Treatment
A bump on the gums is diagnosed by the dentist, and an X-ray can also be helpful. A boil is an inflammatory process caused by bacteria and is often initially treated with an antibiotic (e.g. Amoxicillin® or Clindamycin®). The inflammation in this area creates an acidic environment and the anesthesia cannot work.
A painless treatment of the tooth would then only be possible to a limited extent. The cause should be eliminated in the further course of the treatment. If the bulge is caused by a tooth with an inflammation of the root, a root canal treatment should be started.
The bulge on the gums will then quickly recede, as the inflammatory secretion and pus can drain away via the tooth. If a tooth has already been treated for root canal disease, the cause is not so easy to eliminate, one possibility would be apicoectomy. The symptoms can be alleviated by opening the boil and then rinsing it with disinfectant (e.g. Chlorhexidine®).
If the gum pocket is inflamed, the pocket should first be thoroughly cleaned and then a local medicinal insert with an analgesic and anti-inflammatory ointment (e.g. Dontisolon®) should be applied. In addition, pain-relieving tablets such as Ibuprofen® are recommended. If the bulge on the gums is an epulis, surgical removal is possible.
In this case, an additional pathological laboratory examination should be performed to exclude other jaw diseases. In the case of a boil, rinsing with chamomile tea or over-the-counter mouth rinsing solutions from the pharmacy (e.g. CHX®) can help and alleviate the symptoms a little. Clove oil is also said to have a pain-relieving effect.
To do this, take up the oil with a cotton swab and dab it onto the affected area. This can be repeated several times a day. Garlic and onions are said to have a similar effect.
In the case of a purulent inflammation in the jaw, one should not lie down flat, as the blood circulation in the lying down position increases the blood supply to the tissue, which can lead to warming and resulting pain. Heat increases the pain, so cooling pads from the refrigerator can help. Never place the cooling pads directly on the skin to avoid hypothermia of the skin. It is better to wrap the cooling pads in a thin tea towel or kitchen towel. Unfortunately, home remedies can only alleviate the symptoms and make the pain a bit more bearable, they do not lead to a cure and a visit to the dentist is recommended.
Duration
The duration of the treatment depends on the severity and spread of the inflammation responsible for the formation of the bump on the gums. It is not possible to give an exact time specification here. If an antibiotic is used for the initial treatment, it usually takes 2-3 days before it takes effect.
In most cases, the symptoms are much better after the first treatment at the dentist and the bump recedes. If the bump on the gums has another cause and it is an epulis, it can grow unnoticed for several weeks. After surgical removal, these areas are usually free of symptoms immediately after healing.