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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lump On Gum, No Pain, Feels When Pressure Is Applied

Hi, I m really hoping u can put my mind at rest cos I am driving myself mad. I found a lump right up high on my gum above a front tooth which is a crown. I did go to the dentist a couple if days before finding it because the area felt strange when I applied pressure to it, like the crown was going to fall out. The dentist examined the area and said it was fine, it was 2 days later I felt the lump. When you look at the area u can t see anything, the gum looks totally normal and it doesn t cause me any pain at all but I can sometimes feel it when I smile and my lips put pressure on it. It is a hard lump, like bone and I ve no idea how long it s been there.
Thu, 7 Jun 2012
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Dentist,  's  Response
The data you have given is not sufficient to reach a definitive diagnosis. Was the tooth infected and/or operated for a root canal treatment before the crown placement? How long has it been since the RCT/crown placement done?
For now, with the data given, i would guess it might be due to a periodontal abscess in the region. And if there had been an infection and RCT was done, chances are infection may not have resolved completely before the obturation which may have caused a periapical cyst or an abscess. A radiograph of the tooth is needed to confirm/rule out the diagnosis. If present, it may require an antibiotic and anti-inflammatory treatment and if that doesn't work you may need to get your RCT redone.
Either case you will need to visit your dentist to get a clear picture.
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Dentist,  Dr. Gunjan Gupta's  Response
hi shelleyparkin,
as you said you have crown in that area and your dentist said it is normal.
you do not have any pain and it looks completely normal.
i think it is an area between crown and gum,which you feel strange,nothing else.
so i will suggest you please wait and watch for few days,if you feel any pain or any other symptoms related to this area,go to your dentist and go for whole mouth examination including x-rays.
nothing to get worried.take care
Dr.Gunjan Gupta
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Lump On Gum, No Pain, Feels When Pressure Is Applied

The data you have given is not sufficient to reach a definitive diagnosis. Was the tooth infected and/or operated for a root canal treatment before the crown placement? How long has it been since the RCT/crown placement done? For now, with the data given, i would guess it might be due to a periodontal abscess in the region. And if there had been an infection and RCT was done, chances are infection may not have resolved completely before the obturation which may have caused a periapical cyst or an abscess. A radiograph of the tooth is needed to confirm/rule out the diagnosis. If present, it may require an antibiotic and anti-inflammatory treatment and if that doesn t work you may need to get your RCT redone. Either case you will need to visit your dentist to get a clear picture.