Dr. Muzaffer Hussain Parray
Dentistry
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 65-year-old woman. 10 days ago, I had molar 46 removed because of radicular caries. In the alveoli, the gum's buccal side is hard and forms a kind of lump that almost bridges the alveoli. On the jaw side, I feel a small hard lump under the skin, tender to the touch, but that may well be one of the spots where the anesthetics were injected. I was given 10 days Amoxicillin, just finished. Gums are slightly painful to the touch. Kindly advice.
Hi,
Welcome to icliniq.com.
I had gone through your question, and I can understand your concern. It looks like because of too many antibiotics, you have got an antibioma. It is a hard swelling like condition because of overuse of antibiotics.
Please upload a picture and provide some history, like how many days after extraction it appeared? Is it hard or soft? Is there any pus drainage associated, and if there is any swelling under the chin or below the extraction site?
One thing I can assure you it is not dangerous, but if there is any sharp bony spicule, it may cause repeated infection or delay in healing.
I hope this helps.
Patient's Query
Thank you doctor,
The history is a bit longer. Eight months ago, I started having issues with the 46. It seemed like the gums got unattached on the buccal side. I had quite some bleeding, and later on, there was like a small dark hole in the gum. The dentist found nothing and gave me aloe vera gel. I decided to see a Periodontologist as it healed very slowly. He found radicular caries and said my gums were locally infected. With deep periodontal cleaning and a special rinse, gum looked normal after a few weeks. I was advised to have the 46 removed when it would begin to bother me, and seven months later, the crown plus molar broke off, and last week I had it out. From day one, there was a dent visible at the spot where the gum problem had occurred. Bone was also missing as well there. You can see it in the enclosed photo. I hope it is a v-shaped hole. The lump of gum is soft inside the alveoli but hard on the top. It feels like there is some extra bone there, under the gum. No pus and no abscess, and it looks all pink. The lump was present but has gotten a little bigger over the last week.
Hello,
Welcome back to icliniq.com.
It is a dry socket. It is confirmed if the pain is burning one and started the next day of the extraction. Sometimes it is associated with foul breath, and the bone looks exposed. It happens in old age and smokers or even if the post-extraction instructions are not properly followed.
There is no need to be worried. It is not any dangerous thing, but you need to visit a general dentist and get a dressing zinc oxide eugenol placed, even it will heal itself, but the time it takes will be more.
My opinion is to visit a general dentist, get a physical check-up done, and dress if needed.
Patient's Query
Thank you doctor,
I have not had any pain to speak. Five weeks ago, 36 was taken out for the same reason, and then I did have a dry socket, which had me excruciating pain. Not this time, which is good. I am seeing the Periodontist, also to see options for bone repair. Since I will have implants in the 36 and 46. I shall now also make an appointment with the dentist.
Hello,
Welcome back to icliniq.com.
The hard swelling issue is because of antibioma, which I had already discussed above, and it will self heal with time and will not need any treatment.
I talked about the exposed bone that looks like the dry socket but can be even sharp bony spicule that I had already told you. In both cases, get a dentist appointment scheduled.
No need to be concerned. The lesion is not dangerous and cannot be anything like a tumor, etc. Because oral cancers do not present like your history and are not painful but nonhealing and bleeding ulcers. Do not take so much stress and have a simple dentist look.
I hope this helps.
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Dentistry
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