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Dental & Oral Disorders
Question #22722
189 days ago
398

What should i do the problem which i m facing

Abhishek

For the past 3 days, I have had severe pain on the right side near my wisdom tooth. My gum and cheek became swollen and I had difficulty opening my mouth, speaking and even drinking water. Initially, there was a yellowish area on the gum. The pain has reduced a little now and the yellow color is less, but the gum is still red and swollen and my mouth does not close properly. I can’t chew on that side. I want to know if this can heal at home or if it is necessary for me to visit a doctor/dentist.

Pain in widsom tooth
$7.5
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Doctors' responses

Hello Abhishek Thanks for describing your symptoms in detail. What you’re experiencing sounds like a pericoronitis—an infection and inflammation of the gum tissue around a partially erupted wisdom tooth. The yellowish area was likely pus, and the swelling, pain, and difficulty opening your mouth (trismus) are classic signs.

What This Means - Pericoronitis can sometimes improve with home care, but your symptoms—especially the swelling, difficulty opening your mouth, and initial pus—suggest a moderate to severe infection. - The fact that pain has reduced is a good sign, but persistent swelling and trouble closing your mouth mean the infection may not be fully resolved.

Home Care (for mild cases only) - Warm salt water rinses (several times a day) - Good oral hygiene (gentle brushing) - Soft diet, avoid chewing on the affected side - Over-the-counter pain relief (paracetamol/ibuprofen, if not contraindicated)

When to See a Dentist You should see a dentist as soon as possible if: - Swelling persists or worsens - Difficulty opening/closing your mouth continues - You have fever, spreading redness, or feel unwell - There is persistent pus or foul taste - Pain is severe or not improving

Why?
Untreated dental infections can spread to deeper tissues, sometimes becoming serious. Dentists can drain any remaining infection, clean the area, and prescribe antibiotics if needed. They’ll also check if the wisdom tooth needs to be removed.

Bottom Line Because you still have swelling, trouble closing your mouth, and had pus, it’s safest to visit a dentist soon. Home care alone may not be enough for your situation.

Rx- Amoxicillin 500mg - twice a day for 3 days Tab ketorol dt - twice a day for 3 days

Thank you and get well soon

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Your symptoms are most consistent with an infection around a partially erupted or impacted wisdom tooth (pericoronitis), possibly with a small pus collection that has partially drained (yellow area). The swelling, redness, pain, difficulty opening the mouth (trismus), and trouble chewing strongly suggest an active dental infection.

While the pain may reduce temporarily, this condition usually does not fully heal on its own at home. Without proper treatment, the infection can return or spread.

You should visit a dentist as soon as possible for examination.

Treatment may include professional cleaning of the area, antibiotics, pain relief medicines, and assessment of whether the wisdom tooth needs removal.

Home care (warm saltwater rinses, good oral hygiene, avoiding chewing on that side) can reduce symptoms but is not a cure.

Urgent dental care is needed if swelling increases, fever develops, mouth opening worsens, or swallowing becomes difficult.

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Hello

This is most likely a wisdom tooth infection (pericoronitis) or gum abscess.

Because you have swelling, difficulty opening the mouth, and problems chewing, it is better to see a dentist/oral surgeon.

It may not fully heal on its own.

Visit a dentist within 1–2 days you may need cleaning or treatment of the wisdom tooth

Do warm salt-water gargles 3–4 times daily

Maintain oral hygiene (gentle brushing, avoid poking the area)

Eat soft foods and avoid chewing on that side

🛑Pain relief: Ibuprofen 400 mg 3 times day after food Amoxclav 625 mg 1-0-1 for 5 days Chlorhexidine mouthwash 0.2% – gargle twice daily (do not eat/drink for 30 min)🛑

Home care can reduce symptoms, but persistent swelling and limited mouth opening mean professional treatment is needed.

I trust this helps dear Get well soon Thank you!

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Hello dear See as per history it seems pericoronitis due to inflammation around 3rd molar. Usually it is relived by combining medication along with operculectomy or excision of inflamed tissue. X ray or Iopa is must for to confirm if the tooth will go for operculectomy or extraction. Merely application of medication will provide temporary relief only. Iam suggesting some medication. Please take them for 5 days Tablet Amoxicillin 500 mg twice a day for 5 days Tablet Voveron xr 50 mg twice a day for for 3 days Warm salt water rinses 6 hourly a day for 5 days Dologel CT twice daily topical application for 5 days Please consult dental surgeon in person for better clarity Regards

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Your symptoms are most consistent with pericoronitis (infection/inflammation around a partially erupted wisdom tooth), especially given the swelling, difficulty opening the mouth (trismus), and prior yellow pus, and this usually does not fully heal on its own. While gentle warm salt-water rinses, good oral hygiene, and avoiding chewing on that side may reduce pain temporarily, the persistent swelling and limited mouth opening mean the infection can flare again or spread. Specialist consultation: you should see a dentist or oral & maxillofacial surgeon promptly—they may need to clean/drain the area, prescribe medication, and decide if the wisdom tooth should be treated or removed.

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Hello Abhishek, thank you for sharing your concern. You need to see a dentist to see what local pathology is occurring at your pain site. Till then start this treatment -

- Tab. Amoxy-clav thrice a day × 5 days. - Tab. Metrogyl-ER twice a day × 5 days. - Tab. Aceclofenac + Paracetamol + Trypsin + Chymotrypsin twice a day × 5 days. - Chlorhexidine Mouth Wash twice a day.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Based on your description, it sounds like you might be dealing with pericoronitis, which is inflammation of the tissue surrounding a partially erupted wisdom tooth. The yellowish area you noted could have been pus, suggesting an infection that has subsided somewhat. However, the persistent redness, swelling, and the difficulty in chewing indicate that the issue isn’t fully resolved. Although some mild cases of pericoronitis can sometimes be managed at home with diligent oral hygiene, saltwater rinses, and over-the-counter pain relief like ibuprofen, your symptoms suggest that professional evaluation is necessary. It’s important to rule out any potential complications, especially if there was initially pus present, which indicates bacterial infection. Continued swelling and inability to fully open or close the mouth might suggest the need for antibiotic therapy or even dental intervention. A visit to a dentist will allow for a comprehensive assessment and possibly an X-ray to determine if the tooth needs further treatment, like removal or cleaning around the area. Waiting too long can lead to complications, like the infection spreading, so it’s better to have a professional look at it sooner rather than later. Make sure to maintain oral hygiene in the meantime and avoid irritating the area further.

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