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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, Swelling In Gums. Used Salt Water. What Is Going On?

I have an almost grown wisdom tooth and now my gums are swelled and painful. I am using water and salt to ease the pain, but it comes back. I cant open my mouth fully, it hurts. Its the second day and I am having problems to swallow. Also, its hard to clean the tooth since its way back in my mouth. 6 years ago I had a wisdom tooth who grew under my last tooth which was taken out.
Fri, 10 May 2013
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Dentist 's  Response
Hi there,

Thanks for writing your query,

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 and cheek bite.

wisdom teeth are often tilted in position and impacted in the bone , gums overlying the tooth usually undergoes inflammation,shows pain and swelling known as pericoronitis .

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 may need to get an OPG radiograph done for you which will show the exact position of the tooth, consult a dentist and get the tooth extracted surgically.

continue with the course of antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days .


i hope this helps ,

take care.
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Dentist Dr. Bindiya Bhaskar's  Response
HI Maryone,
The pain,difficulty in opening mouth and swallowing are due to pericoronitis associated with erupting tooth.
A clinical as well as x-ray evaluation of the tooth will help to decide the treatment required for the tooth.
If there is sufficient space for tooth eruption,flap overlying tooth has to be removed.
If normal eruption is not possible,get it removed.
Take complete course of antibiotics too.
Continue with warm saline and betadine rinse.
Maintain oral hygiene well.
Rinse your mouth after every meals.
Hope this helps.
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Dentist Dr. Shefali Gupta's  Response
Hi,
Thanks for asking query,
According to your explanation it seems that you are having pericoronitis in relation to your errupting wisdom tooth . It occur due to food retention around the tooth .Wisdom tooth erruption is also a painful condition and associated with pain , fever , swelling , difficulty in mouth opening.
I suggest you to maintain oral hygiene , prevent food retention in that area, gargle with warm saline water 3 to 4times a day, take proper broad spectrum antibiotic and steroidal analgesic ,use antiseptic mouth wash.
Visit your dentist and get it checked clinically and radio graphically to know the exact position of erupting wisdom tooth.
Hope this will help you.
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1 Doctor agrees with this answer

Dentist Dr. Shubhajit Chakraborty's  Response
wisdow tooth which doest come properly to the oral cavity we call that tooth is impacted .impacted wisdom tooth can really cause the serious painfull condition ,not only that some time it causes swelling as well as space infection.warm saline water gargle will help u for while,but i think u need to antibiotic as um suspecting the presence of infection rld to ur wisdom tooth.tak sporidex af 750 mg twice daily ,with met 400 mg for thrice daily for 5 days with zerodol-p to reduce your pain,
apply topically metrogyl dg of over the affected area after mouth wash.i think within a week ur condition will come to normal.thn visit a dentist tak an iopar to see the position of the tooth if it is impacted th go for surgical extraction.all d best
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Wisdom tooth is the last tooth to errupt in the oral cavity and often tilted, malaligned and impacted in the jaw bone, this area is difficult to clean and often invites bacterial infection leading to inflammation and swelling of the overlying gums known as Pericoronitis.
I would suggest you to visit Oral Surgeon, take an OPG radiograph and plan for the extarction of the tooth.
Take a course of antibiotics and analgesics.
Take lukewarm saline and antiseptic mouthwash rinses.
Maintain a good oral hygiene.

Hope this helps out.

Regards......
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Wisdom Tooth, Swelling In Gums. Used Salt Water. What Is Going On?

Hi there, Thanks for writing your query, 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 and cheek bite. wisdom teeth are often tilted in position and impacted in the bone , gums overlying the tooth usually undergoes inflammation,shows pain and swelling known as pericoronitis . 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 may need to get an OPG radiograph done for you which will show the exact position of the tooth, consult a dentist and get the tooth extracted surgically. continue with the course of antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days . i hope this helps , take care.