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Tooth eruption bulge is a localized swelling in the gingiva that forms during tooth emergence into the oral cavity. It may present as a normal phenomenon of teething or accompany delayed tooth eruption. The appearance depends upon the amount of fluid or blood present in the engorged organ. It poses an aesthetic, psychological, and functional concern in children. It may resolve spontaneously during tooth eruption; however, intervention is indicated if it is associated with pain, discomfort, or results in delayed eruption of the permanent tooth. Constant monitoring for infection or impaction may be needed, especially in cases of permanent dentition. This case report aims to demonstrate the clinical diagnosis and intervention done for management of a persistent eruption bulge causing delayed eruption of the permanent maxillary central incisor, and to emphasize the importance of periodic dental examinations in monitoring the sequence of eruption in mixed dentition.

Children; swelling; tooth eruption.