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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain And Swelling In The Gums. Blister At The Site Of Molar Extraction. Is It An Abscess Which Can Be Cured By Peroxide Gargle?

Pain, swollen gums and feels like a blister in space where right bottom molar was (extracted 9 years ago). The molar above has dropped down into the open space since then, but with the swelling below it prevents me from closing my jaw completely due to pain. Never has wisdom teeth form except for top right one and its impacted and still intact (also no issues or pain with this). There is no tooth on the bottom to cause this. The blister is on the inside of the gum and the tongue moving causes discomfort. No pain on top and it is difficult to eat. Is it more likely an abscess or something that could be resolved with a peroxide gargle/rinse?
Tue, 9 Apr 2013
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Dentist 's  Response
Hello and welcome,

Usually after extracting any tooth,it has to be replaced with artificial teeth to prevent drifting of adjacent/opposing teeth.
The opponent upper molar has supra-erupted due to this.
Please get a scaling done.
Cureetage and drainage of abscess if present has to be done.
Also check for adjacent teeth which are decayed/periodontally compromised.
oNce the swelling subsides,get the missing teeth replaced.
Hope this helps.
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Dentist Dr. Farah Hussain's  Response
hello there ,

According to your clinical history i suspect your upper molar tooth has supra erupted that is it has gone migration in the space created by lower molar extraction in an attempt to form occlusion.

because of SUPRAERUPTION the occluding cusps of the upper molar might be truamtising the lower gum tissue.

This has lead the lower gum tissue to undergo inflammation and infection in this area may lead to formation of a blister or an abscess.

It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics.

meantime ,i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.

i hope this helps ,

take care.
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Pain And Swelling In The Gums. Blister At The Site Of Molar Extraction. Is It An Abscess Which Can Be Cured By Peroxide Gargle?

Hello and welcome, Usually after extracting any tooth,it has to be replaced with artificial teeth to prevent drifting of adjacent/opposing teeth. The opponent upper molar has supra-erupted due to this. Please get a scaling done. Cureetage and drainage of abscess if present has to be done. Also check for adjacent teeth which are decayed/periodontally compromised. oNce the swelling subsides,get the missing teeth replaced. Hope this helps.