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Dr. Andrew Rynne

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Wisdom Tooth Pain, Taken Cocodamol Tablets. Help

i have a wisdom tooth pain when i feel with my tounge i can feel the flappy part but i can also feel a hard lump like cut that is very sensitive above the flappy part! i have looked in mouth with a light and it looks and feels as if the wisdom tooth is also cutting the side ov my inside cheek!! please help am in loads of pain i have take 2 co codamol tablets so far and no change
Mon, 22 Oct 2012
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Dentist 's  Response
Hello,
I am Dr. Mukesh Asrani and I would like to help you regarding your query. Pain in your wisdom tooth with the feeling of lump like cut and cutting of the side of your inside cheek are suggestive of Pericoronitis and cheek biting.
These are the most common problems associated with wisdom teeth. They occur as a result of improper alingment of wisdom tooth. The best treatment for this condition is removal of the wisdom tooth. However, other treatments like surgical removal of the flap and selective grinding of the cusps of the wisdom tooth are available.
I would advice you to visit your Dentist, get X - ray done and go for removal of your wisdom tooth for permanent cure.
Thank you and take care

Regards,

Dr. Mukesh Asrani
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1 Doctor agrees with this answer

Dentist Dr. Sapna Purwaha's  Response
hello
i read your problem .it seem your wisdom tooth
is erupting in a wrong direction and is infected
which is called pericoronitis.in this the gums at the
periphery of wisdom tooth gets swelled up due
to infection.i agree it damn painfull.
you need to take antibiotic like norflox or amox
along with analgesic to get releif.
wisdom tooth is an extra tooth in our mouth
since it causing you so much pain i would advice
you to get it extracted and get permanent relief from
pain.
regards
dr.sapna
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome,
these are the symptoms associated with pericoronitis.this is an inflammatory lesion occurring around the impacted or partially erupted tooth.incomplete eruption of tooth provides a large stagnation area for food debris under the gingival flap.difficulty in chewing,and in opening mouth,fever,malaise and regional lymphadenopathy are the symptoms associated.
visit your dentist and examine the area clinically and radiologically.
we can decide the treatment according to x-ray .if there is adequate space for the erumption of impacted tooth,the flap over the tooth can be incised and removed.this procedure is known as operculectomy.
if the impacted tooth is horizontally placed or if there is not enough space for the eruption of tooth,then it has to be surgically removed.
entrapped food debris must be removed.administration of antibiotics prescribed by your dentist helps to relieve the symptoms and prevent the spread of infection to the adjacent tissue spaces.
hope you get well soon.take care.
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Dentist, Prosthodontics Dr. Shivangi Gajwani Jain's  Response
Hi,
Thanks for posting your query.

After reading your symptoms, i feel that you have developed an infection due to food lodgement between the gum flap and the partially erupted wisdom tooth.

I would strongly suggest you to visit your dentist/an oral surgeon for extraction of the tooth. You also need to have an antibiotic course along with a pain killer to subside your symptoms before the extraction. Meanwhile do warm saline gargles 3-4 times/day to remove the stuck food and reduce swelling and pain.

Hope this solves your question.
Regards
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for your question.
It sounds like you have an active infection called pericoronitis. You need to have your wisdom teeth inspected by a dentist and most likely extracted at this time. The risk of keeping them in is that this infection could lead to a more severe one rapidly.

Best Wishes and Good Health

Dr. Ward
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Dentist Dr. Udaykumar Bondre's  Response
Hello & welcome,

If you are having pain in erupting wisdom tooth or third molar, this is usually normal finding among most of the individuals and this condition resolves on its own.

But as you said, your wisdom tooth seems cutting the cheek or buccal mucosa ,then clinical intervention becomes necessary.

This is seen if wisdom tooth is not in proper alignment as rest of the teeth in oral cavity. Condition is further worsened if the cusps of partially erupted third molars are sharp and have contacts with the buccal mucosa.

Such teeth carry more chances of getting infected by allowing food debris to accumulate in the overlying flap. This may even lead to development of trismus following infection.

Always maintain good oral hygiene by means of proper brushing techniques which is absolutely essential to prevent development of infection.

Visit your dentist, get an x-ray done for the same tooth. If there is not enough space in the oral cavity to accommodate the third molar, or if third molar has become decayed or is aligned in extremely inclined position in the lower arch, then you can opt to get the tooth extracted surgically.

Removing the third molar if it becomes necessary will definitely solve the issue. But this will be decided on the radio-graphical findings & your dentist's precision.

Take care.
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Dentist Dr. Neha Sumra's  Response
Eruption of wisdom teeth causes problem in most of cases. What all u need 2 do is take Tab Zerodol-SP twice a day along with Novaclox LB twice a day & Metrogyl-400 twice a day.Along with dat do warm saline rinses thrice a day.It might need surgical removal of flap or teeth if problem persist.
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Wisdom Tooth Pain, Taken Cocodamol Tablets. Help

Hello, I am Dr. Mukesh Asrani and I would like to help you regarding your query. Pain in your wisdom tooth with the feeling of lump like cut and cutting of the side of your inside cheek are suggestive of Pericoronitis and cheek biting. These are the most common problems associated with wisdom teeth. They occur as a result of improper alingment of wisdom tooth. The best treatment for this condition is removal of the wisdom tooth. However, other treatments like surgical removal of the flap and selective grinding of the cusps of the wisdom tooth are available. I would advice you to visit your Dentist, get X - ray done and go for removal of your wisdom tooth for permanent cure. Thank you and take care Regards, Dr. Mukesh Asrani