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7 year old kid, inflamed gum in back of tooth, hurts while eating. Suggestions?

In the back of my 7 yr old's last tooth, second molar, is a thick area of inflamed gum. It's so inflamed that some of the gum is now covering the top of one quadrant (of four) of the last molar. It is sore to touch and some times hurts when he eats. I've cleaned the area using a rubber tip dental tool but want to know if i need to see a dentist or just continue to floss the area, have him rinse with mouth wash, etc.
Asked On : Fri, 19 Apr 2013
Answers:  8 Views:  1735
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
Gums overlying the tooth usually undergoes inflammation and shows pain and swelling , this condition is known as pericoronitis .
i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.
continue with the course of antibiotic Augmentin along with analgesics two times daily for 3 to 5 days ,this helps in subsiding the pain and swelling.
Hope this helps you.
Wishing you good health...
Regards.
Answered: Fri, 19 Apr 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

present symptoms that you have mentioned would have got reduced by now, if it was just an inflammation.

There might be accompanied infection too.that is the reason for which the lesion is growing rather than regressing.

At this age,most of the symptoms are caused due to poor oral hygiene and food habits of children and improper brushing techniques.

Therefore in my view it is better to get it evaluated once by your dentist.

Further, if required a professional cleaning of gums can be done.

Hope it helps.

Thanks.

Take care.
Answered: Fri, 19 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,

The inflamed flap at the back of molars may be due to the erupting permanent molar .
I would suggest you to get warm saline gargle done by your child.
Maintain good oral hygiene.
Also get a check-up with your dentist to rule out any decayed tooth underlying.
Rinse mouth after every meals.
use chlorhexidine mouthrinse to prevent bacterial accumulation.
Take medicines if required as per dentist's prescription.
Massage your child's gums using gum tone gel for temporary relief.
Take care.
Answered: Fri, 19 Apr 2013
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Your symptoms suggest that you had developed an inflammation in the area,
Due to poor oral hygiene, food accumulation, improper brushing technique might had developed inflammation in the area.

It can be associated with tooth infection also.
I would suggest you to visit a Dentist and get the checkup done, also look for any errupting tooth, if necessary take an x-ray.

Go for symptomatic treatment of complete mouth scaling and polishing.
Use antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards..
Answered: Fri, 19 Apr 2013
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Dentist Dr. Bhaskar.B's  Response
Hi welcome to HCM
At 7 years of age permanent 1st molar will be erupting.
The inflammation seen at that area is due to inflammation of the gums which we call it as PERICORONITIS.
This condition occurs because of erupting tooth combined poor oral hygiene and improper brushing techniques.
First you can do luke warm saline water gargling and maintain good oral health and visit your dentist if the inflammation doesnt regress.
Take care
Answered: Fri, 19 Apr 2013
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Dentist Dr. Sonia Nayab's  Response
hi there
thanks for asking your query

permanent second molar erupts at age of 12 years,as you mentioned the age 7 years then it might be a primary tooth

it may be a permanent second molar partially erupted,but exact diagnosis can only be made by clinical examintion

consult a dentist for evaluation of tooth,there might be any carious lesion leading to infection
meanwhile maintain good oral hygiene,brush and floss,use antiseptic mouth wash and gargle with saline water
thanks

Answered: Fri, 19 Apr 2013
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Dentist Dr. Gunjan Gupta's  Response
Hello,

Thanks for your query.
As you provided the detail,it seems that this is your wisdom tooth which is erupting and covered with gum tissue.
First of all i would like to tell you that wisdom tooth eruption is painfull up to a some extant and this area is not easy to clean because of that remaining food particals results in inflammation in that area and become pain ful.
So i will suggest you please visit to an oral surgeon as soon as possible and get the thorough examination done including x-ray of that tooth.
After all these things take a proper treatment accordingly,if there is sufficient space for its eruption,you can remove that flap over this tooth.
If not you can go for this tooth extraction.
Mean while maintain good oral hygiene,rinse your mouth with warm saline ,rinse your mouth after each meal.
Nothing to get worried.
Take Care.
Dr. Gunjan Gupta
Answered: Fri, 19 Apr 2013
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  User's Response
Hello dear
Nothing to worry about, it is a normal way by which the molar teeth erupts.So just apply OTC available anaesthetic oral gel over that area.Keep that area clean with rubber tip .please dont floss that area.warm salin rinses will be helpful.
Best
Dr. Amit k. Gaba
Answered: Fri, 19 Apr 2013
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