After having wisdom teeth removed, there may be a hard lump inside the cheek?
It has been one month since I had my wisdom teeth removed, and now I have a small lump inside my cheek (marked with a red circle) that is not painful.
Is this lump related to the wisdom tooth extraction, or do I need to go to the hospital for a biopsy to check for oral cancer?
pinggu, 20~29 year old female. Ask Date: 2015/09/07
Dr. Zeng Guanghui reply Dentistry
The above situation should be evaluated to determine whether the lump is a blood clot following tooth extraction or an infection at the extraction site.
It is recommended to consult a dentist for further diagnosis and treatment.
Reply Date: 2015/09/07
More Info
After wisdom tooth extraction, it is not uncommon for patients to experience various post-operative symptoms, including the formation of lumps or swelling in the cheek area. The hard lump you are describing could be related to several factors associated with the extraction procedure.
Firstly, it is important to understand that after a tooth extraction, the body goes through a healing process. This process can involve the formation of scar tissue, which may feel like a hard lump. Additionally, if the extraction was complicated or if there was significant manipulation of the surrounding tissues, it could lead to localized swelling or a hematoma (a collection of blood outside of blood vessels) that may harden over time.
Another possibility is that the lump could be a residual cyst or a granuloma, which can form in response to inflammation or irritation in the area where the tooth was removed. These are typically benign and resolve on their own, but they can sometimes require further evaluation.
While the absence of pain is a good sign, it is essential to monitor the lump for any changes in size, color, or associated symptoms such as pain, fever, or difficulty opening your mouth. If the lump persists or grows, it would be prudent to consult with your dentist or oral surgeon. They may perform a clinical examination and, if necessary, imaging studies to determine the nature of the lump. In some cases, a biopsy may be recommended to rule out any serious conditions, including oral cancer, especially if there are concerning features.
Oral cancer is relatively rare, particularly in younger individuals, but it is always wise to be cautious and proactive about any changes in your oral health. Risk factors for oral cancer include tobacco use, excessive alcohol consumption, and certain viral infections (such as HPV). If you have any of these risk factors, it is even more critical to seek professional advice.
In summary, while the hard lump inside your cheek after wisdom tooth extraction may be a benign post-operative change, it is essential to keep an eye on it and consult with a healthcare professional if you have any concerns. They can provide a thorough evaluation and peace of mind, ensuring that your healing process is on track and that there are no underlying issues that need to be addressed. Remember, your oral health is an integral part of your overall well-being, and staying informed and vigilant is key to maintaining it.
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