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Gum pain when swallowing: Treatments, Symptoms, and Home Remedies

What Is Pericoronitis?

Written by WebMD Editorial Contributors

Medically Reviewed by Robert Brennan on March 30, 2023

  • What Is Pericoronitis?
  • Pericoronitis Causes
  • Pericoronitis Risk Factors
  • Pericoronitis Symptoms
  • Pericoronitis Diagnosis
  • Pericoronitis Treatment
  • More

Pericoronitis is an inflammation or swelling of your gum tissue. It’s more common in your lower teeth and it usually happens around your wisdom teeth, the third and final set of molars that most people get in their late teens or early 20s.

Pericoronitis can develop when wisdom teeth only partially erupt (break through the gum). Soft tissue growth over a partially erupted wisdom tooth is called an operculum. Bacteria can get trapped under the operculum. That allows an opening for bacteria to enter around the tooth and cause infection and swelling. Food debris, bacteria, or plaque, a bacterial film that remains on teeth after eating, may also get caught underneath the gingiva, a flap of gum around a tooth. If it stays there, it can irritate the gum and lead to pericoronitis. In serious cases, the swelling and infection may extend beyond the jaw to the cheeks and neck.

Factors that may raise your risk of pericoronitis include:

  • Being in your 20s
  • An upper respiratory tract infections
  • Emotional stress
  • Poor oral hygiene

Symptoms of pericoronitis can be either acute (short-term) or chronic (be ongoing).

Acute symptoms include:

  • Pain
  • Swelling in the gum tissue (caused by an accumulation of fluid)
  • Pus discharge
  • Trismus, or difficulty opening your mouth and jaw, also called lockjaw
  • Pain with swallowing
  • Fever
  • Loss of appetite
  • Infection
  • Swollen submandibular lymph nodes in the neck

Chronic symptoms include:

  • Occasional dull pain or mild discomfort
  • A bad taste in the mouth

Your dentist will examine your wisdom teeth to see how they are coming in, and determine if they are partially erupted. They may take an X-ray periodically to determine the alignment of the wisdom teeth. Your dentist will also take note of any symptoms such as swelling or infection, and will check for the presence of a gum flap around a wisdom tooth.

 

Pericoronitis is treated by your general dentist or one of these specialists:

  • Pedodontist or pediatric dentist
  • Endodontist
  • Periodontist
  • Prosthodontist
  • Oral surgeon

Treatments for pericoronitis include:

  • Oral hygiene/oral irrigators and rinses: If the pericoronitis is in a small area and hasn’t spread, treatment may be rinsing your mouth with warm salt water. Your dentist can flush out food debris or bacteria, or give you an oral rinse. You’ll need to make sure to keep the gum flap free of any food trapped.
  • Pain medicine: You can take pain relievers such as aspirin, acetaminophen, or ibuprofen. Your dentist may also prescribe you a pain medication.
  • Antibiotics: If your tooth, jaw, and cheek are swollen and painful, see your dentist right away. They can treat the infection with antibiotics (usually penicillin, unless you are allergic).
  • Minor surgery to remove the operculum: If the pain and inflammation are severe, or if the pericoronitis recurs, it may be necessary to have oral surgery to remove the gum flap or wisdom tooth. Your dentist can make the appropriate referral to the oral and maxillofacial surgeon. A low-level laser can be used to reduce pain and inflammation associated with pericoronitis.
  • Extraction: If a wisdom tooth still can’t come in normally, you may need surgery to have it taken out. Your dentist may recommend you extract both your upper and lower wisdom teeth to prevent your upper tooth from biting your gum and causing another infection.

© 2023 WebMD, LLC. All rights reserved. View privacy policy and trust info

What Is Pericoronitis?

