Swelling Between Cheek and Nose: Dental Issues Explained

There is a swelling between the right cheek and the nose?

Hello, doctor.
I have a few questions to ask.
Previously, I underwent root canal treatment on my upper right fourth tooth.
However, due to the dentist's oversight during the procedure, the innermost part (likely the apical area) was injured, leading to inflammation and even internal bleeding.
The root canal treatment took a very long time, and I had to take many medications before it was resolved.
During this period, I experienced inflammation, and a pus-filled abscess developed on that tooth, which caused my right cheek near the nose to swell up twice.
I was treated with antibiotics and anti-inflammatory medications, and after the doctor performed a minor surgery to clean it out, the gums stopped forming abscesses, and the swelling in my face subsided.

However, afterward, I noticed a lump developing in the area between my right cheek and nose.
When I palpate the area above the gums of the right third tooth, I can feel a noticeable bump at the top of that tooth, although there are no visible abnormalities on the cheek.
Looking in the mirror, I can't see any protrusion, but it is very apparent to the touch.
When I press on the bump on my cheek, I can distinctly feel a sensation of pressure on the third tooth.
Is this an issue related to the third tooth, or could it be something else? Since this lump appeared after the swelling in my face, can it be removed? Additionally, the third tooth feels slightly tender when I move it.

Aria, 30~39 year old female. Ask Date: 2021/04/19

Dr. Zeng Guanghui reply Dentistry

After the root canal treatment of the fourth tooth on the right side, there is a swelling in the gum of the third tooth.
It is recommended to return to the dentist for a detailed examination to determine if there is an apical infection in the third tooth before deciding on further treatment.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/04/19

More Info

Swelling between the cheek and nose can be indicative of several dental issues, particularly if there has been a history of root canal treatment and subsequent complications. Based on your description, it seems that the swelling you are experiencing may be related to the third molar (wisdom tooth) or possibly a residual issue from the previous root canal treatment on the fourth tooth.

When a tooth undergoes root canal treatment, it is essential that all infected tissue is adequately removed, and the canal is thoroughly cleaned and sealed. If there was any oversight during the procedure, such as damage to the apex of the tooth or incomplete cleaning, it can lead to persistent infection. This infection can manifest as swelling in the surrounding tissues, including the cheek area, and can cause the formation of abscesses, which may have been the case with the pus-filled bumps you experienced.

The presence of a lump in the area of the third molar, especially if it is tender or causes discomfort when pressed, could indicate several possibilities:
1. Residual Infection: If the infection from the fourth tooth spread or if the third molar has developed its own infection, this could lead to swelling and discomfort. The fact that you feel a "dull" sensation when pressing on the lump suggests that there may be inflammation or pressure in that area.

2. Pericoronitis: If the third molar is partially erupted, it can lead to inflammation of the gum tissue surrounding it, known as pericoronitis. This condition is often painful and can cause swelling in the adjacent areas.

3. Cyst Formation: In some cases, a cyst can develop in response to chronic inflammation or infection. This cyst may not be visible externally but can be felt as a lump.

4. Dental Abscess: A localized collection of pus due to infection can also create a palpable lump. This would typically be associated with pain and swelling.

Given your history of dental treatment and the symptoms you are experiencing, it is crucial to seek further evaluation from a dental professional. They may recommend imaging studies, such as X-rays, to assess the condition of the third molar and the surrounding structures.
In terms of treatment, if the lump is due to an infection or an abscess, the dentist may prescribe antibiotics to manage the infection. If the third molar is determined to be the source of the problem, extraction may be necessary, especially if it is impacted or causing recurrent issues.
It is also important to maintain good oral hygiene to prevent further complications. Regular dental check-ups are essential, particularly after significant dental procedures, to monitor for any potential issues that may arise.

In summary, the lump you are feeling could be related to the third molar or residual issues from the previous root canal treatment. It is advisable to consult with a dentist who can provide a thorough examination and appropriate treatment options. Ignoring these symptoms may lead to more severe complications, so timely intervention is key to resolving your dental issues.

Similar Q&A

Understanding Facial Swelling: Causes and When to Seek Medical Help

This morning, when I woke up and yawned, I noticed that my left cheek felt very tight, and upon looking in the mirror, I saw that my left cheek was completely swollen. I had previously sought medical attention in 2019-2020 due to severe pain near the opening of the left salivary ...

Dr. Liao Yaopan reply Family Medicine
Hello, based on your description, it is still recommended to seek further evaluation from an otolaryngologist or a dentist. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about...

Understanding Facial Swelling: When to Seek Medical Advice

Recently, my face has been swollen, and my friends and family are saying that I must be sick and that I should see a doctor because the swelling is quite severe. When I wake up in the morning, my eyes are so swollen that I can barely open them, as if there are water balloons on m...

Dr. Xu Li'an reply Family Medicine
First, please try to drink less water in the evening and limit soup intake during dinner, as lying down at night can slow blood circulation and lead to edema. Additionally, I recommend that you see a nephrologist and a cardiologist as soon as possible, since most cases of edema a...

Understanding Oral and Nasal Symptoms: When to See an ENT or Oral Surgeon

There is a bump approximately 0.5 cm in size located between the left central incisor and the adjacent tooth on the upper palate. It does not hurt when touched with the tongue, but I cannot see it myself. Initially, I thought it was a blister caused by excessive heat in the body,...

Dr. Hu Kexin reply Otolaryngology
Hello: The protrusion between your left front tooth and the adjacent tooth may not necessarily be related to the presence of nasal mucus. If there are blood streaks in the mucus, you should consult an otolaryngologist for a thorough examination to identify the underlying cause.

Swelling Inside Cheek: Causes and Solutions for Dental Issues

In the past few weeks, I have noticed swelling on the inside of my right cheek (it is not painful and there is no discomfort), which causes me to accidentally bite it while chewing. I have always had a habit of chewing on the right side. Could you please explain why the inside of...

Dr. Lin Jiayong reply Dentistry
Hello: If there is persistent swelling without known cause that lasts for more than two weeks, and especially if there is a foul-smelling discharge or pus, it is advisable to seek further examination at a medical facility. Sincerely, Lin Chia-Yung, Department of Dentistry, Taichu...