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Suggest treatment for lump on gums and periodontal adscess

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Posted on Tue, 19 May 2015
Question: Hi I've just noticed I have a little lump on my gum behind my front tooth
doctor
Answered by Dr. Mahesh Kumar T S (46 minutes later)
Brief Answer:
periodontal abscess, gingival hyperplasia, medication

Detailed Answer:
Thanks for your query. I have gone through your query.
As far as the lump over the gums is concerned, it can be a periodontal abscess (gingival abscess) secondary to gum infection because of the deposits. The other possible cause can be inflammatory gingival hyperplasia secondary to irritation to gums by the deposits.
Nothing to be panic, consult a oral physician and get it evaluated.
Mean while you can take a course of antibiotics like amoxicillin and metronidazole combination (if you are not allergic). Do saline gargling.
These are the possible causes, diagnosis based on your description about the lesion. If you can upload the images of the lesion, I can give you the exact diagnosis and treatment plan.
I hope I have answered your query. If any queries are there, reply me back. Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Mahesh Kumar T S (8 minutes later)
Hi unfortunately I can't take a pic as it's on my gumline behind my 2 front teeth it doesn't hurt but when u touch it with ur tongue it's feels like my front teeth are gonna fall out
doctor
Answered by Dr. Mahesh Kumar T S (9 minutes later)
Brief Answer:
gum/tooth infection, oral physician, scaling and root planing

Detailed Answer:
Thanks for your feedback.
Nothing to worry. You can consult a oral physician and get it evaluated. You need to take a radiograph to confirm the diagnosis. If it is a gum infection secondary to deposits then you need to get scaling and root planing done. If it is because of the tooth infection then the tooth has to be treated with root canal treatment.
I hope I have answered your query. Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Mahesh Kumar T S (12 minutes later)
What will happen with a root canal I'm so scared my 2 front teeth are going to fall out
doctor
Answered by Dr. Mahesh Kumar T S (6 minutes later)
Brief Answer:
simple procedure, get it treated as early as possible

Detailed Answer:
Thanks for your reply. Nothing to worry. Consult a oral physician and get it evaluated first. If the tooth has sufficient bone support then it can be saved. Do not get scared root canal treatment is a simple procedure. So consult the physician and get it treated as early as possible. I hope I have answered your query. Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Mahesh Kumar T S (45 minutes later)
I only had a tooth out last week and the dentist never said anything looked bad, I can't get in for 2 weeks I'm scared my top front teeth are gonna fall out
doctor
Answered by Dr. Mahesh Kumar T S (51 minutes later)
Brief Answer:
radiograph, consult oral physician, get the teeth treated

Detailed Answer:
Nothing to worry. I am not confirming the diagnosis that the front teeth are completely spoiled. You consult a oral physician and take the radiograph to confirm the diagnosis. If the teeth have some problem, then it can be treated with gum surgery or splinting. Nothing to worry, you will not lose the teeth. Be bold. Get the teeth treated. Be positive.
When you visited previously to dentist the teeth might have looked normal from outside but inside the gums it might have been spoiled. So better to get an opinion from the oral physician.
I hope I have answered your query. Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Mahesh Kumar T S (1 hour later)
So my tooth isn't going to just fall out before I go the the dentist, roof of my mouth feels tingly
doctor
Answered by Dr. Mahesh Kumar T S (5 minutes later)
Brief Answer:
teeth will not fall so easily.

Detailed Answer:
No the teeth will not fall off so easily. It will have some support from the gums and bone. Nothing to worry. Consult a oral physician and take an opinion. Once the cause is found out then it can be managed accordingly. Get the teeth treated as early as possible. The tingling sensation can be secondary to the lump over the gums. So get it treated everything will be fine. After consulting the oral physician and taking radiograph and opinion you can inform the findings so that I can tell you the diagnosis and treatment plan.
I hope I have answered your query. Take care.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Mahesh Kumar T S (11 minutes later)
So if it's a infection what treatment will I have

If it's summit else what will it be

It isn't causing any pain
doctor
Answered by Dr. Mahesh Kumar T S (5 minutes later)
Brief Answer:
gum/tooth infection,scaling/RCT, surgical excision

Detailed Answer:
Thanks for your concern, if it is a gum or tooth infection it has to be treated with scaling or root canal treatment depending upon the diagnosis. It has to be in conjunction with a course of antibiotics. If it is some other problem like inflammatory hyperplasia, then it has to be treated by surgical excision. Most of the time these lesions will be asymptomatic. Please consult a oral physician and get it diagnosed and treated.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Mahesh Kumar T S (16 minutes later)
I've got in for fri but I'll deffo not lose my teeth Whateva treatment I have
doctor
Answered by Dr. Mahesh Kumar T S (6 hours later)
Brief Answer:
consult physician and let me know the status

Detailed Answer:
Thanks for your feed back. You consult the physician and let me the status of the teeth and the bone. I will let you know what to do. Do not worry. We will try our best to save the teeth.
Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Mahesh Kumar T S

Dentist, Oral and Maxillofacial Surgery

Practicing since :2007

Answered : 3377 Questions

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Suggest treatment for lump on gums and periodontal adscess

Brief Answer: periodontal abscess, gingival hyperplasia, medication Detailed Answer: Thanks for your query. I have gone through your query. As far as the lump over the gums is concerned, it can be a periodontal abscess (gingival abscess) secondary to gum infection because of the deposits. The other possible cause can be inflammatory gingival hyperplasia secondary to irritation to gums by the deposits. Nothing to be panic, consult a oral physician and get it evaluated. Mean while you can take a course of antibiotics like amoxicillin and metronidazole combination (if you are not allergic). Do saline gargling. These are the possible causes, diagnosis based on your description about the lesion. If you can upload the images of the lesion, I can give you the exact diagnosis and treatment plan. I hope I have answered your query. If any queries are there, reply me back. Take care.