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Discharge from a bump on the gum. Need surgery?

i have a bump on my gum line in the back by my molars and it notices today that it oozed a little so i went home and brushed my teeth with hyrogen proxcide and water and then it started oozing again i think i may have got ever thing out cuz its alot smaller .. but i dont know what to do becides call the dentist and its sunday none are open this some thing i should be concerned about right now or is it something that can wait till the normal hrs or opperation???
Asked On : Thu, 28 Feb 2013
Answers:  6 Views:  143
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Dentist 's  Response
dear friend.

thanks for sharing your concern.

gingival abscess could be due to any of these.

1.more commonly dental caries leads to periapical infection which then develops into abscess and forms the bumps on gingiva.(gum).

2.improper oral hygiene,accumulation of plaque and calculus also leads to bacterial pocket upon infection.

also some times systemic condition predispose to gingival abscess,like pregnancy,diabes,etc.

therefore i would say go for clinical evaluation once.

it requires drainage followed by antibiotic and analgesic.

meanwhile an xray would help to understand any pathology underneath.

.thanks. take care
Answered: Fri, 1 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Bump in the gum line can be because of abscess formation . This asbcess can be a periodontal abscess arising as a result of spread of infection from the tooth .

You need to consult Dentist get checkupdone .
Take an x-ray to confirm the diagnosis .

It can also be an gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets .

Get complete mouth scaling and polishing done .
Maintain a good oral hygiene .
Use saline water gargles 3-4 times a day .
Use 0.2% of chlorhexidine mouthwash gargles twice daily.

Hope this helps out .

Answered: Sun, 17 Mar 2013
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Dentist Dr. Gunjan Gupta's  Response
Thanks for your query.

As you provided the detail,it seems that you have gingival abscess.

You did not tell that do you have any pain in the concerned tooth?

This abscess may be because of following reasons-

so i will suggest you plaese visit to your dentist as soon as possible and get the complete examination done and after proper diagnosis take a proper treatment accordingly.

If there is heavy deposits present-get the thorough scaling done.
If there is deep infection in the concerned tooth go for root canal treatment along with x-rays.
Nothin to get worried.
Take Care.
Dr.Gunjan Gupta
Answered: Fri, 1 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello and welcome,

Lesion or bump seen on the gum line can be due to formation of abscess.

Abscess discharge from the gums is seen due to two reasons .

either it is a gingival abscess caused due to accumultion of bacterial plaque and calculus deep in the gum pocket and the surfaces of roots of the teeth .

or it can be a periodontal or periapical abscess arising from an infected tooth.

This can be confirmed by a X RAY examination which will show the amount of tissue involved accordingly treatment can be carried out .

If it is a tooth related abscess , it is drained and infected tooth is treted by root canal procedure.
if it is a gingival abscess , the abscess cavity is curretted and gums are cleaned by scaling and root planing of tooth surfaces.

consult a dentist and get the clinical examination and evaluation done by X rays.

take care.
Answered: Thu, 28 Feb 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Welcome to the forum.
from the description bump on your gum line in the back molars seems to be gingival abscess
Gingival abscess is caused by infection from bacteria that enter the gums following injury from aggressive tooth brushing, toothpick punctures, or from food that is forced into the gumline. The infection may spread into surrounding tissue, and if left untreated, it can progress, damaging the support structure of the teeth
Following drainage, if the abscess has not progressed into periodontal structure, antibiotic therapy is effective in eliminating the infection
I hope this information has been both informative and helpful for you.
Answered: Sat, 2 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response

The discharge from a bump on the gum may be due to abscess formed at the area.

The abscess arised due to many factors-

Dental caries spreading infection into periapical area.

Poor oral hygiene results in gingivitis thereby abscess formation.

Systemic conditions like diabetes,epilepsy,etc.

I would suggest you to visit a dentist soon .

Direct clinical examination of the lesion is mandatory for further treatment procedures.

Deep subgingival scaling and root planning has to be done.
Curettage and drainage of abscess helps in pus oozing out.

Antibiotics-analgesics has to be administered as per dentist's prescription.

If necessary,gingivectomy has to be done.

Hope you get well soon.

Answered: Thu, 28 Feb 2013
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