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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hard Lump Due To Erupting Tooth, Difficulty Opening Mouth

My wisdom tooth is coming out and every so often i get a hard lump like my skin gets swollen right besides my ear and jaw bone. I think this is because of my wisdom tooth because this lump is on the same side but on the outside part. Other than this i also have a hard time opening my mouth because my jaw feels locked (but this happens only in the mornings when i wake up)... until it cracks that's when I can open my mouth.
Mon, 8 Apr 2013
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Dentist 's  Response
Hello,

The symptoms are associated with wisdom tooth eruption usually.
Inability to open mouth,nausea,fever ,headache,foul smell and metallic taste in mouth usually occurs.
Proper clinical and x-ray examination has to be done.
If there is no space for tooth eruption,get it removed.
If there is adequate space,wait until it erupts and flap overlying tooth can be removed.
Take complete course of antibiotics-analgesics too.
Frequent warm saline gargle can be done.
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Dentist Dr. Sonia Nayab's  Response
hi kdenisse

thanks for asking your query



third molars often erupts with complications which occurs if the jaw is small and tooth didnot gets enough space to erupt.so they either get impacted or partially erupted and sometimes malpositioned

sometimes the gum over the erupting molar gets inflammed,a condition known as pericoronitis which gives pain swelling,and difficulty in opening mouth.

in such conditions it should be extracted

i will suggest you to consult a dentist for clinical examination and further evaluation

take antibiotics and analgesics for infection and pain

maintain good oral hygiene

do saline water gargles

thanks

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2 Doctors agree with this answer

Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Wisdom tooth is last tooth to errupt into the oral cavity and is often impacted, tilted and malpositioned.
This area is difficult to clean and often invites bacterial infections leading to redness and swelling of the overlying gingiva known as pericoronitis.

Erruption of wisdom tooth is associated with fever, foul smell, because of pain and swellling there is difficulty in mouth opening. This tooth does not have any role in mastication and occlusion so it better to get it extracted if it is causing any problem.

I would suggest you to visit to a Oral and Maxillofacial Surgeon,take an OPG x-ray
Take complete course of antibiotics and analgesics.

Meanwhile take symptomatic treatment like lukewarm saline gargles, antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards.
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

In this case it appears as though you have an extra oral swelling which might be associated with erupting third molar.

but as you have mentioned you feel a cracking sound too, that is not related to tooth eruption.

it could be associated with your TMJ.also you have restricted mouth opening .
this is due to underlying infection.

I would suggest you to visit your dentist soon and get an OPG x ray done too to see the exact picture of your jaw on that side.

so that further it can be treated well.

hope it helps.
take care.
thanks.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for writing to us.
When a wisdom tooth breaks through the bone, it can feel like there is a hard lump or swelling under the gum tissue until the wisdom tooth erupts through the gum tissue as well.
Erupting or impacted wisdom teeth can cause swelling in the surrounding structures, including the jaw joint which may make it difficult to open and close.
To determine if you are getting your wisdom teeth, your dentist will almost always take x-rays. The best x-ray for seeing wisdom teeth is a panoramic x-ray. If a wisdom tooth has not come in yet or it is in the process of erupting, the only way to see what stage of eruption it is in is to take an x-ray. Your dentist will also do an intra-oral exam.
Hope this helps you
Wishing you good health...
Regards.
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Hard Lump Due To Erupting Tooth, Difficulty Opening Mouth

Hello, The symptoms are associated with wisdom tooth eruption usually. Inability to open mouth,nausea,fever ,headache,foul smell and metallic taste in mouth usually occurs. Proper clinical and x-ray examination has to be done. If there is no space for tooth eruption,get it removed. If there is adequate space,wait until it erupts and flap overlying tooth can be removed. Take complete course of antibiotics-analgesics too. Frequent warm saline gargle can be done.