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What is this on my tooth and gum???

  • Thread starter Thread starter sudzs
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sudzs

sudzs

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OK, this is relating to a tooth I posted about a few times around a year ago or maybe it was longer than that.

Brief synopsis...

It had a filling and then pain the next day, root died, had RCT done by general dentist. Still had pain so went to endodontist. He x-rayed and found decay under the original filling. That was all fixed up but I still had pain. Back to the endo who x-rayed again and found a periapical granuloma so he suggested a retreatment of the root canal. After that I still had pain and still do. It eases for weeks and then flares up for anything from a few days to weeks. Triggered by any dental work done to the tooth and use of a water flosser on the filling side of the tooth. .

I've been to a couple of dentists about this, they say the tooth is fine because x-rays are fine. I had a CBCT a year ago and that showed "no pathology" However I have noticed over the last 8 or 9 months some discolouration around the filling, front and back. And following yet another clear x-ray last month I looked more closely at it all and there seems to be some pitting or roughness in one spot that looks a bit brown. I've also noticed 2 small bumps on the gum right next to the filling which is on the side of the tooth. If I press them I get a reaction of worse pain in the tooth, up the root into the palate. I did have those around the time the decay under the filling was discovered, I noted it in a tooth diary and took a photo then. I didn't mention them to the dentist last time as I feel so anxious in the dental setting that I wasn't able to include it with the description of the pain. And I kind of reckoned that a dentist would see them anyway, that I wouldn't need to point it out.

Because of my dental phobia I've changed dentist over the last 2 years and they dismiss my reports of pain and say the tooth looks fine on the x-ray. But it doesn't feel fine to me and doesn't really look fine either. Or is the discolouration not indicative of anything Is it just staining? And the 2 bumps?

My current dentist has referred me to an orofacial pain specialist as the tooth is fine apparently. But I asked for a referral to an endodontist too, a new one, as I'm convinced there is something wrong with the tooth itself. Maybe I'm wrong but I'm just feeling not listened to, that they think I'm imagining the pain or it's psychosomatic. Referral letter mentions I have a dental fixation. I found that so upsetting and dismissive. Are dentists supposed to make psychological pronouncements?? And wouldn't it prejudice the specialist??? Hopefully not

Anyway, sorry to go on, could anyone please look at this tooth and the bumps and advise me? My endo appointment is 6 weeks away. I'd be so grateful for any opinions. Photos from September 2024 and last week, July 2026. I hope they are clear enough. Thanks so much! And please don't tell me it's psychometric!! 😅
 

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They look a bit like minor salivary glands. Sometimes the little ducts that deliver the saliva into the mouth from the gland get blocked, e.g. if you catch them with something sharp while you're eating. The saliva can't get out and the duct swells a bit. It's totally harmless and should be painless.
 
Thanks so much @Gordon for your time and advice yet again . So not sinus tracts on the gum then.

Did you think that discoloured spot on the tooth might be something? It feels a little bit pitted. Maybe it's too difficult to make out on the photos.
 
No definitely not. There's no sign of any inflammation.
It's an enamel pit, nowt to worry about.
 
Thanks again @Gordon I was concerned the filling might be failing and bacteria getting in could have been causing my symptoms that are quite similar to those I had when there was decay below the original filling. Going to a new endo in a few weeks for assessment.
 
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