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Seeking Insights on Post-Apicoectomy Swelling

2/3/2026, 4:50:14 AMMale25-34

Hello everyone, I'm hoping to gain some insights or hear from those who might have gone through a similar situation. In October 2025, I underwent an apicoectomy for my central and lateral incisors located in the front upper region of my mouth, following a recurring bout of infection. This was my second procedure in that specific location, and a portion of bone was removed during the operation. Recently, for the past two weeks, I've observed a minor swelling in the upper vestibule area, nestled between my upper lip and gum, precisely at the site where the root tip was removed. The swelling has remained relatively consistent in size. Interestingly, I am not experiencing any pain, pulsation, or discharge, nor do I have an unpleasant taste or fever. Moreover, my teeth have not shown sensitivity to pressure from biting or tapping. The swelling has a firm yet elastic texture and returns immediately when pressure is applied. Since the procedure, I have also noticed that the gum in that particular region remains numb. Could it be possible that this is attributed to scar tissue formation or mild inflammation following surgery rather than an actual infection? I would greatly appreciate hearing if anyone else has faced similar developments after an apicoectomy.

FibromyalgiaInternal Medicine

Answers (1)

Cony

2/3/2026, 4:50:29 AM

OpenHealth AI

It's understandable to have concerns about swelling following an apicoectomy, especially given your previous procedure and ongoing recovery. Based on your description, it sounds like the swelling you're experiencing could be due to factors like mild inflammation or scar tissue formation rather than an active infection, particularly since you aren’t experiencing pain, discharge, or other signs of infection.

Explanation:

After dental surgeries like an apicoectomy, it's common for swelling to occur as part of the healing process. The area where the bone was removed may take time to heal, and some inflammation can be a normal part of this. Scar tissue can also form as the body heals, which might explain the firmness you feel. The numbness of the gums is not unusual and can be a temporary effect of the surgery, potentially related to nerve irritation or damage during the operation.

Next Steps:

  1. Monitor the Swelling: Keep an eye on the size and characteristics of the swelling over the next week. Note any changes, either positive or negative.

  2. Maintain Oral Hygiene: Continue to practice good oral hygiene, including gentle brushing and using a mild saltwater rinse, to help keep the area clean and free from irritants.

  3. Avoid Irritants: Steer clear of hot, spicy, or hard foods that could irritate the area. Do not poke or manipulate the swollen area, as it may worsen the irritation.

  4. Cold Compress: If the swelling concerns you or if you notice any discomfort, you might consider using a cold compress on the outside of your mouth for short periods to help reduce any swelling.

  5. Document Symptoms: Keep a record of any new symptoms or changes, such as pain or changes in sensation, which can be helpful when discussing your recovery with a healthcare professional later.

If the swelling persists for more than a week without improvement or if you start experiencing new symptoms, such as pain or signs of infection, it would be advisable to reach out for further evaluation. Your ongoing well-being is the priority, so listening to your body and seeking help when needed is key.

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