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Medical Forum / General / Dentistry / April 2009Hard moveable bumps on upper gum
I posted here a couple months ago about a hard moveable bump on my upper gum. Since then I have been to two periodontists. They said it was "nothing to worry about". However, the burning and redness concerned me and still does. The bumps are larger now, harder, and actually visible (I don't have to feel around with my finger). The gum is bright red and inflamed in this one area where the two hard bumps are. Again, these bumps are moveable. Also just above this area, I have a swollen turbinate - can hardly breathe out of the left side of my nose. I'm going back to one periodontist in a couple weeks for a checkup on this, but he couldn't figure it out the first time. I’m a little freaked out about this. Like, what if it’s cancer!? Why is my gum inflamed and I have hard moveable bumps that are growing larger? Does this sound like cancer? My old post from a couple months ago: http://groups.google.com/group/sci.med.dentistry/browse_thread/thread/4656884b75 9146cf?hl=en# > I posted here a couple months ago about a hard moveable bump on my > upper gum. Since then I have been to two periodontists. They said it [quoted text clipped - 16 lines] > > My old post from a couple months ago:http://groups.google.com/group/sci.med.dentistry/browse_thread/thread... I know I look nuts for replying to myself but, I found this: http://74.125.47.132/search?q=cache:HVYEqItRoDAJ:rdoc.org.uk/eve/forums/a/tpc/f/ 46510549/m/883104007+gingival+fibrous+nodules&cd=4&hl=en&ct=clnk&gl=us My hard, movable lump looks like the ones in figures 1.55 and 1.56: http://www.dentalmedsoft.com/OralPathBookdemo/OralPathText/Chapter%201.htm If these are by any chance "gingival fibrous nodules", what would cause them? And would they feel slightly inflamed? The only thing I can think of is that I started on a higher dose of beta blockers around the time these appeared. Thanks, Richard > I posted here a couple months ago about a hard moveable bump on my > upper gum. Since then I have been to two periodontists. They said it [quoted text clipped - 16 lines] > > My old post from a couple months ago:http://groups.google.com/group/sci.med.dentistry/browse_thread/thread... Why don't you go see your primary care physician and ask for a referral to an oral surgeon or an Ear, Nose, and Throat surgeon. The latter referral should be covered by your medical benefits plan, if you are fortunate enough to have such a plan. The ENT will order other diagnostic tests and go from there. Seems to me that if you are that concerned about this, some sort of biopsy should be done, even if it is only to assuage your fears of CA. No offense, but I wouldn't rush to anyone with an MD degree for a likely dental condition. Oral surgeon, that's OK. It doesn't 'sound like' any cancer I've ever seen in 30 years, but that doesn't mean much either. I would think just about any decent dentist could identify what is going on, or send the patient to a dental specialist. The reason I am concerned about physician involvement early in the process is that I've seen too many cases of unnecessary CAT scans, X-rays, MRI's, and even sinus surgery to correct a simple abcessed tooth! If I don't *know* what's going on, I refer to the dental school pathology department, or an oral surgeon. They get to the bottom of things quickly, and will involve medical doctors the minute they are needed, but not before. My 2¢, D >>I posted here a couple months ago about a hard moveable bump on my >>upper gum. Since then I have been to two periodontists. They said it [quoted text clipped - 25 lines] > me that if you are that concerned about this, some sort of biopsy > should be done, even if it is only to assuage your fears of CA. > No offense, but I wouldn't rush to anyone with an MD degree > for a likely dental condition. Oral surgeon, that's OK. [quoted text clipped - 47 lines] > > me that if you are that concerned about this, some sort of biopsy > > should be done, even if it is only to assuage your fears of CA. I agree with lots of what you say. However, I've been following the OP's previous thread and he never seems to be satisfied with the diagnosis of his general dentist, periodontist, and now a second periodontist. If he is unwilling to accept their diagnoses and has obvious doubts, then he should pursue further evaluation to either help back-up his various dentists, or in the infinitesimally small chance that all three dental clinicians are mistaken, prove them wrong. If I had a similar situation in my office, I would definitely refer if I was not willing to biopsy the bumps myself and the patient refused to accept my diagnosis. That, unfortunately, is good risk-management. You need to cover all possibilities. Jim Sokolove anybody? > > No offense, but I wouldn't rush to anyone with an MD degree > > for a likely dental condition. Oral surgeon, that's OK. [quoted text clipped - 63 lines] > > - Show quoted text - They haven't given me a diagnosis to "accept" (except the first doctor, how diagnosed it as "nothing"). All three have not been able to explain the burning and inflamation. The last doctor said "it could be the beta blockers" then on the way out the door he says "but it doesn't make sense why its localized in this one area". When the doctor is unsure, you can bet the patient (me) will be concerned. I'm scheduled to see the periodontist again next week for a follow up (he's been taking pictures with his camera). I guess he will refer me somewhere if needed. otherwise I guess I'd try a dental school or an ENT. Thanks, Richard >> - Show quoted text - > [quoted text clipped - 11 lines] >Thanks, >Richard Could even be that your constant rubbing and checking the area has aggravated it. Could be something as simple as a fibroma, that you constantly keep irritating. I'd go see an Oral Maxillo Facial Surgeon, many of whom also have an MD in addition to their DDS. Point well taken. Steve > I agree with lots of what you say. However, I've been following the > OP's previous thread and he never seems to be satisfied with the [quoted text clipped - 9 lines] > to accept my diagnosis. That, unfortunately, is good risk-management. > You need to cover all possibilities. Jim Sokolove anybody? |
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