Written by WebMD Editorial Contributors

Medically Reviewed by Robert Brennan on March 30, 2023

  • What Is Pericoronitis?
  • Pericoronitis Causes
  • Pericoronitis Risk Factors
  • Pericoronitis Symptoms
  • Pericoronitis Diagnosis
  • Pericoronitis Treatment
  • More

Pericoronitis is an inflammation or swelling of your gum tissue. It’s more common in your lower teeth and it usually happens around your wisdom teeth, the third and final set of molars that most people get in their late teens or early 20s.

Pericoronitis can develop when wisdom teeth only partially erupt (break through the gum). Soft tissue growth over a partially erupted wisdom tooth is called an operculum. Bacteria can get trapped under the operculum. That allows an opening for bacteria to enter around the tooth and cause infection and swelling. Food debris, bacteria, or plaque, a bacterial film that remains on teeth after eating, may also get caught underneath the gingiva, a flap of gum around a tooth. If it stays there, it can irritate the gum and lead to pericoronitis. In serious cases, the swelling and infection may extend beyond the jaw to the cheeks and neck.

Factors that may raise your risk of pericoronitis include:

  • Being in your 20s
  • An upper respiratory tract infections
  • Emotional stress
  • Poor oral hygiene

Symptoms of pericoronitis can be either acute (short-term) or chronic (be ongoing).

Acute symptoms include:

  • Pain
  • Swelling in the gum tissue (caused by an accumulation of fluid)
  • Pus discharge
  • Trismus, or difficulty opening your mouth and jaw, also called lockjaw
  • Pain with swallowing
  • Fever
  • Loss of appetite
  • Infection
  • Swollen submandibular lymph nodes in the neck

Chronic symptoms include:

  • Occasional dull pain or mild discomfort
  • A bad taste in the mouth

Your dentist will examine your wisdom teeth to see how they are coming in, and determine if they are partially erupted. They may take an X-ray periodically to determine the alignment of the wisdom teeth. Your dentist will also take note of any symptoms such as swelling or infection, and will check for the presence of a gum flap around a wisdom tooth.

 

Pericoronitis is treated by your general dentist or one of these specialists:

  • Pedodontist or pediatric dentist
  • Endodontist
  • Periodontist
  • Prosthodontist
  • Oral surgeon

Treatments for pericoronitis include:

  • Oral hygiene/oral irrigators and rinses: If the pericoronitis is in a small area and hasn’t spread, treatment may be rinsing your mouth with warm salt water. Your dentist can flush out food debris or bacteria, or give you an oral rinse. You’ll need to make sure to keep the gum flap free of any food trapped.
  • Pain medicine: You can take pain relievers such as aspirin, acetaminophen, or ibuprofen. Your dentist may also prescribe you a pain medication.
  • Antibiotics: If your tooth, jaw, and cheek are swollen and painful, see your dentist right away. They can treat the infection with antibiotics (usually penicillin, unless you are allergic).
  • Minor surgery to remove the operculum: If the pain and inflammation are severe, or if the pericoronitis recurs, it may be necessary to have oral surgery to remove the gum flap or wisdom tooth. Your dentist can make the appropriate referral to the oral and maxillofacial surgeon. A low-level laser can be used to reduce pain and inflammation associated with pericoronitis.
  • Extraction: If a wisdom tooth still can’t come in normally, you may need surgery to have it taken out. Your dentist may recommend you extract both your upper and lower wisdom teeth to prevent your upper tooth from biting your gum and causing another infection.

© 2023 WebMD, LLC. All rights reserved. View privacy policy and trust info

Sore throat from a tooth – causes, symptoms, methods of treatment

August 02, 2020

The first thought that comes to us when we have a sore throat is that we have caught a cold or got a sore throat. And we hurry to the pharmacy to buy the necessary medicines. A sore throat is not such an important reason to visit a doctor. Time passes, but the pain does not subside, and maybe it becomes stronger. What is the reason? Maybe it’s a toothache? Does your throat hurt from a toothache? And the situation is aggravated, now it is impossible to swallow without pain. The time has come to seriously deal with the source of the ailment.

