Oral Pain: When to See a Dentist for Symptoms - Dentistry

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Oral mucosal pain and redness?


Hello Doctor, this morning while brushing my teeth, I felt a tearing sensation when I opened my mouth.
There is pain in the area just behind and slightly above my left wisdom tooth.
It hurts when I touch it or open my mouth.
The area looks red, almost like a sore, but I'm not entirely sure as I can't see it clearly.
Should I see a doctor, or can drinking more water help it heal on its own? Could this be due to a weakened immune system? On the first day it happened, I noticed a small wound because I saw some blood when rinsing my mouth.
Thank you for your help.

Ai Yu, 20~29 year old female. Ask Date: 2018/04/25

Dr. Zeng Guanghui reply Dentistry


Based on the description, it seems to be inflammation of the pericoronitis around the wisdom tooth causing swelling and pain.
If the symptoms persist, it is advisable to consult a dentist for further treatment.

Reply Date: 2018/04/25

More Info


When experiencing oral pain, especially in the area around the wisdom teeth, it is crucial to assess the symptoms carefully and determine whether a visit to the dentist is necessary. Based on your description, it sounds like you may be dealing with a few potential issues, such as an infection, inflammation, or even a minor injury to the soft tissue in your mouth.

Firstly, the tearing sensation and pain you feel when opening your mouth or touching the area near your wisdom tooth could indicate several conditions. One possibility is that you have developed pericoronitis, which is an infection of the gum tissue surrounding a partially erupted wisdom tooth. This condition often occurs when food particles and bacteria become trapped under the flap of gum tissue that can form over the tooth. Symptoms typically include pain, swelling, and sometimes a foul taste in the mouth.

The presence of redness and the observation of blood when rinsing your mouth suggest that there may be some inflammation or irritation in the area. If there is a small wound or ulcer, it could be due to trauma from biting or irritation from the wisdom tooth itself. In some cases, these ulcers can be self-limiting and may heal on their own, especially if they are minor. However, if the pain persists or worsens, it is essential to seek professional dental care.

Drinking plenty of water and maintaining good oral hygiene can help promote healing and prevent further irritation. However, if you notice that the pain does not subside after a few days, or if you develop additional symptoms such as fever, swelling of the jaw, or difficulty swallowing, it is imperative to see a dentist. These could be signs of a more serious infection that may require treatment, such as antibiotics or even surgical intervention to remove the wisdom tooth if it is impacted.

Additionally, if you suspect that your immune system may be compromised, it is worth considering other factors that could contribute to your oral health. Stress, lack of sleep, and poor nutrition can all impact your immune function, making you more susceptible to infections. Ensuring that you are taking care of your overall health can aid in recovery and help prevent future issues.

In summary, while minor injuries or irritations may heal on their own, the symptoms you are experiencing warrant a visit to the dentist, especially given the presence of pain, redness, and bleeding. A dental professional can provide a thorough examination, possibly including X-rays, to determine the underlying cause of your symptoms and recommend appropriate treatment. Early intervention can prevent complications and ensure that your oral health is maintained.

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