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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Throbbing And Shooting Pain At The Back Of Lower Gum?

Hi Im having throbbing, shooting pain from the back side of the lower right side gum line to the middle of my jaw. It feels like a cavity because i can't chew on that side without causing pain. i had an X-ray done because it was so bad but nothing showed up. the dentist gave me a mouthwash to use with a syringe and it helped for awhile but the pain is back and seems worse. I haven't had a cavity since i was a child and my family has a good line of healthy teeth. I don't know what to do now. can you advise?
Mon, 23 Jan 2017
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Dentist 's  Response
Hi.
Thanks for the query..

I have gone through your query and can understand your concerns..

As per your complain it seems that pain in lower right back gum radiating to the middle of jaw might be because of inflamed gum flap around wisdom tooth also known as PERICORONITIS..
Other cause can be fractured crown or Root portion of tooth that can occasionally be missed in an x Ray..
The treatment of irrigation with mouthwash indicates that might be PERICORONITIS is the cause..
I would however suggest you to consult an Oral Surgeon and get evaluated and he can advise a full mouth x Ray and evaluation of teeth, jaw aa well as the jaw joint will be done to rule out the probable cause of pain and treatment can be done accordingly.
As of now you can take higher painkiller like TRAMADOL or Ketorolac as it is suitable to relieve severe pain..
Avoid chewing from painful side..
Take a soft diet..


Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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What Causes Throbbing And Shooting Pain At The Back Of Lower Gum?

Hi. Thanks for the query.. I have gone through your query and can understand your concerns.. As per your complain it seems that pain in lower right back gum radiating to the middle of jaw might be because of inflamed gum flap around wisdom tooth also known as PERICORONITIS.. Other cause can be fractured crown or Root portion of tooth that can occasionally be missed in an x Ray.. The treatment of irrigation with mouthwash indicates that might be PERICORONITIS is the cause.. I would however suggest you to consult an Oral Surgeon and get evaluated and he can advise a full mouth x Ray and evaluation of teeth, jaw aa well as the jaw joint will be done to rule out the probable cause of pain and treatment can be done accordingly. As of now you can take higher painkiller like TRAMADOL or Ketorolac as it is suitable to relieve severe pain.. Avoid chewing from painful side.. Take a soft diet.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.