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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Hard Lump On Roof Of Mouth Indicate, After Having A Root Canal?

I had a top pre molar extracted 3 weeks ago. It cracked after a root canal before my dentist was able to get the crown on. Over the last couple of days I've noticed a very small smooth hard lump on the roof of my mouth kind of in line with where the pre molar was. It is sore to the touch.
I'm an ex smoker so scared of the worst.
What do you recommend?
Thanks
Mon, 24 Feb 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
But first let me address what that hard lump is..... since it is not draining, it is most likely a cyst that has formed in the bone and grown into the hard tissue. This is seen frequently with root canaled teeth because it is caused by the bacteria that has been residing in your root canaled tooth. Not just from the "missed canal", but from the microscopic canals that cannot be cleaned out. So the re treatment may have removed some dead nerve material from the missed canal, but it did nothing to access the microscopic ones. Therefore, the tooth will continue to be infected. An apicoectomy is a surgical root canal, it accomplishes the same thing that a re treatment does with the exception that the surgeon physically goes in and removes the cyst.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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What Does The Hard Lump On Roof Of Mouth Indicate, After Having A Root Canal?

Hello, Thanks for your query. But first let me address what that hard lump is..... since it is not draining, it is most likely a cyst that has formed in the bone and grown into the hard tissue. This is seen frequently with root canaled teeth because it is caused by the bacteria that has been residing in your root canaled tooth. Not just from the missed canal , but from the microscopic canals that cannot be cleaned out. So the re treatment may have removed some dead nerve material from the missed canal, but it did nothing to access the microscopic ones. Therefore, the tooth will continue to be infected. An apicoectomy is a surgical root canal, it accomplishes the same thing that a re treatment does with the exception that the surgeon physically goes in and removes the cyst. I do hope that you have found something helpful and I will be glad to answer any further query. Take care