- Senior Consultant Surgeon in the National University Hospital, Singapore
- Assistant Professor, Department of Oral and Maxillofacial Surgery, National University of Singapore
- President of Association of Oral and Maxillofacial Surgeons (Singapore)
- Chapter Chair of Oral and Maxillofacial Surgery, College of Dental Surgeons, Academy of Medicine
Swollen gums can be due to many reasons, not only cysts. In fact more commonly it is due to gum infection due to gum disease. It can be also due to periapical infection from the roots of the front teeth. If the discharge is smelly it may be pus from infection. Cysts are generally not dangerous in that it will not cause much harm though if it is sufficiently big, your teeth can be loosened. Tumors can undergo cystic changes though these are definitely more rare than the gum infection.
The condition may be TMJ (Temporomandibular joint dysfunction) pain dysfunction which has a wide range of severity. In simple cases, soft diet and splint may work but in some cases, there may be arthritis. It is best to be checked by an experienced surgeon. It can be managed conservatively in most cases of early TMJ pain dysfunction.
Yes, we can do orthognathic surgery to correct the problem and it is quite a common operation for young people like yourself. I will need to see you and assess the situation to decide what operation you may need to correct the problem. Quite often and it is also documented in the findings that jaw surgery and orthodontic treatment can help to restore or improve on the confidence of the patient. It is strictly not just an improvement in aesthetics and a morale boost as in fact the confident person can be seen to be more successful in work and social aspects in life. We could do a teleconsultation first for planning.
If it is hurting much, you should have it checked and extracted if it is a problem. It is quite common to have wisdom teeth infection (pericoronitis) and sometimes the lower gums are also affected by the upper teeth biting onto the area. It will be good to assess the problem with a panoramic or OPG x ray. We can do teleconsultation if you could get an x ray done and I can assess you better.
It is hard to diagnose with just the information given. If it is cancerous, yes, it would be dangerous. If possible, I would like to see what it looks like. Perhaps we can do a teleconsultation. Cheers
If your teeth are crowded and crooked, there are a few treatment possibilities. One is with braces, another is with crowns or veneers or extractions with implants. It all depends on the health and condition of your teeth. If you can have an x ray taken, we can have a teleconsultation to decide the best procedure.
It is hard to plan without seeing your condition. Ideally there should be sufficient bone for implants. We need to look at your x rays for assessment. We can have a teleconsultation after your x rays. Straightforward cases may not need any preparation and recovery is very fast.
I am afraid I cannot commend without examining you and seeing the x rays. Can you arrange for a teleconsultation with me? Usually cystic changes require surgery and they are often not dangerous though there can be tumors with cystic changes which will then be a problem if not dealt with properly.
Yes it is possible. We can shift the mandible or chin backwards. But more planning is needed. It is best to be able to see and examine you. We can do an initial consultation over the internet first and confirm what is needed before you can come over for treatment, if that is what you want.
There is likely to be infection still going on. Did you have a postop x ray? There may be fragments left behind. We can do a teleconsult if you could get the x ray done.
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