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Swollen gum behind wisdom tooth. Painful. No relief from antibiotics. What could it be?

Hello, I have had a swallon gum around and mainly behind my wisdon tooth . My wisdon tooth is though and I have had an x ray and everything looks fine. It is very painful and have had the pain over over three weeks now. I have been given two different types of antibiotics and they are not doing anything. My dentist said my glands are also swallon. Can you give me an idea of what it could be?
Asked On : Thu, 28 Mar 2013
Answers:  5 Views:  108
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Dentist 's  Response
Hello and welcome to hcm,

The pain and swelling is due to the impacted wisdom tooth which is erupting.
The flap overlying tooth has inflammed causing pain.
An x-ray will help to rule out the condition of tooth.
The erupting tooth has to be either extracted or flap overlying tooth has to be removed to enhance tooth eruption.
Frequent warm saline gargle may relieve the infection.
Maintain good oral hygiene.
The pain will stop once the above mentioned treatments has done.
Hope this helps.
Answered: Fri, 29 Mar 2013
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Dentist Dr. Sonia Nayab's  Response
hi lisakenotturner
i would appreciate if you had mentioned your age too...well your sawollen gums are due to mild gingivitis for this i will prescribe you scaling and polishing with deep curettage around the affected wisdom tooth,maintain good oral hygiene,do salt water rinses,it may help but if the condition recurrs again and again then go for an extraction of wisdom tooth....
Answered: Thu, 28 Mar 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

pain and swollen gums are due to infection.if there is sufficient space in the jaw then the wisdom tooth will automatically erupt.

But if there is insufficient space then it will remain impacted and causes recurrent infection.
x ray is helpful in this case.

coming to swelling of lymph nodes that is also due to infection draining there.
once the infection is treated it will be normal.

A simple surgical procedure like operculectomy will help you in case of partial eruption and infection.

In dental treatment antibiotic does not play much role ,the causative factor has to be treated.

Hope it helps.

Answered: Thu, 28 Mar 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Wisdom tooth are often tilted in position and impacted in the jaw bone which leads to pain .

The area is often difficult to clean so it often invites bacterial infection leading to redness , inflammation and swelling of the overlying gums known as pericoronitis .

You get a checkup done by Oral Surgeon , take an OPG x-ray ,
Depending upon which treatment will be decided.
Antibiotic and analgesic will give temporary relief.
You either have to go for treatment of pericoronitis by raising flap and creating room for eruption of tooth , or extraction of the wisdom tooth, as this tooth does not have any significant role in mastication and occlussion .

Use lukewarm saline gargles 3-4 times a day.
Use antiseptic mouthwash gargles twice daily .
Avoid eating hot and spicy food , eat soft diet.
Maintain a good oral hygiene .

Hope this helps out.

Answered: Thu, 28 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello and welcome to HCM,

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 , bleeding and sometimes even fever.

wisdom teeth are often tilted in position and impacted in the bone , gums overlying the tooth is usually undergoes inflammation known as pericoronitis which may lead to swelling and bleeding 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 can have any analgesics to relieve the pain till you consult a dentist and get the tooth extracted surgically.

i hope this helps ,

take care.
Answered: Thu, 28 Mar 2013
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