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Dr. Andrew Rynne

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Exp 50 years

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Pain In Gums While Chewing, Pressing Area. Due To Gum Injury Or Growth Of Wisdom Tooth?

My back right gum (where my wisdom tooth should be) hurts very bad to the finger touch or when I chew back there. I m 18, turn 19 exactly in one month, I m a guy. It started 3 days ago, pain hasn t seemed to get worse or better. If I take my index finger and press down it hurts very bad and if I chew something there it hurts extremley bad as well. A very sore black and blue type of pain. There is literally only gum there, the tooth hasn t even pricked up yet. Did I just injure my gum, or is the tooth trying to come up?
Thu, 24 Jan 2013
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Pathologist and Microbiologist 's  Response
hello and welcome to HCM

The symptoms that you have mentioned are more suggetive of an erupting wisdom tooth.
The age, site and charater of pain favor a wisdom tooth.
Vist your dentist for a x-ray. The X-ray will help the dentist to know whether the tooth is erupting straight or is twisted or turned.
The wisdom tooth is known to be impacted or erupting is different directions.
In case it is impacted it will have to be extracted surgically.

You can take saline gargles for relief of the symptoms and avoid chewing from that side.

Thanks and take care
Dr Shailja P Wahal
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Dentist Dr. Deepthi Reddy's  Response
Hi,
Thank you for the query.
The history given suggests of development of pericornitis which is because of the infection on the overlying flap of gum on the teeth which has no space to erupt and lead to cheek bite as well . Take an x-ray of the affected teeth to know whether the teeth is impacted into the bone. Depending on the x-ray the treatment can be decided if impacted teeth then it has to be extracted surgically followed by a course of anitbiotic and analgesics and if teeth has space to erupt and is not impacted then operculectomy should be performed to expose the teeth and it will allow the tooth to erupt without forformation of any infection around the gum.
Hope this helps you.
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Pain In Gums While Chewing, Pressing Area. Due To Gum Injury Or Growth Of Wisdom Tooth?

hello and welcome to HCM The symptoms that you have mentioned are more suggetive of an erupting wisdom tooth. The age, site and charater of pain favor a wisdom tooth. Vist your dentist for a x-ray. The X-ray will help the dentist to know whether the tooth is erupting straight or is twisted or turned. The wisdom tooth is known to be impacted or erupting is different directions. In case it is impacted it will have to be extracted surgically. You can take saline gargles for relief of the symptoms and avoid chewing from that side. Thanks and take care Dr Shailja P Wahal