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Wisdom tooth
Paining like hell as my wisdom tooth is already emerged but the skin has swollen and is causing a pain. Everyone says to remove the wisdom tooth which I don't want to. Request you to please suggest on this ?
Answers (8)
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Its always not necessary to get your tooth removed. Few more details are needed,if you want to save your tooth. Contact me through online consultation.
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Your wisdom tooth is erupted but the gum flap over it has failed to recede down. Because of this gum flap present, food debris and plaque tend to get entrapped between this gum flap called operculum and the tooth crown. Even with best brushing habits and gargling, debris and plaque are not removed as they are protected by the operculum. Long term accumulation results in booming of anaerobic bacteria causing swelling, pain and may be pus discharge. Also, the presence of upper wisdom molar worsens the condition by pressing on this operculum while biting.
Treatment:
The tooth should be examined clinically and an X-ray should also be taken. Many a times the tooth is covered with a thick gum flap and mucosa from the cheek. In such situations, surgical removal of operculum may not help and add to the problems, in such cases it is better to extract the tooth once the symptoms subside. But if your wisdom molar is completely erupted and has movable operculum on it, the operculum can be excised with a blade, electrocautery or a dental laser, very easily. The dental specialist who is best at solving this problem of yours is called Periodontist. Look for a periodontist around or ask your dentist to have your consultation with a Periodontist.
This is my article on wisdom teeth. U can use the link to read it.
https://www.google.co.in/amp/s/www.practo.com/healthfeed/amp/wisdom-teeth-unfolding-facts-and-myths-31239/post
Next Steps
Treatment of acute symptoms-
1) See a dentist
2) the dentist after clinical examination and X-ray, will give u slight Local anaesthesia to numb that tissue.
3) the dentist will clean out any debris n plaque underneath the operculum.
4) irrigation with saline and betadine
If u have pus discharge and lymph node swelling, then antibiotics may be required
Mouthwash for home use and an analgesic and anti inflammatory.
After symptoms subside, further treatment can be done.
Health Tips
U can do warm salt water gargles for some relief.
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Pain is due to inflammed pericoronal flap (skin covering the wisdom tooth). Visit your nearby dentist and take appropriate antibiotics.
Once the infection subsides the pericoronal flap can be removed around the crown portion of tooth .
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Hello sir, the permanent solution for your condition is removal of the wisdom tooth. You can opt for medicines for the pain but this is only a temporary solution since this is a recurring condition and I would advise you to visit your dentist for a better understanding of your condition.
Next Steps
visit your dentist for better understanding of your condition
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It's a part of human evolution. because of which there is not much space so it's difficult for it to come out.
Due to which you get the infection. In gums and it gets swollen.all these things combined together gives you pain.
It's better to get it removed if it's advised.
Thanks and regards
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Dr. Babita Sangwan
Dental Surgeon
22 yrs exp
Gurgaon
Good morning sir
If you lot of pain I tooth then you should go for removal of tooth as it is not required in eating purposes and it does not cause any pain in removal and all will be controlled by medication
You can also practo consult us
Also
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Dr. Priya Verma
Dentist
26 yrs exp
Bangalore
Take dolo 650 for the pain. Do hot water gargles with salt. Consult a dentist and get an X-ray done. If tooth is impacted then opt for removal
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Dr. Vinay Sirigere
Dentist
22 yrs exp
Bangalore
Please get proper evaluation done from a clinician . An x Ray OPG will be helpful in diagnosing whether the tooth is erupting in right position and with right inclination, if tooth is impacted due to not enough space to erupt then it will be locked within the bone and may end up as partially erupted and even may angulated mesially and usually in contact with distal surface of the second molar. In few cases tooth may end as completely impacted within the bone which may need to be extracted . The partially impacted tooth covered by pericoronal flap is more prone for inflammation and swelling (pericoronitis) due to trauma caused by opposing tooth while mastication . It’s very painful with mild extra oral face swelling on affected area side and even may experience intro oral pus discharge due to infection in the affected area which is due to pericoronitis .
Most of the cases clinicians suggest extraction but saving wisdom tooth and delivering all best efforts to retain the wisdom is best for prior future .
In your case I suggest surgical removal of inflamed pericoronal flap and observation till wound heals . Later you can go for further options as per your clinician .
Thank you .
Dr Vinay Sirigere
Apple Dental
Vijayanagar
Bangalore
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.