Wisdom tooth eruption, swelling of the right cheek, sore throat?
Hello Doctor: On Thursday night, I went to see the dentist, who said that there was no visible white area on the gum yet, so extraction was not necessary.
He then performed a teeth cleaning and prescribed pain medication.
On Friday, the area where my wisdom tooth is located still hurt, and the pain medication was ineffective! By 1 to 2 AM, the pain intensified, my right cheek was slightly swollen, and my throat hurt so much that I could barely swallow.
On Saturday morning, I went back to see the dentist.
The doctor said it was just an issue with the tooth's growth.
After cleaning my teeth again, he had me get an X-ray and explained that one of my wisdom teeth was impacted and pushing against the adjacent tooth, which was causing the pain.
The doctor then prescribed a stronger anti-inflammatory medication.
Is it normal for the pain to be this severe? Am I at risk of developing cellulitis? Why hasn’t the dentist extracted the wisdom tooth yet?
E, 10~19 year old female. Ask Date: 2016/11/12
Dr. Qiu Qiongyao reply Dentistry
Please go to the oral and maxillofacial surgery department at the hospital for further examination and treatment.
This type of condition requires outpatient surgical extraction!
Reply Date: 2016/11/12
More Info
Wisdom teeth, or third molars, often cause discomfort and pain as they emerge, particularly when they are impacted or growing in an abnormal position. The symptoms you are experiencing—pain, swelling, and a sore throat—can be attributed to several factors related to the growth of your wisdom teeth.
When wisdom teeth are partially erupted or impacted, they can create a situation where bacteria can accumulate around the tooth, leading to infection. This infection can cause swelling in the surrounding tissues, including the gums and even the throat, which may explain your sore throat and difficulty swallowing. The pain you are feeling could also be due to the pressure exerted by the wisdom tooth on adjacent teeth, which can lead to inflammation and discomfort.
The fact that your dentist has not recommended immediate extraction may be due to the assessment that the tooth is not yet fully impacted or that the risks associated with surgery at this moment may outweigh the benefits. Dentists often prefer to monitor the situation, especially if the tooth is not causing severe complications. However, if the pain persists or worsens, or if you develop additional symptoms such as fever or increased swelling, it may indicate a more serious infection, such as cellulitis or even a risk of developing a condition like abscess or cellulitis, which can lead to more severe complications if left untreated.
In terms of treatment options, your dentist has already prescribed anti-inflammatory medication, which is a common approach to manage pain and swelling. Over-the-counter pain relievers such as ibuprofen or acetaminophen can also be effective in alleviating discomfort. Additionally, applying a cold compress to the outside of your cheek can help reduce swelling and numb the pain.
If the pain continues despite medication, or if you notice any signs of systemic infection (such as fever, chills, or spreading redness), it is crucial to return to your dentist or seek a second opinion. They may consider performing an extraction if the tooth is indeed causing significant issues or if it poses a risk of further complications.
In summary, while it is not uncommon to experience pain and swelling with wisdom teeth, especially if they are impacted, it is essential to monitor your symptoms closely. If you experience worsening pain, swelling, or any signs of infection, do not hesitate to seek immediate dental care. Your health and comfort should always be the priority, and timely intervention can prevent more serious complications.
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