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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Gum Swelling With Sensitivity, Pus And Mouth Pain Be Treated?

My bottom left wisdom is impacted. I've been dealing with it 4 years. Past 8 months it's been progressively getting worse. Right now The gums are swollen, red, sensitive to the touch, some puss has come out from the gum over hang on top. My jaw, cheek, ear and throat are swollen as well. Red at sight and warm to the touch. Hurts to open and close my mouth feels tight when I do so. Also hurts to swallow now. Please please help me. What do I do???? I have no money or credit card if I go to the er I will owe.
Mon, 18 Aug 2014
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Dentist,  's  Response
Hello,
You have definite symptoms of an infection that is spreading . You require prescription antibiotics such as amoxicillin to control the spread of the infection. Seek care with a dentist or visit an emergency room to control the spreading of a serious infection with possible severe systemic effects.
Take some anti-inflammatory medication. Very effective medication includes the combination of two Tylenol and two Advil, taken at regular intervals. Rinse with warm salt water. Encourage any pus to drain with light pressure. Builup of pus with cause increasing pain and may require surgical drainage.
You must control the immediate situation first and then proceed with a comprehensive dental evaluation. Xrays will be necessary to determine treatment . Extraction of the wisdom tooth is the most likely recommended treatment and will prevent a reoccuring infection.
Thank you for your inquiry. I hope you will be able to seek relief and feel better soon.
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Dentist, Oral and Maxillofacial Surgery,  Dr. Akanksha Ananthaswamy's  Response
Hi, thanks for consulting HCM. from your complaints, you seem to have pericoronal abscess due to the impacted molar. You need a course of antibiotics for five days to reduce infection n improve your mouth opening. You can take amoxicillin 500 mg thrice daily after food for five days alongwith an analgesic such as diclofenac sodium 50 mg thrice a day after food for 3-5 days. Once your swelling subsides, you need to go to a dentist n get your molar extracted after taking a radiograph. Avoid hot fermentation to the area of swelling or application of creams/gels etc. Hope this helps,get well soon
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How Can Gum Swelling With Sensitivity, Pus And Mouth Pain Be Treated?

Hello, You have definite symptoms of an infection that is spreading . You require prescription antibiotics such as amoxicillin to control the spread of the infection. Seek care with a dentist or visit an emergency room to control the spreading of a serious infection with possible severe systemic effects. Take some anti-inflammatory medication. Very effective medication includes the combination of two Tylenol and two Advil, taken at regular intervals. Rinse with warm salt water. Encourage any pus to drain with light pressure. Builup of pus with cause increasing pain and may require surgical drainage. You must control the immediate situation first and then proceed with a comprehensive dental evaluation. Xrays will be necessary to determine treatment . Extraction of the wisdom tooth is the most likely recommended treatment and will prevent a reoccuring infection. Thank you for your inquiry. I hope you will be able to seek relief and feel better soon.