Contents

  • We treat periodontitis correctly
  • Galvanic syndrome
  • Pathology in dentition
  • How to take care of your teeth to avoid problems

Indeed, a sore throat can cause problems with the teeth and surrounding tissues. There are several reasons for this:

  • Periodontitis;
  • Galvanic type syndrome;
  • Incorrectly cut tooth;
  • Stomatitis of any type.

Stomatitis is the most insidious and dangerous disease. Small areas of the oral mucosa become inflamed, burn and hurt. If stomatitis is not treated, then it will spread to the adjacent tissues of the larynx and esophagus in the shortest possible time, and we will get just the same sore throat that resembles a sore throat.

Inflammations that cause pain can also be of completely different types. The periapical tooth tissue may become inflamed, the dying pulp or tissues affected by caries may rise. If this is accompanied by pain when swallowing, then you should not delay, urgently run to the dentist.

We treat periodontitis correctly

Periodontitis is an inflammatory process in the gum surrounding the tooth. It can lead to weakening of the ligamentous apparatus of the tooth and its loss. We will lose a perfectly healthy tooth due to gum problems. Moreover, such inflammation is extremely painful and dangerous.

The reason for its occurrence is associated with changes in our diet. The food has become softer, it is not necessary to put a load on the teeth when chewing it – and this is the result. The teeth are weak.

Urgent help is needed from a periodontist, who will thoroughly clean the subgingival pockets from stone, plaque and infection, and put medications into the infected cavities. Usually this is enough to quickly improve the situation.

To completely eliminate the recurrence of the disease, it is extremely important to regularly remove tartar and plaque from the surface of your teeth. Advanced cases also require the use of medicinal antibacterial drugs.

Galvanic syndrome

This is the case when physics interferes with physiology. Pain is caused by microscopic current discharges, which have an extremely unpleasant effect on the vulnerable mucous membrane of the mouth. The syndrome occurs due to the fact that in your oral cavity there are fillings and other dental structures that contain many metals and alloys that are widely used in modern dentistry.

An artificial tooth contains a lot of conductive materials and as a natural result: the current irritates the delicate mucous membrane, which leads to the development of inflammation, and this process can spread further to the throat.

The elimination of this problem is quite simple, although it is associated with material and aesthetic losses. It is necessary to remove the current conductor – the dental structure. As experience shows, the pain disappears almost instantly, although the inflamed tissues will take time to recover. Well, there is a need to replace remote structures.

Usually, in this case, the doctor prescribes a course of restorative immunotherapy to minimize all the negative effects of irritants. And problems with missing teeth will be solved by ceramic materials. They are beautiful, natural and have no problems with electrical conductivity.

Pathology in teething

Usually in adults this problem is caused by wisdom teeth. Nevertheless, nothing can be unambiguously stated, in each case the problem is solved individually. For example, consider wisdom teeth and pathology in their eruption.

The wisdom tooth begins to hurt as soon as it begins to “peck”. It moves adjacent teeth and often grows in the wrong direction. Usually we drink painkillers and go about our business. But the problem remains unresolved. The tooth continues to grow, begins to break the integrity of the mucosa and forms a “pocket” in it, into which food remains fall. These remnants naturally begin to rot under the gum. And the pain gets worse and worse. In this case, urgent medical intervention is needed.

The dentist will clean the wound and place a rubber band to drain the infiltrate. You may need to take antibiotics for a while to speed up recovery.

After stabilization of the situation, the ill-fated wisdom tooth is removed. This is not done immediately, because you had an active focus of inflammation in the gum, and the removal of a wisdom tooth could provoke an infection into deeper tissues, which means that this inflammation spreads to the entire jaw. Such inflammation will be much more dangerous and more difficult to treat. Therefore, the treatment will be carried out in stages and will take you some time.

How to take care of your teeth to avoid problems

  • Brush your teeth at least 2 times a day;
  • We use dental floss and dental elixir;
  • We visit the dentist at least 2 times a year, and also immediately as needed;
  • We regularly carry out the procedure for removing tartar;
  • We choose toothpastes on the recommendation of your doctor, and not guided by TV commercials;
  • Refuse enamel-destroying whitening pastes. if desired, a whitening procedure can be performed at the dental clinic.

