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Tenderness in gum near wisdom tooth. Swollen lymph nodes underneath. Solution to alleviate pain?

I have a friend who is currently out of town on business who has just called complaining of an issue. Apparently over the last few days he s had tenderness in the gum line on the right interior of his jaw near where his wisdom tooth used to be. He says over the last 24 hours, he thinks he s scratched the sore gum area and now has swollen lymph nodes underneath it. I told him he s probably managed to infect the scratch, but he says it feels like there may be a small bone or tooth fragment poking through because there s a spot on the gums that s a little pointy. He s not slated to be back until Tuesday and at the moment is in Canada (he lives in Las Vegas). What can I tell him to do to alleviate the pain until he s home and can see someone?
Asked On : Thu, 21 Mar 2013
Answers:  3 Views:  204
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Dentist 's  Response
hello there ,

Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating , difficulty in opening mouth , fever , lymph node enlargement.

wisdom teeth are often tilted in position and impacted in the bone , gums overlying the tooth is usually undergoes inflammation 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.

you can have any analgesics to relie ve the pain.

i hope this helps ,

take care.
Answered: Fri, 22 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hi Victoria,

Thanks for posting query in hcm forum,

Have your friend's wisdom tooth erupted or is it impacted?

From the details given,i feel the tooth is impacted and flap overlying it has inflammed.
Pain ,swelling,throat infection,fever,lypmphadenopathy are the symptoms usually associated with such conditions.
Frequent saline gargle can relieve pain.
Betadine and hydrogen peroxide can be used to irrigate the area.
Avoid stress,anxiety.
Analgesics can relieve pain temporarily.
For permanent cure,please do visit a dentist and get the flap overlying tooth removed to enhance tooth eruption.
If tooth cannot be saved,get it extracted.
Hope this helps.
Answered: Thu, 21 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for posting the query,

Wisdom tooth are often tilted in position and impacted in the jaw bone which leads to pain .
This area is difficult to clean so it often invites bacterial infection leading to redness , inflammation and swelling of the overlying gums known as pericoronitis.

I would suggest you to visit Oral and Maxillofacial surgeon and get checkup done .
Take an OPG x-ray of the tooth.
Probably you have to go for extraction of the wisdom tooth.

Take a complete course of antibiotic and analgesic.
Donot irritate the inflammed tissue .
Take saline water gargles 3-4 times a day to give a soothing effect.
Maintain a good oral hygiene , use chlorhexidine mouthwash gargles twice daily.

Hope this helps out..

Answered: Fri, 22 Mar 2013
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