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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Behind Last Molar Teeth, Hurts To Swallow. What Could This Be?

A few days ago, the skin right behind my last molar on the lower right side of my jaw started to feel raw and painful. It hurts to eat when food reaches that area, and even my tongue can hurt the skin around the back of my tooth . I had my wisdom teeth taken out over 3 years ago, so I do not suspect it has to do with that. It hurts to swallow and it has even affected the lymph node under my jaw on the right side of my neck. It hurts to press it and my left side feels completely fine. No fever or any other symptoms. My husband had the exact same symptoms about 2 weeks ago, and now he is feeling better. What could this be?? I appreciate any advice :)
Tue, 29 Jan 2013
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Dentist 's  Response
Hello,

Thanks for posting your query.

You might have an infection. This can be very serious if you don't have it checked out.

In the meantime, take anti-inflammatory pills (paracetemol, or whatever you prefer) and clean your teeth thoroughly - use an extra-strong mouthwash (don't use mouthwash too often, because it dries the mouth, but sometimes it's a good way to kill bacteria).

If your gum is infected, use an analgesic gel such as anbesol. Clove oil will soothe the pain and numb the area but it tastes really vile.

Regards.
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Dentist Dr. Deepthi Reddy's  Response
Hi,
Thank you for the query.
The history given suggests of infection in the gingiva leading to inflammation of the gums which might have ulcerated leading to severe pain . This will presents with palpable lymphnodes, inflammation of the gingiva . This could be treated with a course of antibiotic and analgesic followed by chlorhexidine mouth wash rinses and maintaining proper oral hygiene and multivitamins .
Hope this information helps you.
Take care.
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Dentist Dr. Farah Hussain's  Response
Hi and welcome,
As your gums around the last molar tooth is painful and sore ,it indicates inflammation of the gingival tissue. this can be caused due to improper cleaning in the area, lodgement of food debris , bacterial plaque and calculus deposits in the gum pockets which lead to redness, swelling and pain in the gums.
This gum infection if not treated in time may progress deeper to the periodontal tissues , underlying bone and attachment appartus and eventually may lead to loosing of teeth.
So i suggest you to consult a dentist and get thorough deep scaling and root planing done for the area followed by a course of antibiotic. this will definitly help relieving the symptoms.
meantime you can use oral antiseptic rinses like chlorhexidine 2 to 3 times daily to prevent infection , maintain good oral hygiene by brushing and gentle flossing.
take care.
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Dentist Dr. Deepika Attresh's  Response
hello & welcome
acc. to the symptoms you are presenting here this seems to be a periapical infection which is spreading, if your adjacent tooth is carious.

start up with antibiotic course including amoxycilline, metrogyl & painkiller like ibuprofen.
don't apply any heat, maintain proper oral hygiene.
you have to visit your dentist for further clinical & radiographical examination.
thanks & take care
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Pain Behind Last Molar Teeth, Hurts To Swallow. What Could This Be?

Hello, Thanks for posting your query. You might have an infection. This can be very serious if you don t have it checked out. In the meantime, take anti-inflammatory pills (paracetemol, or whatever you prefer) and clean your teeth thoroughly - use an extra-strong mouthwash (don t use mouthwash too often, because it dries the mouth, but sometimes it s a good way to kill bacteria). If your gum is infected, use an analgesic gel such as anbesol. Clove oil will soothe the pain and numb the area but it tastes really vile. Regards.