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Q. I have white spots on the left side of the gum and a small lump on my left chin. What to do?

Answered by
Dr. Himayoon Majeed Mir
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 28, 2019

Hello doctor,

I have white spots on the left side of my gum and it hurts really bad. I have a sore throat and a small lump on my left side of my chin that hurts when I touch it. What do you think this is?

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Hello,

Welcome to icliniq.com.

Regarding your short history, it seems that you may be having a gingival abscess or pericoronitis (if the last erupting tooth is involved). However, the picture of the lesion would have made things clear as to which site is involved and the state of the tooth involved (if it is carious or not). Still, it seems that you are having an infection and the lymph nodes are involved which relates the lump on the left side. The sore on the gum may be an aphthous ulcer or sinus opening as both are white, but sinus opening might be somewhat eruptive (nodule like). The sore throat is due to the infectious condition. So I think it might be a gingival abscess.

The treatment requires a regime of antibiotics, analgesics and mouth wash. You can take Amoxycillin 500 mg and Clavulanic acid 125 mg two times (BD) for five days. Ibugesic acid (Ibuprofen and Paracetamol) 400 mg twice daily for five days and Chlorhexidine mouth wash thrice daily for two weeks.


Investigations to be done:

IOPA (intraoral periapical radiograph) to related tooth.

Differential diagnosis:

Pericoronitis, gingival abscess, periodontitis.

Treatment plan:

As mentioned above.

Regarding follow up:

Upload a picture for proper diagnosis and treatment.


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