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Pain in back of tooth, felt like a bump on upper gum and have sinus. Solution?

I have sinus my back tooth have been hurting for a least two weeks now i have being flossing more regluar now us mouth was and salt warm water it is now healing it self and feeling better swelling has gone down a lot and now i fell like a bump on my upper gum above the tooth that was hurting what should I do about this problems
Asked On : Tue, 26 Mar 2013
Answers:  5 Views:  121
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Dentist 's  Response
hi there ,

Painful Bump on the gums suggests infection either related to tooth or confined to the gum tissue.

It can either be a gingival abscess draining in the oral cavity which is caused to physical truama or iritants lodged deep in the gum pockets.

lesion on the gums is also caused due to priapical abscess arising from the infected tooth or periodontal abscess.

This can be confirmed by taking a x ray of the affected area and accordingly treatment can be planned.

gingival abscess can be treated by deep currettage and scaling of the gum pocket by a dentist , so you need to approach a dentist soon.

If the lesion is associated with tooth , the underlying infection nees to be treated follwed by a course of antibiotic and analgesics.

i hope this helps ,

take care.
Answered: Wed, 27 Mar 2013
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Dentist Dr. Neha Gupta's  Response
I am Dr. Neha Gupta (dentist) and am glad to address to your query here.

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

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. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

sinus is a tract through which the abscess shows you have an infected tooth which requires immediate attention.

It should be treated after proper examination and if required RCT.

Its nice that you are doing warm saline rinse, it prevents further infection.

I would suggest you to visit your dentist soon for proper evaluation and treatment.

Hope it helps.

Answered: Thu, 28 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,

The bump over gums may be due to-
deep dental caries progressed into periapical abscess.
Periodontal infection resulting n abscess formation.
I would suggest you to get a thorough examination done.
The origin of sinus tract has to be ruled out.
Get the abscess drained thro' access cavity.
The periodontal infection has to be eliminated through curettage and deeep scaling.
Meanwhile maintain good oral hygiene.
Rinse your mouth after every meals.
Hope this helps.
Answered: Fri, 29 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Tooth pain along with swelling indicates infection in the tooth that has spread to the adjoining tissue leading to formation of abscess .
Tenderness in the tooth is also present in sinus infection.

You are supposed to visit to Dentist and get the checkup done.
Take an x-ray of the tooth depending on which the treatment is decided

Take a course of antibiotic and analgesic take tab flemiclav 625mg TDS tab brufen TDS, this will give a temporary relief . Unless the tooth is treated completely you will face infection and pain.

At home take saline water gargles , use antiseptic mouthwash gargles twice daily , maintain a good oral hygiene .

Hope this helps out.

Answered: Tue, 26 Mar 2013
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