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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain And Tenderness In Gums That Press Behind The Wisdom Tooth Post A Gum Infection. Cause And Remedy?

Hi, I m 39. I recently recovered from a gum infection under my right rearmost molar. Very painful. Now I am experiencing more pain and tenderness in the gum that presses against the back of my right wisdome tooth. I think it s infected (when I swallow I also hear crackling in my ears. Hoping to get some advice before going down the rabbit hole of seeing doctors or specialists (I don t have insurance at the moment). Here are the details: - seven months ago I had my teeth cleaned; all was normal except at the end of my checkup, my dentist said I should keep an eye on my right rear wisdom tooth because there was a bit of movement. - six months ago I noticed an odd sense of pressure in my right ear. - this roughly coincided with a throat infection ( antibiotics cleared it up) - hurt as hell - not sure if it s related. - following the throat infection, I experienced ongoing tightness of the throat. Sometimes hard to swallow and speak. Continues to this day. - about nine weeks ago I experienced soreness in my gum behind my right wisdom tooth. It went away eventually (lots of rinsing). - ear pressure continues.... - six weeks ago I developed severe pain in my right jaw. Antibiotics cleared it up for about a week, but the pain came back. - when it came back, I was in agony with pain in my jaw. Couldn t sleep or think... A few days later I had developed a periodontal (gum) abscess below my rear right molar - the tooth in front of the questionable wisdom tooth. - my dentist drained the abscess (yes, sorry... gross) and put me on antibiotics. (Diagnosis was a periodontal pocket which has since healed quickly.) - this cleared things up (severe, life altering head throbbing pain is gone thank god) and things were back to normal. - that was a week ago. - however, now I am experiencing the same pain behind my wisdom tooth. The gum is sore in a small region behind the tooth. I have pressure in my right ear and it s sometimes hard to swallow.
Mon, 17 Dec 2012
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Dentist 's  Response
Pain in Gums is one of the first symptoms for impacted wisdom teeth. Pain in gums is due to infection. When the wisdom teeth try to come in the mouth and there is lack of space in gums. Initially in early stages or symptoms, it can start as dull pain but within few days it can turn into acute pain. This wisdom tooth pain can even be sometimes felt as ear ache, headache, difficultly in swallowing and other adjacent teeth can be painful. There can be pain in opening the jaw. You can also feel lethargic and you may feel feverish. So do not ignore this symptoms of wisdom tooth and consult your dentist.You can do warm saline rinses 2-3 times a day for some relief.
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Dentist Dr. Gunjan Gupta's  Response
Hello,
Thanks for writing in.
I read your problem,As you provided the detail it seems that There is an infection in that area,reasons could be-
Infection because of impacted wisdom tooth,this infection is because of food impaction in that area if untreated it will destroy the underlying bone.
I would like to tell you that wisdom teeth are vestigial,they play very little role in food chewing so i will suggest you visit to an oral surgeon and get the extraction of this wisdom tooth done.
So i will suggest you nothing to get worried,Visit to your dentist as soon as possible and get the thorough examination done including x-ray and for infection take proper prescription and follow all the given insturctions and take a proper treatment.
Take Care
Dr.Gunjan Gupta
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Dentist, Oral and Maxillofacial Surgery Dr. Chaithanyaa Nemaly's  Response
Hello there...After all that do you mean that your wisdom tooth is retained? Periodontal abscess or any kind of abscess related to the wisdom tooth i advice go for the removal. Pain with relation to the lower wisdom tooth will have a characteristic pain radiating to the ear on that side, to the throat, side of your head (temple region), that side of the jaw, difficulty in swallowing . We call this referred pain...The other complication you see are the space infections and restricted mouth opening. antibiotics wont help once the space infections sets in...Surgical intervention becomes mandatory. Get your wisdom tooth removed. Consult a Oral and Maxillofacial Surgeon for clinical evaluation and management.
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I would like to tell you that there is some infection associated with your wisdom tooth.Pain in gums due to impacted wisdom teeth is most common feature of pericoronitis. It results in pain & inflammation around impacted teeth due food lodgement. Its really painful condition & i would suggest you to get this tooth extracted because wisdom teeth is vestigial organ & there is no harm in getting it extracted.
Consult your dentist & get this tooth extracted as soon as possible.

Take Care
Regards
Dr.Neha
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Severe Pain And Tenderness In Gums That Press Behind The Wisdom Tooth Post A Gum Infection. Cause And Remedy?

Pain in Gums is one of the first symptoms for impacted wisdom teeth. Pain in gums is due to infection. When the wisdom teeth try to come in the mouth and there is lack of space in gums. Initially in early stages or symptoms, it can start as dull pain but within few days it can turn into acute pain. This wisdom tooth pain can even be sometimes felt as ear ache, headache, difficultly in swallowing and other adjacent teeth can be painful. There can be pain in opening the jaw. You can also feel lethargic and you may feel feverish. So do not ignore this symptoms of wisdom tooth and consult your dentist.You can do warm saline rinses 2-3 times a day for some relief.