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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Greyish Swelling With Itching On The Site Of Wisdom Tooth, Tingling On The Lips. Is The Infection Severe?

Hi, I have been having a wisdom tooth growing in on the bottom left side of my mouth. It has been causing some issues for the past few weeks and recently saw what looks like an infection. A large area that looks grayish with swelling and bumps. I have also noticed some itching and tingling along the left side of my upper and lower lips . It reached it s worst last night where I stayed up all night in agony. Now the pain has subsided for the most part but it looks awful and is now causing slight numbness in my left upper and lower lip and where the infection is. Should I be concerned about this? I don t have insurance and would like to avoid going to the doctor unless it is neccessary. Thank you for your help. :)
Fri, 12 Oct 2012
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Dentist, Orthodontics 's  Response
hi
the pain in the erupting lower molar tooth can be agonizing till its fully erupt.
the issue with your upper left lip is due to biting which happened due to partial numbness due to erupting molar.
all these symptoms are totally reversible but i would still advise you to see your dentist to rule out any
developing problem due to molar tooth.
like see if its erupting upright ,if not then plan its extraction with your dentist.
take care
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for your questions.
Yes you should be concerned with this issue. What you have is an active infection that needs to be addressed before it causes more damaging effects on your body. The infection sounds like it has applied pressure onto your Inferior alveolar neve which is the big nerve that runs through your jaw bone and gives you feeling in your lower teeth and lower lip to the midline.

Your best bet is to get the tooth extracted. If you can't afford it, start saving money aside for the procedure, also look into going to a dental school on a sick call basis, they tend to have great cheap prices, or find a Red Cross or dental free clinic. You can web browse search free clinics in your area and inquire what they need from you in order to qualify.

Best wishes and health.

Dr. Ward
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I went through your history & it suggests that you are suffering from Pericoronitis i.e. inflammation of pericoronal tissue before eruption of third molar.Along with that you are experiencing some pressure on inferior alveolar nerve of same side. Pericoronitis occurs due to food lodgement & bacterial accumulation in that area.Its Symptoms are:-
-pain
-swelling
-difficulty in mouth opening
-fever
-malaise
-regional lymphadenopathy
Get an IOPAR done & consult your dentist.If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise if sufficient space is not available then go for extraction.
For temporarily relief do warm saline rinses 3-4 times a day.
Start with Tab Amclaid-625 twice a day along with Tab Zerodol -SP thrice a day for 5 days.In Case of gastric problem take rabeprazole-40mg once daily.
Do betadine gargles twice a day.

Take Care

Regards
Dr.Neha
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Greyish Swelling With Itching On The Site Of Wisdom Tooth, Tingling On The Lips. Is The Infection Severe?

hi the pain in the erupting lower molar tooth can be agonizing till its fully erupt. the issue with your upper left lip is due to biting which happened due to partial numbness due to erupting molar. all these symptoms are totally reversible but i would still advise you to see your dentist to rule out any developing problem due to molar tooth. like see if its erupting upright ,if not then plan its extraction with your dentist. take care