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Recurring painless bump on gum

User Level:
Patient
Posted by: diana750  (4 years ago)
I have had this clear blister type thing on my lower inner gum, close to my last molar that keeps coming back. It started as a tiny bump that grew slowly in several days and became ever so slightly irritated. I ended up popping it with my finger (nothing really came out). It then grew to a tiny bump again. The area around it is also a bit redder than the other side. But I have no pain in any teeth.

I went to the dentist (after not going for years), worried about an abscess. He tried to look at the area, but couldn't see much and did not seem concerned -- said things look normal to him. But, at the time it was only minimally flared up. He did x-rays and full exam and said everything looked good with my teeth and fillings. His only diagnosis was that I most likely grind my teeth at night. But, I don't see how that can be related to this? It's an area behind all teeth.

The thing is, it will go flat, but then keeps coming back a day or so later (had it for 3+ weeks now). It will sometimes even seem to go away almost completely for a couple days, but always comes back. It still doesn't hurt, but when it's back it's very noticeable and bothersome when my tongue hits it. Could this really be from grinding my teeth? Should I get a second opinion?
User Level:
Dentist
I have had this clear blister type thing on my lower inner gum, close to my last molar that keeps coming back. It started as a tiny bump that grew slowly in several days and became ever so slightly irritated. I ended up popping it with my finger (nothing really came out). It then grew to a tiny bump again. The area around it is also a bit redder than the other side. But I have no pain in any teeth.

I went to the dentist (after not going for years), worried about an abscess. He tried to look at the area, but couldn't see much and did not seem concerned -- said things look normal to him. But, at the time it was only minimally flared up. He did x-rays and full exam and said everything looked good with my teeth and fillings. His only diagnosis was that I most likely grind my teeth at night. But, I don't see how that can be related to this? It's an area behind all teeth.

The thing is, it will go flat, but then keeps coming back a day or so later (had it for 3+ weeks now). It will sometimes even seem to go away almost completely for a couple days, but always comes back. It still doesn't hurt, but when it's back it's very noticeable and bothersome when my tongue hits it. Could this really be from grinding my teeth? Should I get a second opinion?


Most likely diagnosis is a mucoceole. The opening of a serous salivary gland gets damaged and inflates a small clear bubble which pops. However, the tongue side of a molar is a strange place to have one.
Posted 4 years ago
User Level:
Patient
Posted by: diana750  (4 years ago)
I did read about those online and thought that's what it might be. However, I wonder why it keeps coming back over and over for the past several weeks. I believe I've had a true mucocele in the past, and it would pop and then be gone (and usually would be more on the cheek area). At the moment my "bump" is down and I am trying holistic remedies assuming it's an infection (colloidal silver, oil pulling).
User Level:
Dentist
I did read about those online and thought that's what it might be. However, I wonder why it keeps coming back over and over for the past several weeks. I believe I've had a true mucocele in the past, and it would pop and then be gone (and usually would be more on the cheek area). At the moment my "bump" is down and I am trying holistic remedies assuming it's an infection (colloidal silver, oil pulling).

It is not an infection and neither of your quack remedies will do a thing to help

Often the duct to the gland is damaged, preventing the serous fluid from draining. When you pop it, it just refills. Occasionally the cycle stops on its own. Sometimes it is necessary to remove the gland by minor surgery.
Posted 4 years ago
User Level:
Patient
Posted by: Sterlihs  (3 years ago)
I was reading this post and also have a small painless what appears to be a pimple on the tongue side on my lower jaw below a Second molar. My doctor (MD) had an x-Ray of my jaw taken, and requested I get it looked at by a dentist. It shows a dark area below that particular tooth, which had a root canal within the last 6 years or so. My dentist recommended I see an endodontist for evaluation. The endodontist noted the dark area around that tooth on an X-ray that he took as we'll as another tooth on the opposit side of my lower jaw. He indicated that both these teeth, which had previous root canals looked like they needed to be "retreated". Both these teeth have Crowns. This was about two months ago. Since then, I've had a normal 6 month dental appointment, and my dentist noted that one of the teeth has formed a fistula, and recommended it be retreated. Although these teeth do not bother me, I am concerned that the previous root canals may have failed or may not have been done properly. The endodontist who performed these root canal treatments had treated all my root canals, probably numbering 5 or 6, and last saw me about three years ago. Since then, I have retired from my job, moved about an hour away from my original location, and have new dental insurance. The new endodontist I recently saw was recommended by my new dentist, however he doesnot accept the insurance plan I presently have. I'm in a quandary about what to do. I believe A root canal is an involved complicated procedure and a retreat meant is likely much more involved, and likely involves new cost and possibly new crowns on two teeth. I'm thinking of contacting my the original endodontist who did the work to see what options are available to me. Any thoughts??
User Level:
Dentist
I was reading this post and also have a small painless what appears to be a pimple on the tongue side on my lower jaw below a Second molar. My doctor (MD) had an x-Ray of my jaw taken, and requested I get it looked at by a dentist. It shows a dark area below that particular tooth, which had a root canal within the last 6 years or so. My dentist recommended I see an endodontist for evaluation. The endodontist noted the dark area around that tooth on an X-ray that he took as we'll as another tooth on the opposit side of my lower jaw. He indicated that both these teeth, which had previous root canals looked like they needed to be "retreated". Both these teeth have Crowns. This was about two months ago. Since then, I've had a normal 6 month dental appointment, and my dentist noted that one of the teeth has formed a fistula, and recommended it be retreated. Although these teeth do not bother me, I am concerned that the previous root canals may have failed or may not have been done properly. The endodontist who performed these root canal treatments had treated all my root canals, probably numbering 5 or 6, and last saw me about three years ago. Since then, I have retired from my job, moved about an hour away from my original location, and have new dental insurance. The new endodontist I recently saw was recommended by my new dentist, however he doesnot accept the insurance plan I presently have. I'm in a quandary about what to do. I believe A root canal is an involved complicated procedure and a retreat meant is likely much more involved, and likely involves new cost and possibly new crowns on two teeth. I'm thinking of contacting my the original endodontist who did the work to see what options are available to me. Any thoughts??

Retreats are more complicated to do thus more expensive. Apical surgery is the alternative and it is about the same cost as a root canal. The dentist who did the root canals which failed would be more likely to cut you a deal on re-treatment than a completely new dentist.

Of course, occasionally a fistula is the result of a vertical root fracture. (Sadly, the case of my own wife.) If that is the case, extraction might be necessary.
Posted 3 years ago
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