Inflammation of the pericoronal flap or operculum, which is the part of the gums that overlaps a partially erupted third molar or wisdom tooth, is called pericoronitis. The symptoms include severe pain in the area, swollen gums, inability to open the mouth, pus discharge, and bad breath. The treatment options include waiting for the third molar to erupt completely, surgical excision of the pericoronal flap, or extraction of the wisdom tooth.

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Is it advisable to get my wisdom tooth removed?

Query: Hi doctor, Is it a must to remove wisdom tooth? I have attached an image of my tooth. Kindly advise if it is possible not to remove it.  Read Full »

Dr. Paras Angrish

Dentist, Pedodontist

Answer: Hi, Welcome to From the picture (attachment removed to protect patient identity), I can make out that the position of your wisdom tooth is not vertical that means, it is not coming at the normal position. My concern is, are you getting any pain in gums area? Is there any uneasiness whil...  Read Full »

Can measles cause pericoronitis?

Query: Hi doctor, I am really suffering from pericoronitis and I cannot eat properly. Does measles cause pericoronitis?   Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hi,Welcome to does not have any connection with pericoronitis. Pericoronitis occurs when the gums over the wisdom tooth get swelled and there is an accumulation of food particles and bacteria leading to a painful condition. There is a restricted mouth opening in some cases. Measl...  Read Full »

What causes swelling around the wisdom tooth and swollen lymph nodes?

Query: Hi doctor, Before a week I noticed a fleshy sac protruding from my back left gum below my wisdom tooth. I do not had pain or discomfort. I decided to rinse my mouth with salt water for few times on that day to see for the disappearance of it. The next day, the sac got smaller but I had a swelling i...  Read Full »

Dr. Bharat Joshi

Dentist, Periodontist

Answer: Hi, Welcome to It seems to be due to pericoronitis and it causes lymph node inflammation and pain. It is a chronic problem and it comes at regular intervals. I suggest you take medications and if possible, share the picture to provide a better prognosis and treatment.  Read Full »

Do I need to go to the dentist for pain and discomfort around my wisdom tooth?

Query: Hello doctor, I am a 24-year-old male. I have two impacted lower wisdom teeth. I will get them removed, but I am currently postponing it due to the COVID-19 situation in my country. I want to go if it is urgent. This morning I woke up with slight pain and discomfort around one of the wisdom teeth, ...  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to I went through your query; I am very sorry for the discomfort. As a specialist, I am here to help you. I received only one image (attachment removed to protect patient identity) from your side. The lower right third molar is definitely impacted. The swelling over the...  Read Full »

Why there is pain in my right tonsil and jaw, while swallowing?

Query: Hi doctor, I have severe pain in the right tonsil (I have always had tonsils), and it has also enlarged (unlike the left one). There is no change of color; it looks just like the left one except it is more prominent. I also have pain in the right jaw (the gum over the wisdom tooth to be precise i.e...  Read Full »

Dr. Sandeep Shrestha

ENT Otolaryngologist

Answer: Hello, Welcome to As from your history, the leading cause of the pain seems to be from pericoronitis; it will take time to heal. And for enlarged right tonsil, you do not have to worry for now as size can be asymmetrical; if the tonsil enlarges more progressively, then you have to vis...  Read Full »

Kindly prescribe antibiotics for swollen gums in my partially erupted wisdom tooth.

Query: Hello doctor, I have partially erupted wisdom tooth on the right side of the jaw, and the gum near that tooth is swollen, and occasionally I can see the pus. It is not that painful, but visibly it is swollen. I think it is causing me nausea and slight pain in the lymph node on the right. Please pre...  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to Kindly upload an image of the inflamed area. I need to see whether pus formation is evident or not and the progression. I suspect pericoronitis. Nausea and lymph node pain is due to infection. Upon seeing the image, I will walk you through the management necessary t...  Read Full »

Does sleep apnea cause fatal complications during wisdom tooth extraction?

Query: Hi doctor, I am a 27 years old male. I have two wisdom teeth in my lower jaw, which is impacted. And because of this, I suffer from TMJ pain. On my left side, I feel constant pressure or numbness with a formation of a small ball-like bulge seen slightly above the gums. I assume that “bumpy&rd...  Read Full »

Dr. Bharat Joshi

Dentist, Periodontist

Answer: Hello, Welcome to First of all, do not worry about the problem. You have TMJ (temperomandibular joint) problem, and the treatment is different for that. On the left side, you have pericoronitis, and on the right side, you have impacted teeth. Secondarily, you are taking medicine, whic...  Read Full »

Please suggest ways to soothe jaw and throat pain.

Query: Hi doctor, I have a lump on the back side of lower gums. It is only on the left side. It is causing ridiculous amounts of pain when chewing and swallowing. It is causing discomfort down the side of my jaw and throat. Also, I have some swelling on that side. I have an appointment with my dentist. But...  Read Full »

Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hello, Welcome to By your description, it seems to be pericoronitis that is an infection caused just above the area where your wisdom tooth is erupting. This happens due to the pocket formed at the corner of the mouth where liquid and food debris get seep into the erupting site and caus...  Read Full »

Other than extraction, what do you suggest for pericoronitis?

Query: Hello doctor, I am a 30-year-old male with a good oral health history. I had a dental examination today, and it showed pericoronitis on one of my wisdom teeth. I have been put on a week's course of Amoxicillin to fight the infection. If that works, will I even need to have my wisdom tooth removed a...  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to Kindly upload an image of the tooth along with if any x-ray is available to you. That will help me in diagnosing and helping to decide whether the extraction is mandatory or not. Pericoronitis means the two words, pericoronal flap or the gums around the tooth and it...  Read Full »

Why do I get pain near my second molar with redness and pain in gingiva?

Query: Hello doctor, I had pain in my second molar. I felt the pain in my wisdom tooth last week then the pain fades away after 3-5 minutes. I thought it will not come back but then it happens recently then the gums in my second right molar teeth have the red lining and it always hurts when I eat or drink...  Read Full »

Dr. Mousam Chattopadhyay

Dentist, Endodontist

Answer: Hello, Welcome to I went through your query. I am sorry for your inconvenience with the tooth. As an expert in this field, I know what is exactly wrong. Nothing to worry it is your third molar. What happens during erupting third molars or partially erupted third molars is the gum b...  Read Full »

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