Loose Hard Lump Behind Second Molar: What Could It Be? - Dentistry

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Mobile hard mass


The growth located behind the second molar that feels hard like a tooth and can be wiggled without pain is likely a wisdom tooth (third molar) that is either partially erupted or impacted.
It is advisable to consult a dentist for a proper examination and diagnosis.

Heihei, 10~19 year old female. Ask Date: 2020/05/24

Dr. Lin Jiayong reply Dentistry


Hello: If it is a partially erupted impacted tooth, it is recommended to have it extracted as soon as possible.
Thank you!

Reply Date: 2020/05/24

More Info


When encountering a loose hard lump behind the second molar, it is essential to consider several possibilities. Given your description of the lump feeling hard like a tooth, being movable, and not causing pain, there are a few potential explanations.

1. Erupted Wisdom Tooth (Third Molar): One of the most common reasons for a hard lump in this area is the presence of an erupted or partially erupted wisdom tooth. Wisdom teeth often emerge in the late teens or early twenties and can sometimes be positioned in a way that makes them feel loose or mobile. If the wisdom tooth is not fully erupted, it may cause discomfort or swelling in the surrounding gum tissue, but it may not always be painful.

2. Dental Cyst: Another possibility is the presence of a dental cyst, which is a fluid-filled sac that can form in the jawbone or soft tissues of the mouth. These cysts can feel hard and may be movable, depending on their size and location. While many cysts are asymptomatic, some may cause discomfort or swelling.

3. Abscess: Although you mentioned that the lump is not painful, it is worth considering the possibility of a dental abscess. An abscess can occur due to an infection in the tooth or surrounding gum tissue. While abscesses are typically painful, there are instances where they may not present with significant pain, especially if they are in the chronic stage.

4. Torus Mandibularis: This is a bony growth that can occur on the mandible (lower jaw) and may feel like a hard lump. Torus mandibularis is usually asymptomatic and does not require treatment unless it causes discomfort or interferes with dental work.

5. Fibroma or Other Soft Tissue Growth: Sometimes, benign growths such as fibromas can develop in the oral cavity. These growths may feel firm and can be movable. They are typically non-painful and may require monitoring or surgical removal if they grow larger or cause issues.

Given the various possibilities, it is crucial to consult with a dental professional for an accurate diagnosis. A dentist will likely perform a clinical examination and may recommend imaging studies, such as X-rays, to assess the underlying structures and determine the nature of the lump.

In the meantime, here are some recommendations:
- Avoid Manipulating the Lump: While it may be tempting to move or poke at the lump, doing so can irritate the surrounding tissues and potentially lead to infection.

- Maintain Oral Hygiene: Ensure that you are practicing good oral hygiene by brushing and flossing regularly. This can help prevent any potential infections or complications.

- Monitor for Changes: Keep an eye on the lump for any changes in size, shape, or associated symptoms (such as pain or swelling). If you notice any significant changes, seek dental care promptly.

In summary, while the lump behind your second molar could be due to several benign conditions, it is essential to seek professional dental advice to determine the exact cause and appropriate management. Early intervention can help prevent potential complications and ensure your oral health remains in good standing.

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