Wisdom teeth causing a lot of pain?!


Question:

Wisdom teeth causing a lot of pain?

The back of my bottom jaw where my wisdom teeth are coming in is extremely sensitive and inflammed. It's becoming difficult to eat and my gums in the back are extremely soft, sensitive and swollen and it feels like its getting worse. I'm leaving the country June 26th and I'm in the wedding on the 23rd so there isn't much oppurtunity to get them out and I work. Could this be an emergency situation? I tried taking IB Profen but its not helping. This has been going on since yesterday.


Answers:

Often times when the wisdom teeth are first starting to emerge, they push through the gum tissue a bit, then stop erupting for a few weeks or so, then the tissue is open and allows bacteria and food debri to get stuck underneath where you can't clean it out. The result is called "periocoronitis", which literally means "inflammation of the skin around the tooth". The good news is that this commonly flares up really bad then suddenly resolves for a while. It will come back again and flare up but you will get some relief from it soon. The best methods for easing your pain right now is to take 4 tablets of Ibuprofen (Motrin or Advil, but NOT aspirin or Tylenol) no more than 4 times a day (this is the same as prescription strength Motrin) and use a warm salt water rinse (use 1-2 teaspoons of salt to a small glass of warm water, rinse and swish it around the infected, sore area, then spit it out. Do this many times a day). The salt water acts to draw fluid out of the swollen gums and when the swelling goes down, you are less likely to bite on the tissue and continue irritating it.
This is only a temporary solution. The tooth will continue to try and emerge and this will keep reoccuring. If you aren't able to have the tooth extracted at this time due to the upcoming wedding and trip, this is the best I can advise. But please check with your dentist to have an xray and his/her evaluation of the situation too. They may put you on an antibiotic in addition to the treatments I've mentioned in order to squelch any infection in the area. Hope this helps!




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