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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for lump in gums behind premolars

I am a 35 year old female having issues with my mouth/throat. Symptoms are a feeling of a piece of food caught at the back left of my tonue or tonsil area and I recently found a small smooth firm lump on the lower left gums behind my premolars almost at the base of my tongue. I have seen an ent over the course of a few months and he found nothing suspicious and no changes to note (although he did not feel the small lump in my mouth as I just discovered it). He performed the nasal scope twice and also sent me for a neck MRI which was clear. I will see a dentist tommorpw and have them check the lump below my gums but I have a major cancer phobia/anxiety issue and I guessI just want a second opinion of what could be going on. The dr I saw said there is no more tests he can do and that I only need to return as needed but since the weird feeling in back of my mouth is still there I m still worried. Does a clear MRI mean oral cancer has been ruled out?
Mon, 15 Dec 2014
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Dentist 's  Response
Hi
The lump in the area you have mentioned can be due to various resons . If you have been cleared off the 'ear,nose and throat' specialist ,its now the turn an 'oral' specialist to look into it .
The lump on the gum is most commonly due to the tooth infection,which had spread beyond the confines of the tooth .
There is also a possiblity of a pocket ( an area of bone destruction ,mostly between the teeth ,where food lodgement can take place).presence of infection in this pocket (pus pocket ) can also lead to the same symptoms of feeling food being lodged and lump formation .
I advice you to visit a dentist to rule out the above and for time being use warm water saline to rinse your mouth atleast twice daily and keep the area of your mouth (where the lump is present) clean . if possible use interdental brush and floss regularly .
Rest be assured the lump present is not cancerous and your anxiety can be put to rest by merely visiting and oral physician .
Take care .
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