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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Wisdom Tooth, Irritating, Wobbling, Found A Lump. What Is Wrong With It?

I have my wisdom tooth for 8 years now. But 10 days ago I felt some pain there, well not really pain,just annoying feeling that you get when a tooth falls out as it does in your childhood. So I felt the tooth with my finger and I felt that it was wobbling. My question is can a wisdom tooth fall out on It's own? So started to play around with my tooth hoping to make it more loose to fall out. But now my gums around the tooth is starting to get more painful. So I felt my gums to see where the pain is coming from and I could feel a very sore lump high above the wisdom tooth. What is this lump,should I have this lump when my wisdom tooth has been erupted for a while? Or is it because my wisdom tooth has come out abit and wobbling?
Fri, 12 Apr 2013
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Dentist 's  Response
Hi,

Thanks for asking the query,

Wisdom tooth is the last tooth to errupt in the oral cavity which is mostly malaligned, tilted and impacted in the jaw bone leading to pain.
The area surrounding this tooth is difficult to clean and leads to food accumulation , bacterial growth leading to redness, swelling and inflammation of the surrounding gums known as PERICORONITIS.

I would suggest you to consult to an Oral and Maxillofacial Surgeon, get a checkup done.
Take an OPG radiograph of the tooth, this tooth does not have any significant role in mastication and occlusion, so better to get it extracted if it is causing any trouble.

Take a course of antibiotics and analgesics.
At home maintain a good oral hygiene, do not irritate the tissue again with your hands.
Take lukewarm saline gargles 3-4 times to give a soothing effect, use antiseptic mouthwash gargles.

Hope this helps out.

Regards...
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1 Doctor agrees with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hello,
Thanks for posting your query.
The lump overlying inflammed pericoronal flap is due to the inflammation surrounding erupting wisdom teeth.
Frequent warm saline and betadine gargle will relieve pain and infection.
clinical and x-ray examination of the inflammed area will help to decide the treatment.
Tooth has to be either extracted or flap overlying tooth has to be removed to enhance tooth eruption,depending on the space available for tooth eruption.
Take complete course of antibiotics-analgesics as per dentist's prescription.
Hope this helps.
I find this answer helpful
Dentist Dr. Farah Hussain's  Response
Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating , difficulty in opening mouth , swelling in the jaws and cheek bite.

wisdom teeth are often tilted in position and impacted in the bone , gums overlying the tooth usually undergoes inflammation known as pericoronitis .
The tilted position of the tooth leads to entrapment of the cheek mucosa in between the teeth during biting.

Pericoronitis shows symptoms of pain and swelling like a lump over the gums .

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

You may need to get an OPG radiograph done for you which will show the exact position of the tooth, consult a dentist and get the tooth extracted surgically.

continue with the course of antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days .

i hope this helps ,

take care.
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

your history requires few more details like which jaw are you taking about?and since when are you experiencing this problem?have you got a x ray done to see the location of third molar?

please furnish other details too to make a better diagnosis.
meanwhile maintain very good oral hygiene.

Go for symptomatic treatment like warm saline rinse or antiseptic mouthwash like chlorhexidine or betadine.

Hope it helps.

Take care.
Thanks.
I find this answer helpful
  User's Response
Dr.PRAVEEN PATHAK's  Response
use homoeopathic medicne MAg CArb 200 4 drop 3 times
thanks

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Painful Wisdom Tooth, Irritating, Wobbling, Found A Lump. What Is Wrong With It?

Hi, Thanks for asking the query, Wisdom tooth is the last tooth to errupt in the oral cavity which is mostly malaligned, tilted and impacted in the jaw bone leading to pain. The area surrounding this tooth is difficult to clean and leads to food accumulation , bacterial growth leading to redness, swelling and inflammation of the surrounding gums known as PERICORONITIS. I would suggest you to consult to an Oral and Maxillofacial Surgeon, get a checkup done. Take an OPG radiograph of the tooth, this tooth does not have any significant role in mastication and occlusion, so better to get it extracted if it is causing any trouble. Take a course of antibiotics and analgesics. At home maintain a good oral hygiene, do not irritate the tissue again with your hands. Take lukewarm saline gargles 3-4 times to give a soothing effect, use antiseptic mouthwash gargles. Hope this helps out. Regards...