Doctors constantly remind us of the need to be more attentive to our health. Dental health is an important part of the overall health of the body. The consequences of a frivolous attitude to dental health can be extremely unpleasant.

what to do when a molar climbs and everything around it is very swollen, where to relieve inflammation due to pain

August 29, 2016

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Contents of the article

  1. Causes: why the gum becomes inflamed near the wisdom tooth when he climbs
  2. Symptoms when the gum hurts from a wisdom tooth
  3. What to do in case of inflammation
  4. Possible complications of growth
  5. Prophylaxis

The eruption of “eights” is a painful process, which is often accompanied by fever. Most often, these four root formations begin to appear only in adulthood, which is why they got their popular name. Let’s figure out what to do when the gum is swollen, inflamed and sore near the wisdom tooth.

Their additional name is third molars. This is the name of the 6th, 7th and 8th row, that is, that part of the jaw that is intended for chewing rough food. This determines their specific structure (large root base, width) and strength. But this is also the main root cause of painful processes during growth, because the larger the area of ​​\u200b\u200bthe upper edge, the more difficult it is to break the skin and pass through it. Moreover, the bone tissue is already formed, so the “eights” need to literally break their way, which leads to the formation of edema, suppuration, swelling and other unpleasant consequences.

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Tags

Restoration of dentition

Oral diseases

Dentistry

Prevention of oral diseases

Prevention tics of dental diseases

Toothache

Causes: why does the gum become inflamed near the wisdom tooth when it climbs

Remember the symptoms with which teeth erupt for the first time in a six-month-old baby. Things are somewhat better for five-six-year-olds. But in both cases, the same painful process occurs – the dental plate literally breaks, injures the mucous membrane in order to cut through and come out. All this can cause pain, inflammation, itching. Children are prepared for this procedure, while an adult experiences everything much more difficult, because for 20-30 or more years of life a person could have undergone many dental diseases, which only add to the complexity.

In addition, the oral cavity is more likely to contain pathogens that are spread due to food debris, bad habits. And bacteria can cause suppuration, enhance the infectious process.

The main reasons why gums hurt because of a wisdom tooth are:

  • Physiological structure of the jaw plate.
  • Various diseases and pathological conditions.

Let’s take a closer look at the factors and possible pathologies.

Atypical growth of the third molar

Most often, doctors encounter the situation of the wrong direction of the “eight” eruption. That is, it tends with its upper end not up, but to the side. Thus, it “presses” the nearest neighbors, and also pinches the nerve endings, leads to a shift in the entire row and even to malocclusion in cases where no measures have been taken.

There are two types:

  • Inclined arrangement. During it, the bone formation compresses the facial nerve and irritation occurs not only of the mucous membrane, but also of the cheeks or even the neck. The patient may mistakenly localize the pain as a throat pain, confuse the symptom with an ENT disease.
  • Horizontal. Even more dangerous, because the molar can compress the root system of the nearest “seven”, causing damage to the nerve endings and blocking the blood flow. All this, most likely, will lead to the destruction of the 7-ki and to a large inflammation of the gums near the wisdom tooth.

Occurrence of pericoronitis

This term refers to the appearance of a gingival “hood” that covers part of the bone tissue. Under the formed fold, food particles accumulate, an ideal environment is formed for the development and spread of bacteria. Suppuration is formed in the focus, which leads to swelling, swelling of the area, bad breath and to the release of purulent exudate when pressed. The latter does not always occur, since often the fold remains tightly closed.

There are several reasons for pericoronitis, among them:

  • Little space on the jaw plate.
  • The dental sac is very dense and difficult to cut through.
  • Thick mucosa that also prevents safe rupture.

Additional symptoms – pain when chewing and swallowing food. With such a pathology, but with the correct direction of growth, dentists most often make an incision in the skin fold and sanitize this area with the complete elimination of pus and other signs of infection.

