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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Small Painful Hole In The Gums?

Hello. I have a hole in the back of my mouth in the gums. It appeared about 4 days ago out of nowhere and has gotten worse as more time passed. My throat is also sore, it hurts to open my mouth too far and it hurts to close it all the way. I Am a smoker but recently quit. Haven't had one in 5 days. I don't know if that is usual information. I went to the doctor but she didn't know what it was and told me to go to a mouth surgeon, but I haven't been able to get ahold of him, yet.
Mon, 20 Apr 2015
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Dentist 's  Response
Hi Dear,

Welcome to Health Care Magic Team.

Understanding your concern.

Hole in posterior region in gums is nothing but a sinus tract formation over there. Your tooth in that region must be carious or infected badly that is why pus keeps on accumulating there and caused an swelling called abscess. Tooth abscess is because of poor oral hygiene, bacterial infection and yes smoking is also the most contributing factor for mouth disease.

Pus from that tooth abscess start leaking and cause a sinus tract/ fistula formation over there.

You should go to dentist get X-rays done.
Take antibiotics for infection suppression. Dentist will drain that abscess and will do RCT of that tooth if restorable.

If not restorable get extraction done.

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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What Causes A Small Painful Hole In The Gums?

Hi Dear, Welcome to Health Care Magic Team. Understanding your concern. Hole in posterior region in gums is nothing but a sinus tract formation over there. Your tooth in that region must be carious or infected badly that is why pus keeps on accumulating there and caused an swelling called abscess. Tooth abscess is because of poor oral hygiene, bacterial infection and yes smoking is also the most contributing factor for mouth disease. Pus from that tooth abscess start leaking and cause a sinus tract/ fistula formation over there. You should go to dentist get X-rays done. Take antibiotics for infection suppression. Dentist will drain that abscess and will do RCT of that tooth if restorable. If not restorable get extraction done. Hope your concern has been resolved. Best Wishes, Dr. Harry Maheshwari