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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Tooth Coming In Lower Jaw With Still Covering The Back End. Blled During Brush And Food Get Stuck. What To Do?

Hi, my apologies this is maybe more for a dentist but this opportunity has arisen, thanks to people like you. I have a wisdom tooth coming through on my bottom left jaw, its been coming through for over a year, recently more of the tooth has come through and a piece of my back gum is still covering the back end of the tooth, the cheek that is slightly encroaching it is a little painful along with the gum, when i brush my teeth-specifically this one, it does bleed but there is a fair amount of gum movement. I am concerned a piece of food may get stuck under the gum and cause me problems, my latest dentist appointment date was only 5 weeks ago and he did a full scan and didn't mention there not being enough room etc so i assume this should all be normal and fine, it is also causing pain from time to time when i move my jaw a certain way or open it wider than normal. Any advice would be greatly appreciated, thanks Vanessa
Sat, 6 Jul 2013
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Psychiatrist 's  Response
Hi Vanessa.
An erupting wisdom tooth is certainly very painful. In your case, please avoid causing injury to the already sore gum by repeated brushing. Instead, i would suggest you use some antiseptic mouth wash to ensure the oral hygiene is maintained adequately. Also try and avoid chewing food on the affected side.
In case the pain is significant, you may take anti-inflammatory medications (pain killers) under medical supervision. If there is already an infection, you might need antibiotics.
Please visit your dentist for a comprehensive management.

Hope this helps.
Dr. A. Rao
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Dentist, Periodontics Dr. Palvi 's  Response
hi
the piece of gum you are talking about is called operculum... food and debris accumulation below it causes pain... you should go to the dentist and should got the area irrigated by normal saline and antiseptic... and he will prescribe you medication (antibiotics and anti inflammatory) also... and will grind any sharp area of tooth irritating your gum...
after your symptoms subside, he will take X-ray to see the space available for tooth to errupt...
If sufficient space is available, small procedure called operculectomy i.e. removal of the operculum, will be proceeded and tooth will errupt by itself...
if suufficient space is not available, you should go for the extraction of tooth...
take care...
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

Wisdom tooth erupts successfully,if there is adequate space in the arch.It is seen that, in maximum cases they do not erupt completely and always cause problems like recurrent infection there.

Normal brushing is not enough to clean, this area leading to pocket formation and pus.

Antibiotics and analgesics give temporary relief,but for permanent relief it is better to get this tooth extracted.

choice is yours,hope i have provided you complete information regarding wisdom teeth eruption.

Meanwhile do warm saline rinses ,possibly after each meal.

Thanks.

Take care.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to us.

Your wisdom tooth is erupting,but the gingival flap still overlies tooth.

Please do visit a dentist and get a thorough clinical as well as x-ray evaluation done.

If there is sufficient space for tooth eruption,flap has to be incised and removed.

Meanwhile,gargle using lukewarm saline.

Irrigate the area with betadine solution.

Take care.
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Dentist Dr. Juhi Soni's  Response
Hi
Hi,
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
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Dentist Dr. Juhi Soni's  Response
Hi,
As your wisdom tooth is partially erupted, 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
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Wisdom Tooth Coming In Lower Jaw With Still Covering The Back End. Blled During Brush And Food Get Stuck. What To Do?

Hi Vanessa. An erupting wisdom tooth is certainly very painful. In your case, please avoid causing injury to the already sore gum by repeated brushing. Instead, i would suggest you use some antiseptic mouth wash to ensure the oral hygiene is maintained adequately. Also try and avoid chewing food on the affected side. In case the pain is significant, you may take anti-inflammatory medications (pain killers) under medical supervision. If there is already an infection, you might need antibiotics. Please visit your dentist for a comprehensive management. Hope this helps. Dr. A. Rao