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Ear, Nose & Throat Dr or Dentist/Oral Surgeon

May 29, 2008 - 9 comments
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oral cyst

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Oral Cancer

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oral surgeon

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gum cyst

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Gum Disease

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Oral

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Dentists

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Cyst

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nose

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nasal cyst



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Around April or May of last year I noticed a little bump just inside my nose.  Since I've occasionally gotten small pimples just inside my nose I attempted to bust it.  I actually got a little "white stuff", like one would get from a pimple, out of it but it was too painful to continue messing with.  I left it alone after putting a cotton ball soaked with alcohol on it in the hopes that would dry it out and go away.  

Well, the place got a little scab on it that I would scratch the top off of only for it to grow back overnight.  Anyway, at some point the scabbing stopped, I forgot all about little bump and paid no attention to it anymore.  Then a few months later, around Christmas, I noticed that I had a little larger bump under the skin on the inside of my nose, there was no "head" on it, as one would see on a pimple...it didn't hurt...it wasn't anything anyone would notice, other than me whilst plucking chin hairs in a magnifying mirror.  Well, I ignored THAT too...thinking the pimple from months back had just left a lump  or something under the skin.  Well...here it is May...almost a year later and that lump has grown.  It's now clearly visible from inside my mouth.  If I lift my upper lip there it is, right over my right front tooth.  About the size of the 1st section of my thumb altogether when I put two fingers on it to try and determine its size.

I went to an ear nose and throat doctor.  He wants to do an $1,000 MRI.  My insurance will cover no part of it.  I have a $1,000 deductible...that will be it  He says its PROBABLY a cyst but he wants to see the extent of bone damage (if any) that has occurred before messing with it and that can only be determined with the MRI (I'm not buying it as an absolute necessity).  He has said that if it is a cyst he can remove it for me in his office under general anesthesia by going through my mouth as opposed to the nose (neither sounds like fun).  

I'm thinking I can probably go and see a dentist/oral surgeon and if it IS a cyst they would be able to tell with a much less expensive test.  Perhaps split the gum right there in the office with a ton of novacaine, remove the cyst, sew me up, and be done with it.  I could also, while there, make arrangements to have that cracked wisdom tooth removed.  But this ear, nose and throat guy wants me to spend $1,000 on ONE TEST that won't do a thing for treating whatever it is.

Then theres the question of whether or not that painless growing lump could be cancerous and whether or not an ear nose and throat doctor might be better equipped to determine that before whipping out the scalpel.  Hey, I'm not rich...If I have to spend $1,000 I'd really rather not blow it all on a single test that STILL WON'T TELL ME if the thing is cancerous or pay towards the cost of getting it out of my mouth.

Anyway...I've attached a pic of the offending lump from an inside the mouth perspective because you can't see a darn thing looking at me face on.  There is no notable exterior lump.

Has anyone out there had a similar problem?  Perhaps someone can advise me on which route to take ENT or Oral Surgeon?  I've got to make a decision soon because though it doesn't hurt at all it's beginning to worry and annoy me BIG TIME.

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522336 tn?1215884409
by FeralKitten, Jun 27, 2008
Just had a cyst removed from my gums above my two front teeth.  It seems it was non cancerous (yippie)...the doctor said it was about the size of a quail egg.  

I initially went to an Ear Nose and Throat guy.  He wanted to perform a $1,000 MRI and THEN - MAYBE talk about the possibility of removing it.  I made the decision to visit an ORAL SURGEON instead of having the MRI done because I also have dental insurance and X-rays and the likes are covered under my plan..It just made sense.

The Oral surgeon took a look at the regular dental X-rays and said that it appeared to be a cyst. 1 week later he performed the surgery to remove it.  He said the cyst WAS NOT dental related - not caused by an infection or problem with a tooth.  Although its still out for official biopsy he says it looks like a fatty lump and totally benign.

I have before and after photos on my homepage here and on Monday I'll add a photo of the cyst.  The doctor took photos and will be giving me a set when i go in for my follow-up visit on Monday.

