Fistula or Lump On The Gum

April 10, 2023by DMC Tour0

Fistula or Lump on The Gum

Unfortunately, many of us have got used to not paying much attention to gum problems that occur quite often and at the same time cause a lot of discomforts. However, it is important to visit a dentist when your gums are just beginning to bother you.

We’ve talked about bleeding gums before, but now we want to talk about what to do if you have a fistula or, more simply, a lump on your gums.

Causes of fistula

Only a specialist can determine the exact cause of the fistula. It is usually caused by poor oral hygiene and a medical condition, such as decay or pulpitis, that causes the fistula to grow. As a result, pus accumulates in the soft tissues of the gum, which then creates an opening for the fluid to escape (perforation). The fistula looks like a red bump with a white dot in the center or on the side, and its size depends on the amount of pus and the extent of the inflammation.

Another possible cause of a fistula could be mechanical damage to the gum, such as from trauma or surgery. A fistula can also occur if the crown is not fitted correctly and there is a build-up of bacteria under the crown. Also, fistulas often occur when wisdom teeth fail to erupt.

Possible complications if the fistula is left untreated

A fistula usually occurs when the gum becomes sore and swollen, making it difficult to eat and perform daily oral hygiene. If the fistula is advanced, you may experience bad breath, swollen lymph nodes, and fever. If left untreated, tooth loosening and loss, maxillary sinusitis, cysts, and even jaw decay are some of the possible complications.

Of course, it is better not to let this happen, otherwise, treatment can take a long time and cost a lot of money. If you notice a swelling or lump on your gum – do not hesitate to get it checked!

Treating a fistula or lump on the gum

Depending on the stage of the problem, the treatment prescribed by the dentist may be conservative or surgical.

If there are no complications and the tooth can be saved, the fistula is cleaned, the doctor treats the inflammation with antibiotics and external treatment of the gum tissue, and then the damage is repaired. Gargles and physiotherapy treatments are prescribed as further treatment.

If the condition is severe, only surgery will help. The doctor may suggest:

  • Open the pustule and clean it out to prevent the infection from spreading;
  • Resect the root of the tooth;
  • Extract the tooth above the fistula (as a last resort, if it can no longer be saved)

Preventing a fistula

To prevent fistulas and pustules you can do a few simple things: brush your teeth twice a day, practice good dental hygiene, have decay treated, eat a healthy diet, and avoid bad habits (like smoking, excessive coffee, and alcohol). It is also important to avoid oral injuries.

Remember that any painkillers, let alone folk remedies, will at best only relieve the symptoms but will not solve the problem – the cause has to be found by a doctor in order to find the best treatment and prevent further complications and recurrence of the disease.

Still, have questions? Ask us!

Remember, it’s not enough to look after your teeth – your gums are also an important indicator of your overall oral health. At the first sign of gum problems, talk to a periodontist at DMC Tour we’re here to help!


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Copyright 2022 by DMC Tour Dental. All rights reserved.

Copyright 2022 by DMC Tour Dental. All rights reserved.