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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Lump On Front Tooth

Hi, I have a 6 month old crown on my left upper front tooth. 2 weeks ago I developed a rapid swelling. I went to see my dentist and he said that I had a periapical abcess and would need a root canal, but he can't do it for 6 weeks. The swelling was causing such discomfort I pierced the swelling with a 23 G syringe needle and white pus drained out. Now the swelling is back but is very hard and when I tried to drain it again nothing came out. Could this be a malignant tumor? I am really worried as the swelling is now a hard, non-drainable lump. I have been on Amoxicillin 500 mg po since 6/30/11. Any advise or answers to what this might be. Thanks for your response.
Mon, 14 Jul 2014
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Dentist,  's  Response
Thanks for using Health Care Magic.

Read your query.

The swelling , it's drainage and removal of pus by yourself ( draining on your own should be avoided as you may end up doing more harm than relief) suggests a acute exacerbation of peri apical abscess .

The crown has to be immediately removed and the root canal opened to relieve the pus and pain related to it.A radiograph will guide for the level of abscess .

Giving a 6 week gap for this is not advisable , you can go for another capable endodontist who will carry out the procedure for you at the earliest .

For the pain , ibuprofen can be taken(if you are not allergic to any medicine) , antibiotics amoxicillin 500 mg and metrolag 400 mg will be needed for you on prescription.

Do saline water gargling.

Hope this was of relevance to you.

Thanks and regards .
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Suggest Treatment For Swollen Lump On Front Tooth

Thanks for using Health Care Magic. Read your query. The swelling , it s drainage and removal of pus by yourself ( draining on your own should be avoided as you may end up doing more harm than relief) suggests a acute exacerbation of peri apical abscess . The crown has to be immediately removed and the root canal opened to relieve the pus and pain related to it.A radiograph will guide for the level of abscess . Giving a 6 week gap for this is not advisable , you can go for another capable endodontist who will carry out the procedure for you at the earliest . For the pain , ibuprofen can be taken(if you are not allergic to any medicine) , antibiotics amoxicillin 500 mg and metrolag 400 mg will be needed for you on prescription. Do saline water gargling. Hope this was of relevance to you. Thanks and regards .