Maxillary mass
Hello doctor, I have noticed a significant swelling on the left side of my upper palate when I touch it with my tongue.
Pressing it with my tongue or finger causes discomfort at the root of my left front teeth, which are both dental implants, but I can't remember how they were treated initially.
Could you please tell me what might be the cause of this and how it should be treated? Thank you.
Joe, 30~39 year old female. Ask Date: 2023/07/12
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to first obtain an X-ray to confirm whether the issue is caused by simple dental or periodontal inflammation or infection.
Additionally, if there is a concern for oral cancer, a soft tissue biopsy should be performed on the swollen area for examination.
Reply Date: 2023/07/12
More Info
Upper jaw swelling can be a concerning symptom, and it is essential to understand the potential causes and treatment options available. The swelling you are experiencing on the left side of your upper jaw could be attributed to several factors, including dental issues, infections, or other underlying medical conditions.
One common cause of upper jaw swelling is dental abscesses. An abscess occurs when bacteria infect the tooth or the surrounding gum tissue, leading to the accumulation of pus. This can happen due to untreated cavities, gum disease, or trauma to the tooth. Since you mentioned that the affected teeth are false (dentures), it is possible that the underlying bone or gum tissue is inflamed or infected, leading to the swelling you feel.
Another potential cause could be sinusitis. The maxillary sinuses are located just above the upper jaw, and inflammation or infection of these sinuses can lead to swelling and discomfort in the upper jaw area. Symptoms of sinusitis may include nasal congestion, facial pain, and pressure, which can sometimes be mistaken for dental issues.
Additionally, other conditions such as cysts or tumors in the jawbone, allergic reactions, or even systemic conditions like autoimmune diseases could contribute to swelling in that area. It is crucial to consider your medical history, any recent dental procedures, and other symptoms you may be experiencing.
For treatment, the first step is to consult a dentist or an oral surgeon. They will likely perform a thorough examination, which may include X-rays or other imaging studies, to determine the exact cause of the swelling. If an infection is present, antibiotics may be prescribed to help clear the infection. In cases of dental abscesses, drainage of the abscess may be necessary, along with possible root canal treatment or extraction of the affected tooth.
If sinusitis is diagnosed, treatment may involve decongestants, nasal sprays, or, in some cases, antibiotics if a bacterial infection is suspected. For other underlying conditions, the treatment will depend on the specific diagnosis.
In the meantime, you can manage discomfort with over-the-counter pain relievers, warm compresses to the affected area, and maintaining good oral hygiene to prevent further complications. However, it is essential to seek professional evaluation to address the root cause of the swelling effectively.
In summary, upper jaw swelling can arise from various causes, including dental infections, sinusitis, or other medical conditions. A thorough examination by a dental professional is crucial for accurate diagnosis and appropriate treatment. Don't hesitate to reach out to your dentist for an appointment, as timely intervention can prevent complications and alleviate your symptoms.
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