This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Dear Sir/Madam!
Last year my dentist drew my attention to a hard lump above the upper left central incisor and referred me to a specialist, who performed an apicoectomy and removed a cyst. At the same time he also inserted a build-up for a bridge. After healing, my dentist fitted a new bridge (3 front teeth) and a removable denture for four missing teeth on the left side. The clasp is exactly on this treated tooth, so the load on it is probably greater. A few months ago, a polyp started forming on the gum by this tooth, from which pus and blood would come out when pressed. As it kept getting larger, I went to my dentist, who surgically removed the polyp. Unfortunately, after only two weeks the problem returned; the polyp bothers me because it is uncomfortable, painful and visible when I smile. My dentist is on holiday for almost the whole month of July, and because I am very worried about what this may develop into, I am asking you for advice. I sincerely ask you to tell me what I should do. I am afraid I might lose the tooth and therefore also the bridge and partial denture, which were only made last year. Thank you for your answer. Kind regards!

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

Given the treatment history of the tooth in question, I believe that this is the appearance of a fistula or swelling and not a polyp. It will keep appearing as long as chronic inflammation is present in the area of the apex of the apicoectomized tooth, which occasionally flares up acutely. The condition could be confirmed with X-ray diagnostics and a clinical examination. If you wish, you can make an appointment by telephone at 04/5300660 or 040 294488. Treatment of periapical processes is possible and is similar to the procedures you have already experienced.

Have a nice day!

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