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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling In The Gums

All 4 of my wisdom teeth are almost fully out now, except for a small flap of gum over my bottom right one. They seem to fit in my mouth just fine with my other teeth, but for the past week I've been sick with what I assumed to be Strep or the flu. For the past few days I've noticed that the right side of my face is swollen and my gums around that bottom right wisdom tooth is swollen, inflamed, and VERY painful when I swallow/drink/eat/talk. I can also taste what I assume to be is pus coming off of it. Tonight it seems worse, I feel feverish, dizzy, and also kind of like the right corner of my mouth and lips are numb. I don't have insurance, so I don't want to go to the ER unless it's really necessary. What should I do?
Mon, 6 Oct 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query. I have gone through your query.
The swelling over the face and pain is because of the infection over the gums of wisdom tooth. And its spread to involve tissue spaces called space infection.
Nothing to be panic, consult a oral maxillofacial surgeon and get the infected flap removed(aperculectomy) if sufficient space is available in the jaw for the wisdom tooth, if not the tooth has to be removed.
Meanwhile you can takea course of antibiotics like amoxicillin 500mg TID and metronidazole 400mg BID for5 days(if you are not allergic).
Regarding your insurance, you can get the tootb treated in a educational dental institute, wherd the treatment will be done with nominal price. But get the tooth treated as early as possible to prevent further complications.
i hope my answer will help you. Take care.
I find this answer helpful

1 Doctor agrees with this answer

Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query. I have gone through your query.
The swelling over the face and pain is because of the infection over the gums of wisdom tooth. And its spread to involve tissue spaces called space infection.
The numbness can be because of the pressure over the nerve by the wisdom tooth.
The altered taste can be because of the pus discharge.
Nothing to be panic, consult a oral maxillofacial surgeon and get the infected flap removed(aperculectomy) if sufficient space is available in the jaw for the wisdom tooth, if not the tooth has to be removed.
Meanwhile you can takea course of antibiotics like amoxicillin 500mg TID and metronidazole 400mg BID for5 days(if you are not allergic).
Regarding your insurance, you can get the tootb treated in a educational dental institute, wherd the treatment will be done with nominal price. But get the tooth treated as early as possible to prevent further complications.
i hope my answer will help you. Take care.
I find this answer helpful

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Suggest Treatment For Swelling In The Gums

Thanks for your query. I have gone through your query. The swelling over the face and pain is because of the infection over the gums of wisdom tooth. And its spread to involve tissue spaces called space infection. Nothing to be panic, consult a oral maxillofacial surgeon and get the infected flap removed(aperculectomy) if sufficient space is available in the jaw for the wisdom tooth, if not the tooth has to be removed. Meanwhile you can takea course of antibiotics like amoxicillin 500mg TID and metronidazole 400mg BID for5 days(if you are not allergic). Regarding your insurance, you can get the tootb treated in a educational dental institute, wherd the treatment will be done with nominal price. But get the tooth treated as early as possible to prevent further complications. i hope my answer will help you. Take care.