The surgery itself was painless...he used an intravenous anesthesia claiming I would be in a "twilight sleep" and feel nothing.  Let me tell you I WAS KNOCKED OUT!  Twilight my patootie. (laughing)  I didn't feel a thing.  He told me that I would probably not experience any pain or swelling during the first 2-3 days and he was right.  It's day 5 now though and I have an Angelina Jolie sized upper lip that is SORE AS ALL GET OUT!  Since I've returned to work I can not take Vicodin and function or sit here with an ice pack on my face so I'm having to deal with the pan and swelling.  "T.G.I.F." has a whole new meaning to me.  I can hardly wait to get home, grab my vicodin and an ice pack, go to bed and PRAY strongly for the pain to go away.  Supposedly the pain and swelling will pass pretty soon but you couldn't prove it by me right at this moment.  I feel as though I have a DUCK BILL for an upper lip right now and my boss is teasing me, bearing her front teeth and sucking through them with her hands held in an awkward position like a chipmunk - trying to say my mouth looks funny I guess and my teeth are showing like a squirrel.  HA HA (Not!)

At any rate.  It's 4pm...I have an hour left to go at work before I can get my hands on some good prescription drugs to deaden the pain I feel in my mouth.  I hope that my experience will be helpful to those of you out there experiences similar problems and medical decisions based on finances.  Things WORKED out for me. I wish you well and thank the members of this forum for their feedback.

Avatar universal
by Kas25, Jul 28, 2008
This was very interesting.  I am going through something very similar at the moment.  Had a lump develop about a year ago on my upper gum went to see both my doctor and dentist straight away and both said that it was a cyst.  Now a year later it has got bigger and I am not eating, feel sick a lot of the time, have been back to my dentist who still says it is a cyst and nothing to worry about but am going back to docs tomorrow as I want something done.  No one seems keen to do anything.  But your story has given me hope that I too may be this lucky and it will turn out to be nothing more than a harmless lump...knowing my luck though probably not.  Wish me luck.  

Avatar universal
by bburnette, Apr 09, 2009
I have a cyst on my inside lower gum and my periodontist is going to remove it. Not very large but he wants to get it out anyway and do a biopsy on it. Maybe you should try a periodontist. Best of luck!

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by evanship, Jun 10, 2009
I was wondering if you would mind sharing the total cost of the procedure and/or the after effects and recovery.  I have a cyst and have a consult tomorrow with a periodontist and my insurance will only cover 50% of the surgery up to $1000 anything above and beyond I pay for.  Just trying to figure out how much that is.  Also trying to determine what the surgery and the afterward recovery is like.  Any info would be helpful.

Thanks!

522336 tn?1215884409
by FeralKitten, Jun 10, 2009
A little over a month after the initial surgery to remove the cyst it returned.  I was told that I had a really bad case of gum disease and a lot of bone loss.  I wound up having all of my upper teeth removed.  They looked pretty good to me and I didn't have any "problem" with the teeth, my gums weren't even bleeding when I brushed.  But, they did measurements and assured me that the bone loss was pretty bad and the "cyst" was an abscessed area that wasn't going to go away without a thorough cleaning of the area.  The only way to "thoroughly clean" the area was to remove the teeth in the area, and since the gum disease was so bad and the bone loss so severe they wanted to remove ALL OF MY TEETH (upper and lower).  Sorry...I couldn't agree to that.  But they did convince me to remove the upper teeth (all of them) to clear up the problem with the cyst/abscess and gum disease in THAT area.

That meant that I then had to get a full upper denture.  I wasn't about to let them pull out all my uppers without anything to put in my mouth IMMEDIATELY afterward so I was fitted (prior to the removal of my teeth) with what they called an "immediate denture".  They removed the cyst/abscess a second time along with all my upper teeth and I walked out of the office wearing the new denture.

MY FACE TURNED EVERY SHADE OF BLACK AND BLUE AND GREEN you've ever seen over the next week.  Pain meds were an absolute MUST!  I slept, a LOT (meds), ached a lot, and my face and lips were plenty swollen even with the constant ice packs.  I was off work for a little over a week.  9 days total including the weekend.  A full two weeks off would have been ideal but I couldn't afford it.  I went back to work but didn't take any phone calls.  I simply couldn't talk very well.  Total cost...all surgeries combined, all uppers removed, denture was close to $4,600.  The INITIAL SURGERY for removing the cyst (which worked until it came back a month later) was a little under $1,000.

