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HomeAnswersDentistrywisdom teethWhy do pain and swelling occurs in the erupting wisdom tooth?

My lower wisdom tooth is erupting with swollen gums and pain. Please suggest solution.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At May 28, 2020
Reviewed AtJanuary 29, 2024

Patient's Query

Hello doctor,

I am facing this below for more than 15 days. My lower and upper wisdom teeth are erupting. The lower teeth are erupting and gum got swelling and pain. There is swelling nearby the last molar teeth and feeling pain. I have a feeling of throat infection and sometimes pain in the throat, neck and Jaw. I have no fever but inside the tongue I found red blisters. I need your advice.

Already I am taking Loxoprofen sodium 60 mg for one week, and Azithromycin for about three days.

Hello,

Welcome to icliniq.com.

First of all please do not worry. I went through your query and I am a specialist dealing with third molars. I can understand what kind of pain and discomfort you have been through. I will guide you to relieve all your pain. These teeth are impacted and they will not come out normally and will cause discomfort repeatedly.

I will prescribe better medicines kindly get them you will be fine. Visit your dentists office once the lockdown gets over to extraction. For now, I need you to do

Warm saline gargle two to three times a day (if hypertensive avoid salt, use Betadine gargle).

Avoid sticky or sweet food.

Maintain oral hygiene.

Avoid direct heat (warm cloths from outside).

Take the medications as prescribed.

The Probable causes

Impacted third molars.

Probable diagnosis

Pericoronitis.

Regarding follow up

Follow up after seven days.

Patient's Query

Hello doctor,

Thank you for the reply.

As I am staying aboard, I could get Amoxycilline 825 mg with 125mg of Clavulanic Acid potassium. I already have Loxoprufen 60mg. Can I take them? I am already having tongue and throat inflammation. Can I proceed with salt water gargle until the extraction pain subsides? I also have Panadol 500 mg.

I am also taking multivitamin tablets with omega-3 capsules and I am not taking any sweets. I would like to know what comes under sticky food. Tablet Pan D is not available here. Can I take egg, rice, dal, vegetables? Kindly suggest.

Thank you.

Hello,

Welcome back to icliniq.com.

I can understand your concern.I was concerned as you were staying aboard along with a quarantined lifestyle.

  • Amoxycillin 825 with Clavulanic acid 125 mg will be high dose for you so I would suggest break the tablet into a half and use it two times a day after meal.
  • Tablet Panodol 500mg is a plain Paracetamol 500mg and it can be taken three times a day after meal.
  • If seratiopeptidase with paracetamol is available, then it will be more efficient.
  • Loxoprufen is a good medicine but many side effects when taken with other drugs so avoid it if not necessary.
  • Rinse with salt water rinse three to four times a day.
  • Also take a capsule of Pan D (proton pump inhibitor) that will minimize the gastric acid secretion from stomach.
  • Brush twice daily and use any mouth wash.

I hope this information will help you.Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mousam Chattopadhyay
Dr. Mousam Chattopadhyay

Dentistry

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