Tooth extraction is a serious surgical operation, which often entails various complications. One of them is the formation on the gum in the form of a solid lump. This may be a cause for concern and repeated visit to the doctor. This formation indicates that a dangerous pathological process is developing in the gingival tissue. There are at least three reasons for the formation of a lump on gum after tooth extraction:
- The first one is mechanical. During the operation on tooth extraction, the periarticular soft tissues are injured. The damaged area is modified because the structure of the tissue is broken. There is stagnation of blood circulation and a lump resembling a blood clot occurs.
- The second reason is allergy. It is a chemical reaction to the intake of drugs or anesthetics. It may also occur at the place of anesthetic injection. In this case, there is a formation of a hematic character, filled with liquid.
- The third and the most common cause of a lump on gum after tooth extraction is of infectious nature. Bacteria that live in the oral cavity penetrate into the postoperative hole and cause tissue infection. In this case the tumor is softer and filled with purulent formations.
The latter cause occurs mostly due to poor oral hygiene. Sometimes this happens due to mistakes of the doctor and non-compliance with the rules of operation, when the cavity sanitation is carried out in insufficient volume. If the wound is open for some reason (a protective blood clot is not formed or removed), the infection easily penetrates inside the hole and develops into the purulent process. The formation of a pathological formation is as follows:
- a blood clot is absent – there is no protection from bacteria in the wound, there is an infection;
- particles of solid food got into the hole and rotted there;
- a hematoma was formed when the gum was injured;
- a lump swelled due to an allergic reaction.
What to Do in Such a Situation?
In the case infection is not the cause of red lump on gum after tooth extraction, nothing should be done. Hematomic and allergic formations dissolve independently over time. If there is a purulent lump in the gingival tissue, then there is an inflammatory process that has to be stopped, so that there are no serious consequences for the body.
What Can a Doctor Do?
Hematoma or allergic lump should resolve itself within a few days after surgery. If this does not happen, the formation has not decreased, but even increased, it’s time to see a doctor. To begin with, the dentist should make a correct diagnosis. There are different ways of diagnosis and the choice depends on the individual condition of the patient.
If necessary, the surgeon will open the gum, ensure the outflow of purulent masses, install a drainage system and prescribe antibacterial therapy. The results of treatment will be visible on the second or third day. If the purulent growth is formed again, you will need a change of antibiotic, re-cleaning or diagnosis, specifying the established one. The course of medicines prescribed by the doctor is determined by the diagnosed cause of the formation of growth. In severe cases, the surgeon may make an antibiotic injection before the operation:
- when removing the impacted third molar;
- with a high complexity of extraction, for example, the removal of dystopian tooth;
- when there is a chronic inflammatory process in the oral cavity;
- if the blood coagulates slowly and there is a possibility of excessive bleeding;
- if the integrity of bone tissue is violated;
- in the presence of chronic diseases not related to dentistry, to accelerate wound healing.
What Can Be Done at Home?
Of course, there are many traditional remedies that have been used by our grandmothers to eliminate the problem. Today, not all of them are appreciated by dentists and are recommended for use. Of cause you could remove pain, the tumor could decrease or the hematoma may resolve sooner as a result of the use of traditional remedies, but they will not cope with the root cause of purulent or bone formation. Delay and attempts to self-medication, without a visit to the doctor, can cause serious complications.
If you find a hard lump on gum after tooth extraction, do not do anything before visiting the dentist. Never warm the formation! Even drinking hot tea is prohibited, not to speak of putting warming dry or wet compresses. In the presence of an inflammatory process, heat will provoke accelerated development of inflammation. Also, please refrain from visiting saunas, sun decks, beaches, avoid overheating in the sun. Traditional remedies approved by dentists:
- Cold compress. Wrap some ice in a towel and attach to the place of the lump formation from outside. Cold slightly reduces inflammation and swelling.
- Rinsing with furacilin. It is another safe way to disinfect the oral cavity and reduce inflammation.
- Rinsing with salt (physiological) solution. This also has a disinfecting and anti-inflammatory effect. It is better to use sea or iodized salt.