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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Toothache

Hello
Recently I have been having issues with my wisdom tooth. I noticed it because I am having tooth ache in the tooth right in front of the wisdom tooth. The wisdom tooth hasn't broken the surface, but I can feel it with my tongue and finger. Since realizing the tooth ache, I have gotten a sore throat, painful lump in the neck under where the wisdom tooth is, and my tonsils seem to be a little inflamed. Is it possible it's all due to an infected wisdom tooth?
Fri, 16 Dec 2016
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Dentist 's  Response
Hi..
Welcome to HCM..

As per your complain it seems that you have inflammation of the gum flap surrounding the wisdom tooth and the condition is known as Pericoronitis..

Pericoronitis occurs if food gets lodged between wisdom tooth and the gum flap covering the wisdom tooth...
And by food it does not mean that you see big food particles stuffed in there but it also means uncleaned area and bacterial growth below gum flap...

It leads to inflammation of the flap leading to pain swelling and as the area lies close to the throat there can be sore throat and swollen lymph nodes..

But pain in the tooth infront of the wisdom tooth can be infection or decay in second molar tooth..

The line of treatment is Antibiotics, Painkillers, Mouthwash but only this is not enough to you, you should go to dentist again and ask him to irrigate the area between gum flap and wisdom tooth with saline, betadine solution and hydrogen peroxide so that the area get disinfected and clean..

Other thing is do warm saline gargles,it will help you to reduce inflammation...

Carry on with the course of your antibiotics and pain killers, your pain and swelling must go in two three days..

Once you get relieved of ur discomfort visit the dentist again and get an IOPAR (X ray) done to find out whether wisdom tooth will erupt to proper occlusion or is impacted (means having an obstruction and wont erupt to occlusion).

If it is not impacted just get your gum flap removed known as OPERCULECTOMY and if impacted get your tooth extracted...
This will be your ultimate treatment and finish your problem forever..

If the second molar tooth is also decayed leading to pain you can get Root Canal treatment done to save the tooth and resolve infection..

Hope you recover soon..

Thanks and regards..
Dr.Honey Nandwani Arora
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Suggest Remedies For Toothache

Hi.. Welcome to HCM.. As per your complain it seems that you have inflammation of the gum flap surrounding the wisdom tooth and the condition is known as Pericoronitis.. Pericoronitis occurs if food gets lodged between wisdom tooth and the gum flap covering the wisdom tooth... And by food it does not mean that you see big food particles stuffed in there but it also means uncleaned area and bacterial growth below gum flap... It leads to inflammation of the flap leading to pain swelling and as the area lies close to the throat there can be sore throat and swollen lymph nodes.. But pain in the tooth infront of the wisdom tooth can be infection or decay in second molar tooth.. The line of treatment is Antibiotics, Painkillers, Mouthwash but only this is not enough to you, you should go to dentist again and ask him to irrigate the area between gum flap and wisdom tooth with saline, betadine solution and hydrogen peroxide so that the area get disinfected and clean.. Other thing is do warm saline gargles,it will help you to reduce inflammation... Carry on with the course of your antibiotics and pain killers, your pain and swelling must go in two three days.. Once you get relieved of ur discomfort visit the dentist again and get an IOPAR (X ray) done to find out whether wisdom tooth will erupt to proper occlusion or is impacted (means having an obstruction and wont erupt to occlusion). If it is not impacted just get your gum flap removed known as OPERCULECTOMY and if impacted get your tooth extracted... This will be your ultimate treatment and finish your problem forever.. If the second molar tooth is also decayed leading to pain you can get Root Canal treatment done to save the tooth and resolve infection.. Hope you recover soon.. Thanks and regards.. Dr.Honey Nandwani Arora