Can Wisdom Teeth Cause Pain When Swallowing? What to Do Next - Dentistry

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Is it painful to swallow saliva with wisdom teeth?


I'm sorry to hear that you've developed another wisdom tooth and are experiencing pain even when swallowing saliva.
Can I have it extracted now? Additionally, my first wisdom tooth started hurting yesterday; could this be an infection?

Pengpeng, 10~19 year old female. Ask Date: 2016/04/05

Dr. Huang Zhicheng reply Dentistry


Hello, wisdom teeth can easily trap food and become inflamed.
If they are misaligned, early extraction should be considered.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/05

More Info


Wisdom teeth, or third molars, can indeed cause pain when swallowing, and this discomfort can be attributed to several factors. When wisdom teeth begin to erupt, they can create pressure against adjacent teeth, leading to inflammation and pain in the surrounding gums. This inflammation can make swallowing uncomfortable, as the act of swallowing may exacerbate the pressure and irritation in the area.

In your case, the pain you are experiencing when swallowing could be due to the following reasons:
1. Impaction: If your wisdom tooth is impacted, meaning it is not fully erupted and is trapped beneath the gum line or against another tooth, it can cause significant pain and discomfort. This can lead to swelling and infection, which may also contribute to pain when swallowing.

2. Infection: An infection around the wisdom tooth, known as pericoronitis, can occur when bacteria accumulate in the gum tissue surrounding the partially erupted tooth. This condition can cause swelling, redness, and pain, making swallowing painful.

3. Adjacent Tooth Issues: If your first wisdom tooth is also hurting, it could indicate that there is an issue with that tooth, such as decay or infection, which can radiate pain to the surrounding areas, including the throat.

Given your symptoms, it is advisable to consult with a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the exact cause of your pain. If an infection is present, your dentist may prescribe antibiotics to help manage the infection and reduce inflammation.

Regarding the extraction of your wisdom teeth, it is generally safe to remove them if they are causing pain or if there is a risk of complications, such as infection or damage to adjacent teeth. However, the decision to extract should be made in consultation with your dentist or oral surgeon, who will assess the position of the teeth, the extent of any infection, and your overall health.

Here are some steps you can take while you await your dental appointment:
- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. Be sure to follow the recommended dosage on the packaging.

- Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and cleanse the area around the wisdom teeth. Mix about half a teaspoon of salt in a glass of warm water and gently swish it around your mouth.

- Avoid Irritating Foods: Stick to soft foods and avoid anything that may irritate your gums, such as spicy or crunchy foods.

- Maintain Oral Hygiene: Continue to brush and floss your teeth carefully, avoiding the area around the painful wisdom tooth if it is too sensitive.

In summary, wisdom teeth can indeed cause pain when swallowing, and it is crucial to address this issue promptly. Consult with your dentist to evaluate the situation and determine the best course of action, which may include extraction if necessary. Taking care of your oral health is essential, and timely intervention can prevent further complications.

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