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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Swelling In The Gum?

Hi,
I have been booked for my lower wisdom tooth to be removed and am petrified from what what I have read. Both wisdom tooth partial coming out but the right side is coming outwards. It is not causing pain but the gum can feel bit swollen sometimes and there isn't much room, hence it put pressure on my lower front teeth causing movement. On lower right side my 1st molar is broken and had root canal few years back and require crown but can't afford at moment and wonder if it's worth removing this molar instead of the wisdom tooth to make space and how likely is it that the gap will be closed by the wisdom tooth or if at all.
Mon, 14 Apr 2014
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Dentist 's  Response
Hi. Welcome to Healthcaremagic.
I read your query. On right side as you mentioned the wisdom tooth is impinging the front tooth, it may lead to cavity and pain in front tooth. This may further need RCT and crown of the tooth in front of wisdom tooth if not take out in time. On left side, why would you prefer taking out an already RCT treated molar? The wisdom tooth is impacted, so it wont move enough to cause the closure of space from removal of molar in front.
Also, you mentioned of swelled gums around wisdom teeth, which means pericoronitis, i.e. there is already infection around wisdom teeth.
I suggest you to get both the wisdom tooth extraction and restoration of teeth in front of them. The RCT treated molar needs crown as RCT weekens the tooth and it can break under masticatory force. If not at the moment, get a crown over it. Till then avoiding bitting hard things from that side.
Maintain oral hygiene. Do warm saline rinses.
Hope the answer helps you. Thank you.
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What Is The Treatment For Swelling In The Gum?

Hi. Welcome to Healthcaremagic. I read your query. On right side as you mentioned the wisdom tooth is impinging the front tooth, it may lead to cavity and pain in front tooth. This may further need RCT and crown of the tooth in front of wisdom tooth if not take out in time. On left side, why would you prefer taking out an already RCT treated molar? The wisdom tooth is impacted, so it wont move enough to cause the closure of space from removal of molar in front. Also, you mentioned of swelled gums around wisdom teeth, which means pericoronitis, i.e. there is already infection around wisdom teeth. I suggest you to get both the wisdom tooth extraction and restoration of teeth in front of them. The RCT treated molar needs crown as RCT weekens the tooth and it can break under masticatory force. If not at the moment, get a crown over it. Till then avoiding bitting hard things from that side. Maintain oral hygiene. Do warm saline rinses. Hope the answer helps you. Thank you.