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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump Between The Gum And Lower Lip, Painful, Having Tooth Sensitivity. Referred To Endontic Specialist. Suggestions?

I have a bump on my lower jaw line between my gum and lip...whole right side of my face hurts and I have tooth sensitivity in one tooth near the lump and the upper gums hurt as well. been to dentist who took xrays and said he saw nothing but still referred me to an endontic specialist for further eval..I can feel the lump with my finger and it hurts...feels squishy too
Wed, 26 Dec 2012
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Dentist, Oral and Maxillofacial Surgery 's  Response
Hello there...There are two things to this....Firstly, that could be a fibroma/mucocele. Mucocele would have a bluish translucency. Whereas fibroma would appear in the normal color of your mucosa. Both of them are soft to firm to feel on palpation. Both of them occur as a result of local injury or some irritation to that area.
Secondly, any carious tooth present in that area would lead to small swelling that is attributed to spread of infection from the top surface of the tooth to the apical part resulting in collection of pus. This would manifest in the form of swelling. The Endodontists are experts in handling a carious tooth that would require root canal treatment. If the swelling is for the second reason , if root canal is performed the swelling would recede. If the swelling is because of the first reason I gave you, consult a Oral and Maxillofacial Sugreon for its removal.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
If you experience sensitivity in teeth along with swelling than it can be abscess.
Is there any discharge from that region??
I think your associated teeth require RCT but before that consult endodontist & rule out exact cause.
If there is no infection in that tooth then it it can be some other pathology like fibroma but that's painless.It can be cyst.So better go for proper diagnosis by consulting endodontist.

Take Care
Regards
Dr.Neha
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  Anonymous's Response
Anonymous's  Response
hiii
what you are saying sounds like a carious tooth which is associated to abscess. the lesion is known as periapical abscess it is complication of carious tooth. it requires root canal treatment of the affected tooth....it is advised that you consult a dentist or endodontist-to be precise-for the needfull

it could also be mucocele, it is mainly due to trauma to the ducts of accessory salivary glands present at lower lips.....it is bulish in color & would be soft when you press it (palpation)....does this lump disappears automatically after meals....f yes then it s definitely mucocele.

consult dentist for physical examination of the lesion & for needful treatment.

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Lump Between The Gum And Lower Lip, Painful, Having Tooth Sensitivity. Referred To Endontic Specialist. Suggestions?

Hello there...There are two things to this....Firstly, that could be a fibroma/mucocele. Mucocele would have a bluish translucency. Whereas fibroma would appear in the normal color of your mucosa. Both of them are soft to firm to feel on palpation. Both of them occur as a result of local injury or some irritation to that area. Secondly, any carious tooth present in that area would lead to small swelling that is attributed to spread of infection from the top surface of the tooth to the apical part resulting in collection of pus. This would manifest in the form of swelling. The Endodontists are experts in handling a carious tooth that would require root canal treatment. If the swelling is for the second reason , if root canal is performed the swelling would recede. If the swelling is because of the first reason I gave you, consult a Oral and Maxillofacial Sugreon for its removal.