Knowledge

What Is a Tooth Pick Granuloma? The Lesion That Forms After Tooth Trauma

You had a knock to your tooth years ago. Now there's a spot on your gum that keeps appearing. That could be a tooth pick granuloma — a response to past dental trauma. Here's what to know.

Years ago you had a knock to your tooth. It seemed fine afterwards. But now you've noticed something — a small spot on your gum that keeps coming and going. It might be a tooth pick granuloma, and it's worth getting it checked out.


What is a tooth pick granuloma?

Despite its name, it has nothing to do with toothpicks. The name comes from the tiny hole in the tooth root that can form after trauma — like a pinhole. A granuloma is a small mass of cells that forms as a reaction to that past injury. It's usually harmless, but it can be a sign that the nerve inside your tooth was damaged at the time of the original injury.


What does it look and feel like?

You might notice a small pimple-like spot on your gum that pops up now and then. It can release a small amount of pus or fluid. There may be no pain at all, or you might feel some tenderness when you press on it. It often flares up after a cold or flu, or if you're run down.


How is it diagnosed?

Your dentist will take an X-ray to look at the root of the affected tooth. The granuloma often shows up as a small dark area at the tip of the root. Your dentist may also test the tooth's nerve function to understand what's happening inside.


What treatment is available?

If the tooth's nerve is still alive, a root canal treatment can eliminate the problem by cleaning out the infected tissue. If the tooth has already died, it may need the same treatment. In some cases, if the tooth isn't salvageable, extraction might be discussed. Your dentist will explain what's happening and what the best next step is.


Should you be worried?

It's not cancerous and it's not an emergency — but it won't go away on its own. If you have a spot on your gum that keeps returning, book an appointment. Getting it looked at early means simpler treatment and a better outcome for your tooth.

Call 01323 723757 or book at www.meadsdental.com

Meads Village Dental Practice

Start with a conversation

You don’t need to know the right “type” of appointment. Tell us what you want to improve, what’s worrying you, and how to reach you — we’ll suggest the best starting booking.

Address

11 Meads Street, Eastbourne, BN20 7QY

Include preferred days/times if you can.

For urgent issues, call the practice.

© 2026 Meads Village Dental Practice

Back to top