Bump on gum, X-ray good

Joined
Feb 26, 2021
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Painful bump on upper right gum. No. 5 has pain but surface is good and X-ray is good. No. 6 has a crown but no obvious trouble (X-ray good).
Infection? Bruxism?
Dentist (in UK) says no obvious dental cause.
Any suggestions?
 

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Solution
It looks like the pain might be referred pain from the crown and root canal. On the side of the mesial root ( root closest to tooth no. 5), there appears to be some bone loss. This might be an indication of a periodontal abscess. This could happen if one of the roots of tooth no. 6 has a crack. Remember root canal teeth are dead teeth, and can still fracture over time, even if protected by a crown. I would suggest that you get a CBCT scan of this area. It would provide a 3D image of the area, and hopefully some more information about where the pain is coming from.

Dr M

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The photo is unclear. Could be a bony outgrowth only, which is normal. Do you have the x-ray to share?
 

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Joined
Feb 26, 2021
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Thanks for the reply.
I managed to get the X-rays and a better photos. Hope these are more informative. Hurting for about a month on and off. The root treatment is the crowned tooth in the photo (tooth no 6) and the pain is from the tooth in front (no. 5).
 

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Dr M

Verified Dentist
Joined
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Messages
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It looks like the pain might be referred pain from the crown and root canal. On the side of the mesial root ( root closest to tooth no. 5), there appears to be some bone loss. This might be an indication of a periodontal abscess. This could happen if one of the roots of tooth no. 6 has a crack. Remember root canal teeth are dead teeth, and can still fracture over time, even if protected by a crown. I would suggest that you get a CBCT scan of this area. It would provide a 3D image of the area, and hopefully some more information about where the pain is coming from.
 

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Solution
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Nov 7, 2023
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Discovering a bump on your gum can be an emotionally unsettling experience, and it's natural to feel concerned. You've already taken the right step by having an X-ray, which can provide valuable insights into the issue.

The good news is that a clear X-ray is reassuring, as it can rule out more serious problems like cysts or tumors. However, the presence of a bump on your gum may still need attention. It could be due to various factors, such as an infection, an injury, or a blocked saliva duct.

It's essential to consult with your dentist to determine the cause of the bump and explore appropriate treatment options. They can provide guidance and support to address the issue, alleviate your concerns, and ensure your gum health. Remember, your emotional well-being matters in this process, and seeking professional help is a positive step toward resolving the situation.
 

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