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Pericoronitis. Swollen, painful little white pus pockets around wisdom tooth. History of tooth extraction. Suggest

I got pericornitis around my lower left wisdom tooth 10 days ago and i got the tooth removed 7 days ago and I have just finished my course of antibiotics 2 days ago and I have healed from the wisdom tooth extraction but the pericornitis is still there the gum where the tooth used to be is still red and swollen and it still has little white puss pockets around there and it is still very painful and tender. should i give it another week for the infection to clear up on it's own or do you think I may need to get stronger antibiotics or maybe get antibiotics through an IV directly in the area or do you think i shoulg go to a periodontis an get the gum in that area cut off???
Asked On : Wed, 1 May 2013
Answers:  7 Views:  317
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Dentist 's  Response
Thanks for writing,

Puss pockets state that the infection has not subsided even after a antibiotic course. As you did not mention which antibiotics are you taking, i cannot determine its effectiveness. I recommend you to visit your dentist once in case he wants to increase the dose or days. Also tell him about the pain so that he also prescribes an anti inflammatory analgesic.

Meanwhile you can rinse your mouth with warm saline, which will give you symptomatic relief. Also use a antiseptic mouth wash 2-3 times a day. Don't let food accumulate in that area and flush your mouth after every meal. Do visit a periodontist in case the newer dose of antibiotics do not solve the issue.

Stay healthy,
Thank you, Dr. Tarush Thakur.

Answered: Thu, 2 May 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

According to your clinical history i will suggest you to visit the Dentist and get the thorough checkup done take an x-ray of the region to look if there is any left over tooth particle if present it can be removed surgically.
This area is often difficult to clean, if the inflammation caused is due to food lodgement and if it is irritating you it can be surgically removed.
I would suggest you to maintain a good oral hygiene, use lukewarm saline and antiseptic mouthwash rinses.

Hope this helps out.

Answered: Thu, 2 May 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
the type of history you are presenting here directly indicate to your wisdom tooth infection known as pericoronitis.
In this situation pain may refer to ear, neck & head.
immediately start up with warm saline rinses & betadine rinses, along with antibiotic course including amoxycilline 500mg TDS & ibuprofen 400 mg TDS.
Than visit to your dentist for check iopa x-ray
Hope this helps you.
Wishing you good health...
Answered: Thu, 2 May 2013
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Dentist Dr. Farah Hussain's  Response
Hello there ,

Thanks for writing your query,

According to your clinical history i suspect you have developed an abscess in the extraction area may be due to accumulation of irriatnts in the socket.

Extraction of wisdom tooth often ends with complications like pain and infection post extraction .

usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection .

After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing.

i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain.

follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse.

i hope this helps ,

take care.
Answered: Wed, 8 May 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for posting your query.
The inflamed gums at the site of extraction may be due to the-
the socket has not cleaned and curetted after tooth extraction.
Please do visit your dentist and get a thorough evaluation done.
I would suggest you to get your socket curetted.
suturing HAS to be done perfectly.
Gargle frequently using warm saline or betadine.
Avoid too much intake of spicy foods.
The flap overlying has to be incised and removed.
Take care.
Answered: Thu, 2 May 2013
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Dentist Dr. Khushboo Bhatia's  Response
Swelling is a common problem after the extraction of wisdom tooth. Rather the painful swelling is a good sign and is indicator of normal progress of healing process of wound.Normally it takes 7 days for swelling to subside and if this does not happen within this expected time then one should call up the dentist to checkup. In cases where swelling once goes away and then sets in again, this can be due to infection in the wound.
Answered: Thu, 2 May 2013
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Dentist Dr. Shefali Gupta's  Response
Thanks for asking query,
Swelling and pain for 3to 4 days after wisdom tooth extraction is normal problem you should take good antibiotic and analgesic for atleat 5 days , gargle with warm saline water and maintain good oral hygiene and prevent food lodgment.
if the problem persist then you should consult the dentist and get it properly checked.
Answered: Thu, 2 May 2013
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