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Stunted wisdom tooth growth, painful mouth and jaw, neck pain. What can be done?

Hello, my name is Cassandra! I have this wisdom tooth that has been coming in for a little over 2 years now.. It s on the bottom right.. I can see the whole top of the tooth, but it s not fully grown in yet.. I ve never had any problems with it until sunday morning I woke up with very bad pain in my mouth. From there it progressed to pain in the whole right side of my whole head even down to my neck . I can t hardly open my mouth wide enough to eat because my jaw is a little stiff. It hurts to swollow. My right tonsil is swollen. There is this round lump looking thing right above the back of the tooth on the jaw line. That is what really hurts the worst if it s touched or anything. It s hard to brush my teeth with that there because the pain is so intense.. The tooth is coming in straight, but I guess there is little room for it to completely come in... Can you give me some answers please weather or not I would need to get this wisdom tooth cut out?? And if the lump over the tooth is from the tooth itself?? I have kind of been worrying about it because I ve never had a problem like this before and there s a knot in my mouth...
Asked On : Sat, 16 Feb 2013
Answers:  8 Views:  149
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Dentist 's  Response
hi cassandra ,
Wisdom tooth is the last tooth to erupt in the oral cavity and its eruption is often associated with pain and discomfort , difficulty in opening the mouth.
Often wisdom tooth are impacted in the jaw bone due to which they fail to erupt in straight line axis with the adjacent tooth , they may be horizontal , tilted mesially or distally in the jaw which makes their eruption difficult leading to pain and swelling in the jaw bone.
As the area is difficult to clean , the overlying gum or mucosa is more prone to infection and often gets inflammed know as pericoronitis.
i suggest you to visit a dentist and get an OPG radiograph done , which will show the exact position of the tooth in the jaw and the related vital structures.
Accordingly the tooth is removed surgically under local anesthesia by an oral surgeon.
i hope this helps ,
take care
Answered: Mon, 18 Feb 2013
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Dentist Dr. Gunjan Gupta's  Response
Hello cassandra,

Thanks for writing the query.

Wisdom tooth is the last tooth to erupt in the oral cavity.

As wisdom tooth area is inaccessible and difficult to clean infection in this area is very common,therefore wisdom tooth eruption is associated with pain,swelling and discomfort,which is known as pericoronotis also.

In case of impacted wisdom tooth pain discomfort and difficult mouth opening is very common.

Impaction of wisdom toth could be horizontal,vertical,distal,or mesial.

So i would suggest you consult an oral and maxillofacial surgeon as they are specialist in this field,and get your teeth clinically examined and x-ray of the same tooth also.

For pain and infection you can ask your dentist for a course of antibiotic and analgesic,to prevent infection and relieve the pain.

Meanwhile you can use lukewarm saline rinses and can also take antiseptic mouth rinses 3-4 times a day.

Hope this will be helpful.

Take care.

Dr.Gunjan Gupta
Answered: Mon, 6 May 2013
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Dentist Dr. Shefali Gupta's  Response
Thanks for asking query,
Wisdom tooth extraction is often associated with pain , fever, swelling , difficulty in mouth opening and chewing. As this area is difficult to clean it can leads to pericoronitis.Some times the wisdom tooth not get fully errupted and remain impacted.
I suggest you to visit the dentist and get an iopa done to know the exact position of tooth and plan treatment accordingly.
Until then you can take antibiotic and analgesic course, gargle with warm saline water.
hope this will help you
Answered: Sat, 4 May 2013
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Dentist Dr. Anshumala Singh's  Response
hello dear,
don't worry 99% of wisdom tooth gives problem while emerging in the oral cavity due to lack of space in the jaw ,this is called PERICORONITIES.
there are two solutions of it . one is get the tooth extracted with very minor surgical process . if you are not comfortable with it then you can take alternate option that is take one course of antibiotic for three days. and let your problem get resolved then you can approach a dentist and take an xray of that tooth which will help you to understand whether exactly any surgical interventions are required or not.
but trust me friend as,the third molar (wisdom tooth) doesn't help in chewing ,nor it has any cosmetic value so it is better to get it extracted to prevent recurrent ailments
for now your antibiotic course is here
ciplox tz 500mg twice daily for three days
combiflam one tab six hourly for three days, do warm saline rinse frequently.
thank you
Answered: Mon, 18 Feb 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Wisdom tooth is the last tooth to errupt in the oral cavity and is often tilted, malaligned and impacted in the jaw bone.
The area is difficult to clean and leads to food accumulation causing inflammation of the overlying gums leading to Pericoronitis, pain, swelling, difficulty in mouth opening.
I would suggest you to visit the Dentist and take an OPG x-ray which will give the exact position of the tooth so that it can be surgically removed.
Take complete course of antibiotics and analgesics.
Maintain a good oral hygiene take lukewarm saline and antiseptic mouthwash rinses.

Hope this helps out.

Answered: Tue, 30 Apr 2013
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Dentist, Periodontics Dr. Palvi 's  Response
thanks for the query...
the condition is called pericoronitis and has occurred due to accumulation of food debris between your tooth and operculum (gum tissue covering your tooth)...
you please visit your dentist and got the area irrigated and cleaned... he will also prescribe you antibiotics and anti inflammatory drugs... he will also make the area out of occlusion by slightly grinding the opposing tooth, if required... do warm saline rinses 6-7 times per day...
you should go for X-ray to know the actual amount of space available for your tooth to erupt...
if sufficient space seems to be available on radiograph, then you should go for a procedure called operculectomy which will help your tooth to erupt properly...
if sufficient space doesn't seems to be available then you should go for its extraction...
take care...
Answered: Wed, 31 Jul 2013
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Dentist Dr. Yogesh Tripathi's  Response
erupting wisdom tooth is real painful....get a radiograph or opg done....if the molar is in straight line then it will erupt in due course the mean time to reduce discomfort take the following
1.clavum 625 twice daily
2.any painkiller twice daily
3.omnacortil 10 mg twice daily
4.luke warm saline rinses for 6-8 times daily
following this you will get relief in 2-3 days
BUT if the molar is tilted or not in the right line or there isnt any space than go for an extraction
hope this helps
Answered: Tue, 30 Jul 2013
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Dentist Dr. Deepthi Reddy's  Response
Thank you for the query.
According to the history there is inflammation around the teeth and may have lead to formation of ulceration in the area because of the infection .
Usually this condition is associated with restricted jaw opening leading to the stiffness of the muscle.
I advise you to get an x-ray done and see your dentist to rule out whether the teeth is impacted or can erupt normally .
Do warm salt water rinses twice or thrice and do not try to restrict your jaw movements instead you can do few jaw exercises as suggested by your doctor.
X-ray will decide whether the teeth has to be removed or just the infection in and around the teeth has to be treated .
Knot suggests of abscess formation which has to be drained .
A course of antibiotic and analgesics should be taken as prescribed.
Hope this information helps helps you.
Answered: Mon, 18 Feb 2013
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