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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infection In The Gums Next To Wisdom Tooth

Hi, I went to the dentist a few weeks ago with an infection in the gum near my wisdom tooth. The dentist said it was hard to tell whether the wisdom tooth would have room to come up and therefore I might have to get it removed.
My top wisdom tooth seems to be biting down on my lower gum near the new wisdom tooth and the gum is a little swollen and has a white ulcer on it. Is this a sign of infection? The last infection had blood and pus however this one doesn't.
It is quite sore to chew and open my mouth fully. I don't have the funds to visit my dentist right now..What can I do until I can go and visit my dentist?
Mon, 7 Jul 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query, I have gone through your query.
The pain, swelling and limited mouth opening could be because of the gum infection over the wisdom tooth (pericoronal infection leading to space infection.
Consult a oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed.
If the space is not available then you have to get the wisdom tooth removed.
you can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days.
Do saline gargling. i hope my answer will help you, take care.
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1 Doctor agrees with this answer

Dentist, Oral and Maxillofacial Surgery Dr. Sowbhagya's  Response
Hello thanks for consulting at hcm..
Gum infection near wisdom tooth is called pericoronitis...You will need iopa radiograph to check for type of impaction whether enough space is there for the tooth to erupt..
The white ulcer on the gums is traumatic ulcer since the upper teeth is biting on the gums resulting in micro trauma..It might also be secondarily infected with bacteria in mouth and hence sore to chew and unable to open your mouth..

I suggest you take a course of antibiotics and analgesics like augmentin- 625 mg -twice daily, divon plus twice daily,, if you are not allergic to it and also under the guidance of your treating physician..
Do salt water gargle thrice dialy.. Drink warm water..
Also blow air with your mouth closed as frequently as possible..so that the teeth doesnt touch your gums and cause repeated pain,,,

HOpe it helps..take care...
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for your query.
If the area is infected, you'll be given oral antibiotics.
Your dentist will give you instructions for keeping the area clean, which is the best way to prevent the problem from returning. This usually involves brushing and flossing daily and rinsing your mouth with water several times a day. This will help prevent food particles from accumulating in the area.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Treatment For Infection In The Gums Next To Wisdom Tooth

Thanks for your query, I have gone through your query. The pain, swelling and limited mouth opening could be because of the gum infection over the wisdom tooth (pericoronal infection leading to space infection. Consult a oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. you can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days. Do saline gargling. i hope my answer will help you, take care.