Impacts of Wisdom Tooth Inflammation and When to Seek Dental Care - Dentistry

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Pericoronitis of the wisdom teeth?


I have inflammation around my wisdom tooth.
Since I'm abroad, I bought some medication at the pharmacy to alleviate the inflammation.
Originally, a part of my wisdom tooth was exposed, but after this inflammation, I've noticed that the gum tissue is gradually covering the wisdom tooth.
What impact could this have? I still have three months until I return home; should I seek dental treatment in the meantime?

Xia, 20~29 year old female. Ask Date: 2018/10/14

Dr. Lin Jiayong reply Dentistry


Hello, based on your current symptoms, if your condition does not improve with medication, you should seek dental treatment immediately.
Regarding your wisdom teeth, it is still advisable to consult a dentist for a more accurate diagnosis to assess whether extraction is necessary.
It is recommended that you maintain regular dental check-ups.

Reply Date: 2018/10/14

More Info


Wisdom tooth inflammation, also known as pericoronitis, occurs when the gum tissue surrounding a partially erupted wisdom tooth becomes inflamed and infected. This condition can lead to significant discomfort, swelling, and even systemic issues if not addressed properly. The fact that you are experiencing inflammation around your wisdom tooth and that the gum tissue is gradually covering the tooth can have several implications for your oral health.

Firstly, when the gum tissue covers a partially erupted wisdom tooth, it can create a pocket where food particles and bacteria can accumulate. This pocket can lead to further inflammation and infection, potentially resulting in more severe complications such as abscess formation. An abscess is a localized collection of pus that can cause intense pain and swelling and may require immediate dental intervention. If the infection spreads, it can lead to systemic issues, including fever and malaise.

Secondly, the presence of inflammation and the gum tissue covering the tooth can hinder proper oral hygiene. It becomes more challenging to clean the area effectively, increasing the risk of cavities not only in the wisdom tooth but also in adjacent teeth. This can lead to a cascade of dental problems that may require more extensive treatment in the future.

Given that you are currently abroad and have a few months before returning home, it is advisable to seek dental care as soon as possible. While over-the-counter medications can help alleviate pain and inflammation temporarily, they do not address the underlying issue. A dentist can evaluate the condition of your wisdom tooth and surrounding tissues, determine the extent of the inflammation, and recommend appropriate treatment. This may include professional cleaning, drainage of any abscess, or even extraction of the wisdom tooth if it is deemed necessary.

In the meantime, here are some steps you can take to manage your symptoms:
1. Maintain Oral Hygiene: Continue to brush and floss your teeth, being gentle around the inflamed area. This can help reduce the buildup of bacteria and food particles.

2. Rinse with Salt Water: A warm saltwater rinse can help soothe the inflamed gums and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse your mouth several times a day.

3. Avoid Irritants: Stay away from hard, crunchy, or spicy foods that may irritate the inflamed area. Stick to softer foods that are easier to chew.

4. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased swelling, pain, or fever, seek dental care immediately.

5. Consult a Dentist: If possible, find a local dentist who can assess your situation. Many countries have dental clinics that cater to expatriates and tourists, and they can provide the necessary care.

In conclusion, while it is understandable to want to wait until you return home for dental care, addressing wisdom tooth inflammation sooner rather than later is crucial. The potential for complications increases with time, and early intervention can save you from more extensive and painful treatments down the line. Prioritize your oral health, and do not hesitate to seek professional help while you are abroad.

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