May 15, 2023
Reviewed AtJanuary 29, 2024

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.

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 on 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 floss 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 so much for your feedback.

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

Dr. Mohammad Emranul Islam
Dr. Mohammad Emranul Islam

Oral and Maxillofacial Surgery

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