Persistent Gum Growth: What to Do About Your Dental Concern? - Dentistry

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There is a growth on my gum that has been present for six months?


There is a growth in the gum between my lower right molar, which has undergone root canal treatment, and the tooth in front of it.
The growth resembles the color of the gum and has a slight white tint.
It feels like a foreign object, but it is not painful.
After eating, it tends to swell a bit more, and it has been present for several months without disappearing.
It has grown to a noticeable size, and I would like to know what I should do.
Should I wait until I return to Taiwan for treatment, or are there any methods to reduce the swelling? Although it is not painful, the sensation of having a foreign object is quite bothersome and uncomfortable, and I am unable to see a doctor in Japan.
Thank you.

Xiao Nu Zai Ri Ben, 20~29 year old female. Ask Date: 2017/04/29

Dr. Huang Tingfang reply Dentistry


Dear Miss in Japan,
Hello! (There is a growth on my gum that has been present for six months and is slightly swollen.) It is essential to determine whether this is caused by periodontal disease or pulp disease, which requires an X-ray for diagnosis.
However, this appears to be a chronic issue that is not very painful, but it is still important to seek medical attention as soon as possible! Please communicate thoroughly with your doctor.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/04/29

More Info


It sounds like you're experiencing a concerning dental issue with your gum, particularly around a tooth that has undergone root canal treatment. The presence of a growth or swelling in the gum area, especially one that has persisted for several months, warrants careful consideration and action. Here’s a comprehensive overview of what you might be dealing with and what steps you can take.


Understanding the Issue
1. Possible Causes of Gum Growth: The white, swollen area in your gums could be due to several factors:
- Gingival Hyperplasia: This is an overgrowth of gum tissue, which can occur due to irritation, inflammation, or as a side effect of certain medications.

- Periapical Abscess: If the tooth that had root canal treatment is not healing properly, an abscess may form, leading to swelling and discomfort.

- Fibroma or Other Lesions: Sometimes, benign growths can develop in the gum tissue, which may not be painful but can cause discomfort or a feeling of pressure.

2. Symptoms and Concerns: The fact that the growth is not painful is somewhat reassuring, but the persistent nature and the feeling of an "alien" presence in your mouth are valid concerns. Swelling after eating could indicate that the area is reacting to food particles or bacteria, which may suggest that the gum tissue is inflamed or infected.


Recommended Actions
1. Consult a Dental Professional: Since you are currently in Japan, it would be advisable to seek out a local dentist or oral surgeon who can examine the area. Even if there is a language barrier, many dental offices in Japan cater to international patients and may have English-speaking staff. A professional evaluation is crucial to determine the exact nature of the growth.

2. Temporary Relief Measures: While waiting for a dental appointment, you can try some home remedies to alleviate discomfort:
- Salt Water Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and keep the area clean.

- Cold Compress: Applying a cold compress to the outside of your cheek may help reduce swelling.

- Avoid Irritants: Try to avoid spicy, acidic, or hard foods that could irritate the area further.

3. Considerations for Treatment: If the growth is determined to be benign and not causing any significant issues, your dentist may recommend monitoring it. However, if it is an abscess or requires surgical intervention, it may need to be addressed sooner rather than later.

4. Follow-up Care: If you decide to wait until you return to Taiwan for treatment, ensure that you keep the area as clean as possible to prevent any potential infection. Regular dental check-ups are essential, especially after having undergone root canal treatment.


Conclusion
In summary, while the growth in your gum may not be causing pain, its persistence and the discomfort it brings are valid reasons to seek professional advice. It’s crucial to have a dental professional assess the situation to rule out any serious conditions and to provide appropriate treatment. Whether you choose to seek care in Japan or wait until you return to Taiwan, maintaining good oral hygiene and monitoring the situation closely will be key. Don’t hesitate to reach out to a dentist as soon as possible to get the care you need.

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