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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump On The Gum. Root Canal Needed For Tooth. Could This Be The Reason?

Hi

I have a small lump under the bottom of my gum on the inside of my mouth which when I wake up in the morning is about the size of a pin head , throughout the day it increases to about the size of half a pea , its not visable and can only feel it with my tongue.
I have had an xray and my dentist thinks it could be something to do with the fact I may need a route canal on one of my teeth I have antibiotics to take to see if this shrinks it although the lump is painless , I don't know how long it has been there as I only found it by chance and went to the dentist within a day of finding it about 1 week ago - any suggestions what it could be
Thu, 8 Aug 2013
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  User's Response
Hello dear
As per information provided by you it seems itmis a sinus related to one of your tooth.So you utterly need root canalmtreatment of this tooth.Normally these sinuses are painless but keep on causing further bone loos of surrounding are.so dont delay and go ahead with RCT.
In the mean while start doing warm saline rinses they ll give you relief.
Best
Dr. Amit k. Gaba
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Lump near the gum could be due to abscess arrising form the adjacent tooth or can be due to gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets, to confirm this x-ray is needed.

Drainage of the pus is required , get the root canal treatment of the infected tooth completed.
Small bump on the gum can be excised surgically.
Go for symptomatic treatment of complete mouth scaling and polishing.

Take complete course of antibiotics and analgesics.
Maintain a good oral hygiene use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards.
I find this answer helpful
Dentist Dr. Benley George's  Response
Hello,
The problem of yours seems to be a gum boil which could be an infection of any particular tooth. You should get an x ray done to determine the infected tooth. Root canal treatment followed by the placement of a crown would be the solution to the problem. You will have to take a course of antibiotics as prescribed by your dentist.

Regards
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query in hcm forum.
The lump arised under the tooth may be due to-
Deep dental caries
Periodontal infection.
Traumatised tooth.
I would suggest you to get the pus drained as soon as possible,
Scaling and curettage also adviced.
Maintain oral hygiene well.
Take plenty of fruits,fluids and water.
Vitamin supplements can be taken.
Use interdental toothbrush to prevent interdental plaque accumulation.
Hope this helps.
I find this answer helpful
Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query in hcm forum.
The lump arised under the tooth may be due to-
Deep dental caries
Periodontal infection.
Traumatised tooth.
I would suggest you to get the pus drained as soon as possible,
Scaling and curettage also adviced.
Maintain oral hygiene well.
Take plenty of fruits,fluids and water.
Vitamin supplements can be taken.
Use interdental toothbrush to prevent interdental plaque accumulation.
Hope this helps.
I find this answer helpful
Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Since your gums are swollen,there is chance of periapical infection.
Usually x-ray will reveal such infections.
If periapical abscess occurs,teeth has to be root-canal treated,the abscess has to be drained out and curetted.
Deep scaling and root planning has to be done to prevent gingivitis.
maintain good oral hygiene.
brush your teeth twice daily using toothbrush.
rinse your mouth after every meals.
chlorhexidine mouthrinses can prevent plaque accumulation
I find this answer helpful

3 Doctors agree with this answer

Dentist Dr. Souranjita Chattopadhyaya's  Response
Hello,

Thank you for choosing HCM,

From your symptoms I feel that abscess is there in relation to your carious tooth...As you have taken antibiotic so the infection is subsided and that became painless...

Your Dentist is right for doing Root canal treatment for that tooth...with the starting of the treatment either abscess will be drained automatically or it has to be drained by giving a small incision...

Do warm saline rinses 4-5times/day..

Maintain oral hygiene...

Get your treatment done...

Take care...
I find this answer helpful

3 Doctors agree with this answer

Dentist, Periodontics Dr. Palvi 's  Response
hi...
thanks for the query...
well yes.... infected tooth can be the reason for the lump on your gum...
its called dental abscess... as tooth is a closed chamber... so, spreading infection tends to find escape from surrounding tissues leading to formation of abscess....
dont worry, it will get back to normal after root canal treatment and proper course of antibiotics... also do warm saline rinses...
so dont hesitate and go for it...
hope it will help you...
take care...
I find this answer helpful

3 Doctors agree with this answer

Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
As your gums are swollen,there is chance of periapical infection. Usually x-ray will reveal such infections. If periapical abscess occurs, teeth has to be root-canal treated,the abscess has to be drained out and curetted. Deep scaling and root planning has to be done to prevent gingivitis.
Maintain good oral hygiene.
Brush your teeth twice daily using toothbrush.
Rinse your mouth after every meals.
Chlorhexidine mouthrinses can prevent plaque accumulation .
Regards.
I find this answer helpful

3 Doctors agree with this answer


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Lump On The Gum. Root Canal Needed For Tooth. Could This Be The Reason?

Hello dear As per information provided by you it seems itmis a sinus related to one of your tooth.So you utterly need root canalmtreatment of this tooth.Normally these sinuses are painless but keep on causing further bone loos of surrounding are.so dont delay and go ahead with RCT. In the mean while start doing warm saline rinses they ll give you relief. Best Dr. Amit k. Gaba