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Lump inside gum under tongue. Had root canal treatment. Suitable measures?

I had gone to a dentist and he did a root canal , it was perfert. You could see the whole tooth and the gum was even with all the other teeth . This is my lower gum. A week later I went to have a molar pulled because of a broken bridge work. It was my last molar in the left side lower. The dentist gave me 4 shots, the first 3 were bad enough but when he gave me the fourth one it was in the gum of where I had had a root canal the week earlier. I almost jumped out of the chair. After about a week the tooth that had the root canal, the gum start to swell and I was number thoughout my chin and lower lip . It has been two years now and many time back to the dentist and other dentists. I went back to the original dentist that did it, he s out for 3 months, very elderly, his son gave me an antibotic and it started to go down and feeling started to come back, I took it for 20 days. When I went back to him he said I have Mandibular Torii and it will like this forever. I have a numb lower lip (half) and the swellowing is on the outside and inside of the gum. I had a ultrsound done over a year ago and the neuologist said he could give me medication but I m on too much already and it would probably cause seizures. I said ok and kept going back to my dentists. Now my inside of my mouth, cheek and inside lower lip is swollen and effects me when I eat. I bite my cheek and lower lip. I told the dentist that gave me the antibotic there must be an infection is the antibotic helped. He disagreed. I plan on going to a ears, nose and throat doctor to see what he says. It worries me the lump is getting bigger on the inside of my gum under my tongue. Please help. Thank you. YYYY@YYYY
Asked On : Mon, 25 Feb 2013
Answers:  4 Views:  251
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Dentist 's  Response

Thanks for posting your query in healthcaremagic forum.

The lump under the root canal treated tooth may be due to-localised overdose of local anaesthetic solution deposited.

Re-infection of root canal treated tooth.

A detailed clinical as well x-ray evaluation is required in your case.

Tooth has to be either extracted or root canal treated depending on severity of infection.

Please do visit a dentist for further reference.
Hope this helps.
Answered: Wed, 24 Jul 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Any swelling inside the tongue can be a cystic swelling like ranula, sublingual salivary gland swelling, infection drained from an infected tooth in the floor of the mouth.

A thorough clinical examination by the Oral Surgeon is required also take an OPG.
If there is presence of cystic swelling enucleation and marsupialisation can be performed.
In case of infected tooth re-RCT has to be performed and drainage of the abscess is required.

Hope you find this as helpful,

Answered: Wed, 24 Jul 2013
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Dentist Dr. Souranjita Chattopadhyaya's  Response

Thanks for writing at HCM,

After reading your present symptoms I feel that you have got a traumatic swelling on your lip and cheek due to your lower half of lip is numb..

While extraction the nerve supplying the lower half of lip was injuired...

Don't be panic..

Can you tell me whether the swelling under tongue is hard or soft?

If its soft then it can't be mandibular tori,,in that case it may be traumatic cyst or ranula... but if hard,,can be a tori...

Consult with dentist for proper diagnosis and investigations as this requires close inspection...

Hope this will help you...

Wish you good health...

Answered: Wed, 24 Jul 2013
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Dentist Dr. Farah Hussain's  Response
Hello and welcome to HCM,

Lump or swelling seen under the tongue can be a cystic growth called Ranula.

It is usually a painless cystic swelling seen inside the oral mucosa and lies beneath the tongue.

Secondary infection of Ranula may lead to pain , swelling, discomfort in eating and swallowing.

Such swelling can be treated effectively hua n oral surgeon bu enucleation or marsupialization of the cysts.

The cystic lining and the sac is surgically removed to prevent its recurrence.

Other than Ranula, lumps below the tongue can be sublingual salivary gland swellings, infected tooth draining on the lingual area , cyst in relation to tooth , benign or malignant growth.

Exact diagnosis can be made only after clinical examination so I would suggest you to consult an oral surgeon and get the necessary tests and evaluation done which helps in correct diagnosis and treatment.

I hope this helps,

Take care.
Answered: Tue, 26 Feb 2013
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