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Why is pus coming out of gum after using hot salt water ?

I think my wisdom tooth is coming in and earlier today it was very swollen and just now I rinsed with hot salt water and i looked at it and picked up the flap gum with qtip and pus started coming out so what do I do now?
Asked On : Tue, 4 Jan 2011
Answers:  7 Views:  164
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Dentist, Prosthodontics 's  Response
Ideally a wisdom tooth if not coming out completely or creating difficlty in cleaning due to improper positioning requires extraction by an oral surgeon. Sometimes food gets deposited in between the flap over the errupting wisdom tooth and the tooth itself and it is almost impossible to clean it out resulting pus formation due to infe4ction. As there is presence of pus in that area you need to do warm saline gargles 3-4 times/day along with a good chlorhexidine mouthwash. You may require antibiotics and an anti inflamatory drug to reduce the swelling and remove the infection. These are temporary measures, i would strongly recommend you to visit your dentist for further treatment ie: extraction or operculectomy (cutting of the flap) for better oral hygiene.
Answered: Fri, 10 Aug 2012
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Dentist, Periodontics Dr. Palvi 's  Response
thanks for the query...
the condition you described is called pericoronitis...
you visit your dentist and got the area irrigated and cleaned... he will clean the area between your tooth and overlying gum... this space usually has tendency to harbor food debris... he will also make the area out of occlusion by slightly grinding the tooth in opposite arch, if required...
also go for proper course of antibiotics and analgesic drugs... do warm saline rinse 6-7 times per day...
after symptoms subside, go for radiographic analysis... if sufficient space seems to be available for the tooth to erupt, then allow it do so by excising or removing the gum part called operculectomy...
if space doesn't seems to be available, then go for its extraction without any doubt...
take care...
Answered: Sat, 3 Aug 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

According to your clinical symptoms i suppose that you are having Pericoronitis with your wisdom tooth, pus discharge is due to improper irrigation of the area, you need a antibiotics coverage like metronidazole, amoxicillin to reduce the swelling and infection.
Get a checkup done by a Oral Surgeon, take an OPG radiograph.
Depending upon the condition extraction of the wisdom tooth or operculectomy has to be performed.

Hope this helps out,

Answered: Sat, 3 Aug 2013
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Dentist Dr. Varun Mishra's  Response
hello and welcome to hcm,
as there is wisdom tooth insidethe muscle flap, so do not try to irritate the area. do not rinse it with hot salt water, but rinse it with warm salt water and betadine gargles are also very effective.
take appointment and get the surgical extraction done asap.
pus is due to regular irritation in the area as it gets hurt a lot, hence the condition appears.

Answered: Sun, 12 Aug 2012
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Dentist Dr. Bindiya Bhaskar's  Response

Thanks for writing to us.

Swelling as well as pus discharge is common while erupting wisdom tooth.

I would advice you to get a thorough clinical as well as x-ray evaluation done.

Take amoxycillin as well as metronidazole tablets along with analgesics to relieve underlying infection.

Depending on the position of tooth,it has to be either extracted or flap overlying tooth has to be removed to enhance tooth eruption.

Hope this helps.
Answered: Fri, 2 Aug 2013
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Dentist Dr. Juhi Soni's  Response
As your wisdom tooth is erupting, food accumulation occurs in the gum.
Improper oral hygiene leads to inflammation of the gum resulting in pain and swelling.
Consult your dentist for irrigation with betadine around the wisdom tooth.
Take Amoxicillin and maintain good oral hygiene.
Take Care
Answered: Sat, 3 Aug 2013
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Dentist Dr. Nikhil Dutt's  Response
You need to rinse with warm saline water 3-4 times daily; maintain a very good oral hygiene.Pericoronitis(Infection around the third molar) is most commonly caused due to poor oral hygiene around the wisdon tooth.
If the problem doesnt subside you need to take a course of antibiotics, antiinflammatory and muscle relaxants according to your symptoms and age which can be prescribed by your dentist.
Answered: Tue, 4 Jan 2011
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1 Doctor agrees with this answer

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