What causes small painless bump on the left end of the mouth?

Question

Hello doctor,

I am a 25-year-old female. There is a small bump on my gum. It is not that painful. I tried pressing it, and there was yellow pus that came out of it. It is just so bothering and becomes painful whenever I eat. The bump is close to my teeth located at the far left end of my mouth. I am not taking any medications. Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am here to answer your queries.

Kindly help me by uploading an image of the swollen lump along with the tooth as soon as possible. I will assist you immediately as soon as I receive the image. It is diagnostically important. The probable diagnosis is a periapical abscess.

An image of the area is needed for confirmation, and management and medications will be prescribed accordingly.

Long-term abscesses might lead to bone loss and mobility. A chronic period without treatment might lead to the formation of a cyst. So, urgent intervention is needed. Kindly upload an image as soon as possible. I will be waiting. Please add any further information that you would like to be addressed.

Once I receive the image, I will prescribe medication which will help resolve the issue. But, the tooth might need an extraction. An abscess with or without pain means that the infection is persistent and has to be managed as early as possible.

Please reply and do not forget to mention any history of drug allergies or other medical history.

I wish you good health.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Glad to have you back.

I went through the images and also saw the video (attachment removed to protect the patient's identity). It was very helpful. To be precise, you do not need any extraction. There is nothing to worry about. There is a pocket formation due to food accumulation behind the lower second left molar, leading to infection and swelling of the gums behind the tooth. The third molar is not an issue right now. The pocket formation occurred as there was a gap for the eruption of the lower left third molar. So, kindly follow my advice.

No extraction is needed. Just take medications to resolve the infection and swelling. Get scaling done to remove any accumulated food particles in that place, which could result in an infection. Floss whenever you brush, as this would clean the food accumulation and prevent pocket formation. You are just 16 years old, and the third molar erupts by 18 to 20 years of age.

I recommend you take a capsule of Sporidex 500 mg (Cephalexin 500 mg) BD for five days, a tablet of Metronidazole 400 mg BD for five days, one tablet of Ibuprofen BD for five days, and a capsule of Omeprazole BD before meal for five days, and Betadine (Povidone-iodine 2 %) mouthwash gargle in lukewarm water two to three times a day. Also, do the following:

1. Avoid sticky or sweet foods as much as possible.

2. Brush twice gently using a soft toothbrush.

The pocket formation or swelling has nothing to do with the lower third molar. No extraction is needed. Start the medication, and you will be fine in two to three days, but continue the medication for five days.

I hope this helps.

Thank you.