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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Swollen And Painful Gum. Noticed Puss Coming Out. What Is The Problem?

My gum is swollen and painful, it is at the back of my lower teeth and underneath it is what looks like my wisdom tooth coming through. This tooth has not grew at all for about three years but every now and then it will swell up really bad and puss comes out. It is extremely painful and causes me migrants. What do you think the problem is? Thank you in advance.
Wed, 23 Jan 2013
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Dentist 's  Response
Hello and welcome to HCM,
Wisdom teeth usually erupt in the age group of 18 to 25 years or sometimes in the later part of life. you present the symptoms of swelling and pain in the gums which are the signs of infection and abscess formation.
Wisdom teeth are often impacted in the bone and do no find enough space in the oral cavity to accomodate and the area is prone to infection due to food accumulation and improper cleaning which results in formation of abscess.
i suggest you to visit a dentist and get a OPG radiograph done which will show the exact position of the tooth in relation to jaw,adjacent teeth and other vital structures. Accordingly surgically removal of the tooth can be planned.
Mean time you can start with antibiotic Augmentin 625mg with NSAIDs two times daily which will subside the swelling and pain.
take care.
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Dentist Dr. Deepika Attresh's  Response
hello & welcome
most probably this is your impacted teeth.
sometimes wisdom tooth can not erupt because of lack of space, in that case gingival flap covering on this get swollen causing pericornitis.
you have to visit your dentist for further checkup, extraction of this tooth is permanent cure.
till than maintain proper oral hygiene, do warm saline rinses, betadine rinses.
along with that do one antibiotic course including amoxicilline, metrogyl and ibuprofen.
thanks & take care
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General & Family Physician Dr. Gopal Krishnam Raju's  Response
gingivitis take flagyl 3times + vitamin c once
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Have Swollen And Painful Gum. Noticed Puss Coming Out. What Is The Problem?

Hello and welcome to HCM, Wisdom teeth usually erupt in the age group of 18 to 25 years or sometimes in the later part of life. you present the symptoms of swelling and pain in the gums which are the signs of infection and abscess formation. Wisdom teeth are often impacted in the bone and do no find enough space in the oral cavity to accomodate and the area is prone to infection due to food accumulation and improper cleaning which results in formation of abscess. i suggest you to visit a dentist and get a OPG radiograph done which will show the exact position of the tooth in relation to jaw,adjacent teeth and other vital structures. Accordingly surgically removal of the tooth can be planned. Mean time you can start with antibiotic Augmentin 625mg with NSAIDs two times daily which will subside the swelling and pain. take care.