My dentist said the tender bump on my gum above my first molar is a chronic, benign abscess. I’m concerned the lump doesn’t hurt, so my dentist referred me to an endodontist. The endodontist wants to perform a root canal for a cyst or abscess. Is that necessary, or is this exploratory surgery? Am I increasing the risk of damaging my tooth and needing it whittled down for a crown? Thanks, Layla from Seattle
Layla,
It’s understandable to feel concerned about the lump in your gums, particularly when receiving unclear information from your dental providers. We want to acknowledge your concerns and provide clear information to help you navigate this situation.
Clarifying the Likely Issue and Treatment Path
Finding a lump on your gums causes worry. While a cyst is possible, it’s statistically less common in the gums than an infection stemming from a tooth’s nerve. An endodontist specializes in treating these issues, and the standard, highly effective approach is root canal therapy. This treatment focuses on cleaning the infection from within the tooth to save it. An apicoectomy (root canal treatment from the root tip) is generally considered a secondary measure, used primarily if unique circumstances prevent a successful outcome with standard root canal treatment alone.
Why Timely Treatment Matters for Your Well-Being
Addressing a dental infection, especially one that has been present for two years, is crucial for oral and overall health. Your body actively fights infection, which can be draining over time. Taking steps to resolve the infection is essential for several reasons:
- Your body will no longer need to constantly fight the infection, which may increase your energy levels.
- Removing the infection protects your jawbone and surrounding teeth from potential damage or spread.
- Treating the source eliminates the risk of bacteria entering your bloodstream.
Root canal treatments performed by specialists boast a success rate of 85% or higher, often enhanced by modern technology. If, in a rare case, the root canal doesn’t fully resolve the problem, an apicoectomy could be considered down the line. Feeling unsure is perfectly normal, and you can seek a third opinion from another endodontist’s office for reassurance and clarity. By planning your care proactively, you can manage the situation effectively and avoid the need for urgent dental treatment.
Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.