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Severe pain in the wisdom tooth. Pus formation. What to do?

Hi im kat working here in ryadh. I haved a sever pain in my wisdom tooth for almost 2 weeks. Ive already take antibiotics like amoxicily, augmentin and pain killer to, mefenamic acid and ibufropen. Last month ive already haved my surgery the dentist removed my wisdom tooth on my right part. And now the left part was so pain and today i haved seen the pus liking when i put cotton and press it. Wht m i going to do. I cnt work even eat and sleep and it makes me feel so sick.. Please help me..thnks
Asked On : Tue, 23 Apr 2013
Answers:  7 Views:  98
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Dentist 's  Response
Your problem seems to be Pericoronitis. This is an inflammation around gums around the wisdom tooth. You should get the wisdom tooth removed surgically by your dentist after taking an OPG x ray. Now you can take warm saline gargle 3-4 times a day. Take antibiotics and analgesics as prescribed by your dentist.

Answered: Tue, 23 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Hello ,
Thanks for posting your query.
The flap overlying wisdom tooth in left part has inflamed resulting in abscess formation.
I would suggest you visit a dentist soon.
If there is adequate space for tooth eruption,flap overlying tooth has to be removed.
If there is no space for tooth eruption,get the tooth removed.
Maintain oral hygiene well.
Warm saline and betadine rinse may help out.
Take complete course of antibiotics too.
Hope this helps.
Answered: Thu, 25 Apr 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

As you have already got a wisdom tooth extracted on one side. you can very well understand that it cannot be treated by medication alone.

It requires surgical intervention due to inadequate space in the jaw.

simultaneous eruption of 3rd molars on either side is always seen.thus it is suggested to get extracted at the same time,if the patients health favors.

Now coming to present pain and infection, you have already taken so many antibiotics i would suggest you to make a visit to dentist and get it extracted soon.

meanwhile, you can get some normal saline and get the area rinsed with the help of bent needle and normal saline there,if you can do it, its fine or else you can seek someones help in this.

Also do warm saline rinses frequently.

pain killers can be continued every six hourly till you visit your dentist.

Also take serratiopeptidase along with the medication you are already taking.

maintain very good oral hygiene for lesser pain and not let any food debris get accumulated there.

Remove it with brush and then do warm saline rinse for faster relief.

Hope it helps.


Take care.
Answered: Fri, 26 Apr 2013
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Dentist Dr. Shefali Gupta's  Response
it seems that you must be having pericoronitis and if the pain and sweeling in your tooth is recurrent you have to get it extracted for the mean while you take antibiotic (tab amoxycillin,taboflox-orinidazole , analgesic(tab ketrolac dt 10 mg) as prescribed by your doctor and start doing gargle with warm saline water....3to4 times a day
Answered: Fri, 26 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for posting the query,

Wisdom tooth is the last tooth to errupt in the oral cavity and is often tilted, maaligned and impacted in the jaw bone.
This area is difficult to clean and often invites food accumulation leading to bacterial growth which causes inflammation of the overlying gums known as PERICORONITIS.

Best treatment for pericoronitis is extraction of the wisdom tooth.
I would suggest you to visit the Dentist and get the checkup done, take an OPG x-ray.
Take complete course of analgesic and antibiotics.

At home maintain a good oral hygiene, use lukewarm saline gargles, antiseptic mouthwash gargles twice daily.

Hope this helps out.

Answered: Tue, 23 Apr 2013
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,

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.

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.

i hoe this helps,

take care.

Answered: Thu, 25 Apr 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: Wed, 24 Apr 2013
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