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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red Swollen Gums, Pain Swallowing, Cant Open Jaw

Red swollen guns around my wisdom teeth , pain when swallowing , jaw is hard to open and close. I have been using salt water for 3 days. It s very painful and It s gotten so bad that I can t sleep.
Mon, 6 May 2013
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Dentist 's  Response
hi , this condition is labelled as pericoronitis, this is mostly due to insufficient space in the jaw bone for the last erupted tooth. surgical extraction is needed if the tooth is impacted, and operculectomy is the process for removal of gums margins from the tooth to minimize the pain . take antibiotic, flagyl,and NSAID FOR 5 DAYS . and consult a maxilla-facial surgeon for its proper management. regards,
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Dentist Dr. Gunjan Gupta's  Response
hi,
as you said red swollen gums around your wisdom tooth,it is because of infection in that area........
there may be pericoronitis be present in that area........
because of all that you are having pain with swelling and not able to open the jaw.........
i want to let you know that wisdom teeth are vestigial organ, so you go for extraction........
so please go to an oral surgeon and follow the otstructions given and go for the proper treatment.......
nothing to get worried......
take care
Dr.Gunjan Gupta
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm forum,
Have you got your wisdom tooth erupted or is it still impacted?
If the gums are swollen around the erupted teeth,deep scaling and root planning has to be done.
If the swelling is at the region of impacted tooth,get the flap overlying tooth removed to fasten tooth eruption.This is done if there is adequate space for tooth eruption.
If tooth is positioned irregularly,it has to be extracted.
Take complete course of antibiotics and analgesics.
Warm saline and betadine gargle can be done.
Maintain good oral hygiene.
Hope this helps.
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3 Doctors agree with this answer

Dentist Dr. Sonia Nayab's  Response
hi there
thanks for asking your query

swelling and pain around wisdom tooth shows sign of infection
wisdom tooth eruption is often followed by pain,swelling and discomfort
get clinical and xray evaluation done
if it is malaligned and impacted then it should be extracted
meanwhile maintain good oral hygiene
rinse well after every meal
gargle with saline water
take analgesic and antibiotic cover
hope this will help
thanks
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3 Doctors agree with this answer

Dentist Dr. Shefali Gupta's  Response
Hi,
Thanks for asking query,
Your having pericoronitis which occur due food lodgment arround wisdom tooth , as aresult which gums get swollen and painful, you can also have fever and difficulty in mouth opening.
I suggest you to maintain good oral hygiene , take tab amoxclav 625 mg bd , tab dolomol tds , gargle with warm saline water 3 to 4 times a day.Consult your dentist he will do the x ray and check the exact position of tooth.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

I would like to tell you that wisdom tooth is the last tooth to errupt in the oral in the oral cavity which is usually malaligned and impacted in the jaw bone, the area is difficult to clean and causes bacterial accumulation leading to inflammation and swelling of the overlying gums known as PERICORONITIS.
I would suggest you to visit the Dentist and get thorough checkup done take an OPG radiograph.
The tooth can either be extracted or the pericoronal flap can be surgically removed to guide the erruption of the tooth in the oral cavity.
Take complete course of antibiotics and analgesics.
Take lukewarm saline rinses and antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards....
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 1 user finds this helpful

Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

I would like to tell you that wisdom tooth is the last tooth to errupt in the oral in the oral cavity which is usually malaligned and impacted in the jaw bone, the area is difficult to clean and causes bacterial accumulation leading to inflammation and swelling of the overlying gums known as PERICORONITIS.
I would suggest you to visit the Dentist and get thorough checkup done take an OPG radiograph.
The tooth can either be extracted or the pericoronal flap can be surgically removed to guide the erruption of the tooth in the oral cavity.
Take complete course of antibiotics and analgesics.
Take lukewarm saline rinses and antiseptic mouthwash gargles twice daily.

Hope this helps out.

Regards....
I find this answer helpful
Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

In most of the cases of wisdom teeth eruption these symptoms are seen.

I would advise you to get your erupting wisdom teeth evaluated by your dentist with the help of x ray.

so that you will know, how much space is available in the jaw for its eruption.

Based upon x ray findings ,you can decide and if required get the tooth extracted,as it gives recurrent infections.

Meanwhile you can talk to your dentist and start antibiotics and analgesics for immediate help.

Continue doing warm saline rinses.

Hope it helps.

Thanks .

Take care.
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1 Doctor agrees with this answer

Dentist Dr. Farah Hussain's  Response

Hello 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 known as pericoronitis .

The tilted position of the tooth leads to entrapment of the cheek mucosa in between the teeth during biting.

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.


i hope this helps ,

take care.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello and Welcome to HCM,
Thanks for writing to us.
you are suffering from pericoronitis.
the type of history you are presenting here directly indicate to your wisdom tooth infection known as pericoronitis.
In this situation pain may refer to ear, neck & head.
immediately start up with warm saline rinses & betadine rinses, along with antibiotic course including amoxycilline 500mg TDS & ibuprofen 400 mg TDS.
Than visit to your dentist for check iopa x-ray
Hope this helps you.
Wishing you good health...
Regards.
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,

Welcome to HCM,

it seems that you have got apical abscess in your infected wisdom teeth,

Go for antibiotic medicine and anti inflammatory medicines for 3-5 days.

If there is pus formation then get it removed.

Ok and bye.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It sounds typical of infection - at or around the tooth..
The ideal option is to consult a dentist - excellent improvement can be expected...
Antibiotic - one that can cover anaerobes - maybe necessary
In the mean time, Non Steroidal Anti Inflammatory Drugs like ibuprofen reduce pain & inflammation

Take care
Wishing speedy recovery
God bless
Good luck
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Red Swollen Gums, Pain Swallowing, Cant Open Jaw

hi , this condition is labelled as pericoronitis, this is mostly due to insufficient space in the jaw bone for the last erupted tooth. surgical extraction is needed if the tooth is impacted, and operculectomy is the process for removal of gums margins from the tooth to minimize the pain . take antibiotic, flagyl,and NSAID FOR 5 DAYS . and consult a maxilla-facial surgeon for its proper management. regards,