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Diagnosed with tooth infection. Having large lump under jaw. No help from antibiotics. Matter of concern?

I have been diagnosed with a tooth infection. The tooth will be pulled in 5 days. Right now I have a large lump under my jaw. It has grown to the point where you can see it bulging on the side of my neck , right underneath my jaw. I can feel a hardness from under my mandible to the middle underneath my jaw. I have been on antibiotics for 4 days and the swelling has not gotten any smaller. Should i be worried?
Asked On : Tue, 26 Mar 2013
Answers:  5 Views:  758
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Dentist 's  Response
I am Dr. Neha Gupta (dentist) and am glad to address to your query here.

As per the details,Your gums are affected with periodontal infection which has progressed into periodontal abscess.
This may be due to-
Poor oral hygiene.
systemic diseases like diabetes,epilepsy,auto-immune diseases.
plaque and calculus deposition.
I would suggest you to-
get scaling and root planning done.
bone grafting and splinting has to be done in case of bone loss.
maintain good oral hygiene.The abscess has to be drained and curetted.
Meanwhile,avoid intake of hot/spicy/cold foods.
Brush your teeth using soft-bristled toothbrush.

Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Answered: Sat, 30 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hi there ,

According to your history i can suspect your infected tooth has gone worse and you have developed a periodontal abscess due to spread of infection to the underlying tissues.

The lump or swelling you can notice under the mandible is nothing but the abscess cavity bulging extra orally and it drains the pus in the oral cavity.

This type of periodontal abscess needs to be drained and compressed in position and then followed by a course of antibiotic and analgesic will subside the symptoms of pain and swelling.

once the abscess is drained the infected tooth can be treated by root canal procedure to devitalise it permanently and save the tooth or of the prognosis is poor the tooth can be extracted.

get an x ray done the affected area and approach a dentist for the treatment.

i hope this helps,

take care.
Answered: Wed, 27 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for posting the query,

Lump in the jaw can be because of tooth infection , bacterial infection in the tooth leads to abscess formation that had spread to the adjoining tissues and jaw bone leading to swelling of the jaw bone .

If not treated in time leads to spread of the infection to the spaces of neck forming space infections , drainage of abscess is required after extraction of tooth.

Take complete course of antibiotic and analgesic .
Use lukewarm saline gargles 3-4 times a day , use antiseptic mouthwash gargles twice daily , maintain a good oral hygiene , avoid eating hot and spicy foods .

Take an OPG x-ray this will give the correct periapical condition of the tooth and the sirrounding tissues .

Hope this helps out.

Answered: Wed, 27 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome,

The lump under the infected tooth is the due to the abscess developed from the periapical infection underlying.
The tooth has to be extracted at the earliest.
The extraction socket has to be curetted.
The lump will disappear once the tooth has removed.
Maintain good oral hygiene.
Meanwhile,salt water rinse has to be done.
Hope this helps.
Answered: Sat, 30 Mar 2013
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Pulmonologist Dr. Jabeed P's  Response
Hello John ,
You should be concerned.
Your description suggests possibility of an abscess ( collection of pus )
The swelling may not subside with antibiotics and it may need to be drained out.
Your dental surgeon would decide whether it can be done with local anesthesia ( injections that numb the pain )
or general anaesthesia.
So visit your doctor as soon as possible
Do continue your antibiotic till you meet your doctor

Wishing you speedy recovery
Answered: Wed, 27 Mar 2013
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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