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Pain in the mouth due to wisdom tooth eruption. Infected tooth. Swelling. On antibiotics. Not able to eat anything

Hi, I was having a worse pain in my mouth because of the wisdom tooth because the tooth next to it was infected. So i went to hospital for emergency. They give me IBU, Tylenol and penicillin but next day I had a swollen throat on the same side and was unable to open my mouth and talk. I keep on taking these medications for three days but swelling does not go down. Between this i went to a dentist too and they said it is because if the infection and it should go down by the medications i am on. Then yesterday I went to see a doctor again, she asked me to stop taking penicillin and give me a high dose of antibiotic but still the swelling is there and I am unable to open my mouth or eat anything,
Asked On : Thu, 21 Mar 2013
Answers:  3 Views:  47
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Dentist 's  Response
hello and welcome ,

Wisdom tooth is last tooth to erupt in the oral cavity and often its eruption is associated with pain and swelling in the jaws .

As you have mentioned you have an infected tooth adjacent to the wisdom tooth i suspect the infection has spread to the entire area leading to formation of periodontal abscess and swelling.

i would suggest you to get an OPG radiograph done which will show the spread of infection , abscess or infected cysts if present. accordingly treatment can be done .

you can start with antibiotic augmentin with anlagesics with serratiopeptidase every 8 hours which helps in subsiding the swelling and relives pain.

once the swelling is relived get the infected tooth treated by root canal procedure anf wisdom tooth removed surgically.

i hope this helps ,

take care.
Answered: Thu, 21 Mar 2013
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Dentist Dr. Bindiya Bhaskar's  Response

Thanks for the query.
The symptoms you are experiencing are usually associated with impacter wisdom tooth which is erupting.
Frequent warm saline gargle and betadine rinse will relieve pain.
The pain will subside once the course of medicines has completed.
The infected tooth has to be restored/root canal treated/extracted depending on severity of lesion.
The wisdom tooth has to be either extracted or flap overlying tooth has to be incised and removed to enhance tooth eruption.
Maintain good oral hygiene.
The pain will subside once you get the treatments above mentioned.
Apply cold packs to subside swelling..
Take care
Answered: Thu, 21 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Pain and swelling in the wisdom toothhad spread to the surrounding tissue and the adjacent tooth leading to abscess formation. the area is also difficult to clean so it often invites bacterial infection leading to redness , inflammation and swelling of the adjacent tissues.

Antibiotics and analgesic will give a temporary relief.
I would suggest you to get a checkup done ,
Take an OPG x-ray .
Prabably you have to go for exteaction of the wisdom tooth and RCT of the adjacent tooth once the swelling resides .

Take saline water gargles 3-4 times a day.
Use chlorhexidine mouthwash gargles twice daily .

Hope this helps out.

Answered: Thu, 21 Mar 2013
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