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Abscess in gum, oozing yellow fluid, no pain. What is it?

Two years ago a pimple appeared on my gums just above my right front tooth (#8). After breaking it, the abcess reappeared after days had passed and has continued to reappear. At times it seemed like the problem had disappeared but has always reappeared. Now, by pressing on the spot with my thumbnail, a small amount of yellowish ooze squeezes out. I usually do this in the morning and once again later in the day. There is no discomfort. Ever. No pain, no sensitive teeth , no loose teeth. No sensitivity to hot or cold . Occaisionally after sqeezing out the abcess there is a small amount of blood. I ve just been to the dentist and the x-ray showed nothing. The dentist isn t sure what this is.
Asked On : Fri, 14 Sep 2012
Answers:  7 Views:  4084
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Dentist, Orthodontics 's  Response
Looking to your problem,this is developed through some trauma may be some 3-4 years back, This is known as PERIAPICAL ABSCESS which is related to right front tooth. Donot ignore it ,otherwise your bone is resorbing through chronic infection and as a result of that your tooth will become lose ,it may fall down any time.Go to the ENDODONTIST clinic, he or she will guide you better.For this kind of problem,Root canal treatment is required for that tooth ,then after RCT, may be APICECTOMY surgical procedure is required under antibiotic,analgesic trypsin chymotrypsin and b-complex coverage.Now a days root canal treatnent through wave one system along with LASER is very effective, this way we can avoid surgery also. Through peri apical x-rays it can diagnose better.Take care because chronic infectins are more dangerous than acute infection.
All the best.
Answered: Sun, 16 Sep 2012
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Dentist Dr. Neha Gupta's  Response
I am Dr.Neha Gupta (dentist) and am glad to address to your query here.

Infection causes swelling of the tissues and pus, this creates pressure and the infection forces its way out of the confined area by following the path of least resistance. Therefore you might notice a bump on the gum where the infection goes out to the side of the tooth to escape the confines of the bone space. Could be localized or generalized, chronic or acute. You must see a dentist as soon as possible for treatment.
maintain good oral hygiene.
brush your teeth twice daily using toothbrush.
rinse your mouth after every meals.
chlorhexidine mouthrinses can prevent plaque accumulation

Take care and please keep me informed of your progress at healthcaremagic through my profile directly.

Answered: Tue, 12 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

As x-ray of your tooth appeared to be normal it can be a case of periodontal abscess .This type of abscess if not treated promptly develop damage to the bone and tooth .
Drainage of abscess and curettage is required.
Remove the plague and calculus and do complete scaling and root planing of that particular tooth.
Complete the analgesic and antibiotic course.
Maintain a good oral hygiene.

Answered: Sat, 9 Mar 2013
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2 Doctors agree with this answer

Dentist Dr. Sapna Purwaha's  Response
i would advice you to have antibiotic and analgesics.
Maintain oral hygeine using mouthwash twice daily.
Since nothing came in xray means that your tooth is fine.
It seem your gums around that tooth is infected forming
abcess which is called periodontal occurs
because of food acculumation between gums and tooth and
under the influence of bacterial action pocket forms resultin
in its deepining leading to pus acculumation and then forming
abcess.since its soft tissue it cannot be detected thru xray
but diagnosed clinically using probe.
For treatment a solution of betadiene and hydrogen perpxide
is injected in that area .cleanind that area with scalers
Answered: Sat, 15 Sep 2012
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Thanks for posting your query,
you might be having perical abscess in right front tooth
The treatment given for this type of an abscess will vary somewhat in accordance with the severity of the infection, but it usually consists of three steps. First, an attempt will be made to try to stop the infection, which can often be accomplished through the use of antibiotics. Second, an attempt will be made to try to save the tooth by means of a root canal procedure. The third step, if necessary, is to prevent complications, which could consist of surgically draining the abscess, removing the tooth if necessary, and dealing with any infection that has spread beyond the tooth, as well as taking steps to heal those bodily tissues that may have become damaged.
I hope this information has been both informative and helpful
Answered: Wed, 6 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
i have read your problem.this is a case of gingival/periodontal abscess.check whether the tooth is decayed or plaque is accumulated around the tooth.get your teeth professionally cleaned.the abscess has to be drained by curettage and root planning.
check whether there is periodontal pocket or bone loss associated with the tooth due to periodontitis.always brush your teeth twice daily and maintain good oral hygiene.
use soft interdental brush and dental floss to clean your teeth.use chlorhexidine mouthwash after brushing the teeth.
take tab.microdox-100mg,once daily for 7 days to make the gingiva firm,resilient and intact.
take care.
Answered: Fri, 14 Sep 2012
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  User's Response

Most probably there are two reasons for this phenomenon

1) this is a periapical sinus in relation to # 8. or adjoining teeth. that is there is chronic inflammation in relation to peri apical area of tooth #8, which becomes exacerberated and oozes out pus followed by blood. you must note the color of tooth. if it apppears slighltly darker as compared to rest of others, Most likely your teeth has become non vital. In such cases, there is minimal or no pain, without any sort of mobility or senstivity. For this to be diagnosed properly either ask the treating dentist for an other XRAY or seek a second opinion.

2) the other probable cause may be periodontal abscess related to lateral root surface area in relation to gum pockets of #8. you kindly check for the soft tissue coller around #8, and try to see whtr, there is any deep pocket like area, in relation to the same.

lastly as of my knowledge option one seems to have more chances of diagnosis. Kindly ask your dentist to thoroughly examine clinically and radiographically to acess both the CENTRAL AND LATERAL INCISOR OF LEFT AND RIGHT SIDES OF JAWS
Answered: Sat, 15 Sep 2012
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