I hate that things like popcorn, walnuts, pecans, whole pickles (even baby dills), carrot sticks, celery, and other food items that I once loved simply can not be "chewed" without REAL upper teeth. I'm actually surprised however that I can still eat a steak (with my dentures out). NO ONE can tell the new teeth aren't my own natural teeth, which is good I guess.  My smile wasn't bad BEFORE the dentures so they weren't a "big" improvement cosmetically.

I could write a book on how bad I hate denture creams and the ooooooze that they cause.  I rarely use the stuff and instead just leave them loose unless I'm going to some sort of social function where they might fall out if not glued in...lol  I've yet to go swimming in them and have often had visions of them floating away or sinking to the bottom of the pool and some kid stepping on them....sigh

ALSO...and this is probably the worst part.  I've not kissed ANYONE since getting the dentures.  I'm self conscious about them shifting or "feeling" wierd to someone else during a kiss. Needless to say I've been celibate since then too.  

Would I do it all over again?  NO!  

If I knew then what I know now I might have let them remove the two front teeth to clean the immediate area of infection then get deep cleaning for the rest.  But no way in heck would I have allowed them to remove all my upper teeth unless they were REALLY damaged looking and scraggly.  My teeth "LOOKED" great!  No cavities, no decay, just unseen gum disease and bone loss.  But, I was afraid due to the cyst/abscess and thought the dental surgeon knew best.

Avatar universal
by beadmama162, Sep 21, 2012
Dear Feral Kitten: Thank you for your post. I'd been surfing the web and every conceivable phase to find what was wrong with me. Your Picture is almost identical to my problem, other than I have one side only. I got the bump in the roof of my mouth back in October 2011. I ask my regular practioner and he said he didn't see anything. I asked my ENT at Duke who was overseeing my throat therapy and he didn't see anything. I ask the lung doc and she didn't do mouths in October. When this grew out over my front teeth (9&10) I made an appt and went to see my general practioner. He saw it, never saw one before and made me an appt 2 days later with a ENT. The ENT said he thought it was a dental problem so his office made an appt. I went to the Dentist and got 2 root canals at the same time. I went back one week later after $1900 and the dentist said I should see a oral surgeon for cyst removal and therapy. I called Medicare this aftertoon and it will pay 80% IF IT'S WORDED CORRECTLY AND YOU CAN BELIEVE I AM TOP OF IT NOW.
I wanted to say I laughed with you and I've cried with you too. Thanks for sharing - I'm going to do what I have to do and I owe you for having the courage. Beadmama, Emerald Isle NC

Avatar universal
by beadmama162, Sep 21, 2012
RUN, DON'T WALK TO ANOTHER PRACTICE. MY GROWTH LOOKS EXACTLY LIKE YOURS!  I UNDERSTAND NO HAVING $1000 FOR A MRI, GO TO ANOTHER PRACTICE AND IF YOU HAVE TO MAKE PAYMENTS - MAKE PAYMENTS. THERE IS NO SHAME IN THAT - I MADE PAYMENTS ON MY ROOT CANALS - IT MADE ME MORE HONORABLE AND FRANKLY - UNFORGETTABLE TO THAT OFFICE. THEY KNOW MY NAME AND THEY KNOW I DO WHAT I SAY I WILL DO. GOODLUCK, BEADMAMA,EI


Avatar universal
by chelseapabst, Oct 19, 2016
Did you ever find out what it is? I have the exact same thing, and many people seems to be asking the question but never following up with a response about what happened.

Avatar universal
by chelseapabst, Oct 19, 2016
I have the same thing going on. . . two dentists have said "it's not the tooth", a ton of people seems to have the same problem and say they are going to do this or that, but never follow up with what happened. Does the cyst removal work? The only person who followed up, said hers came back and now she has dentures. Does leaving it alone cause the bone loss?

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