Swollen Lump Near Jaw: Possible Dental Issues Explained - Dentistry

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There is a lump on the chin area when touching the cheek?


Hello doctor, I have a lump on the outside of my gums near my right jawline, just below my cheek.
However, when I open my mouth and look inside, I can't see anything unusual on the gums.
The area on the right side is swollen and painful, and I can feel a noticeable discomfort when I open my mouth.
I went to the pharmacy and got some antibiotics and pain relievers, but they haven't helped.
What could this be? It's been three days.

Dai Ni, 10~19 year old female. Ask Date: 2017/11/14

Dr. Zhu Guanyu reply Dentistry


Hello, there are many possible causes for swelling and pain.
If it is a bacterial infection, simply using anti-inflammatory and pain relief medications will not improve the condition.
I recommend that you visit a dentist or an otolaryngologist for further examination.
Thank you for your message.
Wishing you peace and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/14

More Info


Swollen lumps near the jaw can be concerning and may indicate various dental or oral health issues. Based on your description, it sounds like you are experiencing localized swelling and pain in the area near your jaw and gums, particularly on the right side. Here are some possible explanations for your symptoms and recommendations for further action.


Possible Causes of Swelling Near the Jaw
1. Dental Abscess: One of the most common causes of swelling in the jaw area is a dental abscess, which occurs when bacteria infect the tooth's pulp or the surrounding gum tissue. This can lead to pus accumulation, resulting in a painful lump. The absence of visible issues on the gum surface does not rule out an abscess, as the infection can be deeper.

2. Gum Disease: Conditions such as gingivitis or periodontitis can cause inflammation and swelling in the gums. If the infection progresses, it can lead to the formation of a lump or abscess.

3. Impacted Wisdom Teeth: If you have wisdom teeth that are impacted (not fully erupted), they can cause swelling and pain in the surrounding areas. This is especially true if the teeth are pushing against adjacent teeth or if there is an infection.

4. Salivary Gland Issues: Swelling can also be related to salivary gland infections or blockages. If a salivary gland becomes infected or obstructed, it can lead to swelling in the jaw area.

5. Cysts or Tumors: Although less common, cysts or tumors in the jaw or oral cavity can also present as lumps. These may require imaging studies for proper diagnosis.


Recommendations for Management
1. Seek Dental Evaluation: Given that your symptoms have persisted for three days and over-the-counter medications have not alleviated your pain, it is crucial to see a dentist or an oral surgeon as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the underlying cause of the swelling.

2. Avoid Self-Medication: While it may be tempting to continue taking over-the-counter medications, it is essential to avoid self-medicating without professional guidance, especially if the swelling and pain persist.

3. Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing and flossing gently around the affected area. This can help reduce the risk of further infection.

4. Warm Compress: Applying a warm compress to the outside of the jaw may help reduce swelling and provide some pain relief.

5. Antibiotics: If a dental abscess or infection is diagnosed, your dentist may prescribe antibiotics to help clear the infection.
6. Follow-Up Care: Depending on the diagnosis, follow-up care may include drainage of an abscess, treatment for gum disease, or extraction of impacted teeth.


Conclusion
Swelling near the jaw can be indicative of several dental issues, ranging from infections to impacted teeth. It is essential to seek professional dental care to accurately diagnose and treat the underlying cause of your symptoms. Early intervention can prevent complications and alleviate your discomfort. Please make an appointment with your dentist as soon as possible to address your concerns.

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