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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bumpy, Painful Knot Inside The Mouth, On The Inner Part Of The Cheek, Pains On Eating, Talking. Is It Due To Tooth Decay?

I have a knot on the inside of my right cheek in my mouth , in which I have had it removed once already and it came right back. The actual knot starts back at the back of my mouth at the space between the teeth at the very back on the right side, now on my left side there is no such place it is smooth. And this feels kind of bumpy and it hurts when I touch it, or try to eat or yarn and sometimes when I talk. Now I do have some bad teeth and was wondering if it could be coming from that.
Tue, 26 Jun 2012
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Dentist 's  Response
hello, the lesion u had is most probably a dento-alveolar lesion: most common is abscess from infected tooth esp third molar, any cyst or jaw tumor.. the jaw bone is this region is very prone for ameloblastoma,dentigerous cyst, traumatic bone cyst, etc..
for correct diagnosis one need to go under following examination- clinical, radiographs- IOPA of infected teeth ,OPG, lat oblique,occlusal, then FNAC /incisional biopsy then as per pathologic examination treatment can be decided..
if its infected tooth abscess origin- RCT/ extraction of involved tooth
if it is cyst or any tumor then surgical intervention is required along with involved tooth RCT
Note for any abnormal sensations/paresthesia as it will be critical factor to decide neural involvement in region..
dont delay treatment as long standing abscess can convert to cystic lesion..
most probably ur problem will resolved by RCT of infected tooth.. consul ur dentist soon
meanwhile maintain oral hygiene by use of antiseptic mouthwashes and interdental aids..
take care
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Dentist Dr. Gunjan Gupta's  Response
hello,
as you gave the detail,it must be checked once,without examination difficult to say anything.so i will suggest you please go to a dentist in your area near to your place and go for the complete examination done including x-rays.nothing to get worried .take care
Dr.Gunjan Gupta
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Cosmetic & Plastic Surgeon Dr. Omi Jindal's  Response
dear, you may be having dental abscess or dentigerous cyst. Consult your dentist and get correct advice. regards.
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Bumpy, Painful Knot Inside The Mouth, On The Inner Part Of The Cheek, Pains On Eating, Talking. Is It Due To Tooth Decay?

hello, the lesion u had is most probably a dento-alveolar lesion: most common is abscess from infected tooth esp third molar, any cyst or jaw tumor.. the jaw bone is this region is very prone for ameloblastoma,dentigerous cyst, traumatic bone cyst, etc.. for correct diagnosis one need to go under following examination- clinical, radiographs- IOPA of infected teeth ,OPG, lat oblique,occlusal, then FNAC /incisional biopsy then as per pathologic examination treatment can be decided.. if its infected tooth abscess origin- RCT/ extraction of involved tooth if it is cyst or any tumor then surgical intervention is required along with involved tooth RCT Note for any abnormal sensations/paresthesia as it will be critical factor to decide neural involvement in region.. dont delay treatment as long standing abscess can convert to cystic lesion.. most probably ur problem will resolved by RCT of infected tooth.. consul ur dentist soon meanwhile maintain oral hygiene by use of antiseptic mouthwashes and interdental aids.. take care