Inflammation of tissues around the wisdom tooth due to gum disease

Often the “eight” erupts painfully. The back of the jaw begins to ache, bleed. The most common diseases that occur in patients:

  • Gingivitis – the marginal area of ​​the gums, as well as the entire mucous membrane, are subject to an inflammatory process.
  • Periodontitis – surrounding tissue structures are destroyed, resulting in poor stability of the dental plates. They can begin to loosen, and in a serious form of the disease, even begin to fall out.
  • Periodontal disease is a severe lesion of the periodontium, which is located near the root.

In all the above cases, the most common symptoms are:

  • Edema.
  • Bleeding.
  • Pain.
  • Redness.

The adjacent third molar begins to grow, affects the affected mucosa and nerve endings, provoking even greater pain, which may be accompanied by the appearance of a tumor up to suppuration. When treating, the first thing to do is to pay attention to the root cause.

The gum hurts under the wisdom tooth due to caries

In this context, we are not talking about the eruption itself, but about the further development of the “eights”. They, like other rows, may be subject to carious changes. This is a long process that develops due to the action of pathogenic microorganisms and additional adverse factors. It passes slowly and leads to a violation of the integrity of the bone tissue. Cavities are formed, the expansion of which can cause many inconveniences, as well as expose the nerve endings. Therefore, usually molars prone to caries are removed. They are healed only in those cases when they plan to use them for the installation of implants in the future.

Trigeminal neuralgia

Its structure is branched and literally covers the entire face, dividing into three bundles:

  • ophthalmic;
  • maxillary;
  • mandibular.

Pinching or squeezing or irritation may occur during 8-ring eruption. It also happens when the dentition moves apart (horizontal atypical growth), and at the time of removal. Usually the pain is very strong, shooting. And its localization depends on what exactly was pinched.

Symptoms when the gum hurts from a wisdom tooth

It is quite difficult not to notice this manifestation, since the resulting pain is considered one of the most powerful. But if you localize them incorrectly, you can confuse a dental problem with otitis media (shoots in the ear) and other ENT diseases. Symptoms of inflammation are as follows:

  • Soreness, which is aggravated by chewing food.
  • Mucous membranes around swollen.
  • Cheeks, lips, cheekbones are swollen.
  • The second and third molars may begin to wobble.
  • Purulent fistula formation.
  • Discoloration of integuments, they may become intense red, white or bluish.
  • Bleeding, especially when brushing with a toothbrush.
  • The affected area becomes hot. Often the process of eruption takes place in conjunction with a general increase in body temperature.
  • Halitosis, i.e. bad breath.
  • Large and tender lymph nodes.
  • Pain on swallowing and forceful opening of the mouth.
  • Itching, throbbing sensation.

But sometimes it happens that the appearance of crowns is accompanied only by the swelling of the gum above the wisdom tooth, but there are no additional symptoms. But still it is necessary to visit the dentist, since the formation of pathology can take place in a latent form. For any dental services, you can contact the Dentika clinic. Professional dentists and polite medical staff work here.

What to do in case of inflammation

The first right decision is to see a doctor.

Depending on the nature of the discomfort, the process of teething can be complicated by additional diseases. Only a dentist (often a surgeon) can solve the problem, who, as a rule, cuts the dental “hood”, or prescribes pulling out along with the root, less often – removal of the nerve. But you can alleviate the condition if the gums become inflamed behind the wisdom tooth, even at home. We will present several effective methods.

List of pain medications

Analgesics are designed to relieve pain. They block the nerve impulses that come from the spasmodic area to the brain.

You need to understand that taking such pills is not a panacea, but only the elimination of a symptom, and the effect lasts an average of 8-12 hours. We strongly recommend that you do not abuse analgesics and do not prescribe them yourself. Be sure to contact your dentist if you have any problems. During a visit to the clinic, a specialist may prescribe you:

  • Tempalgin. Further lowers the temperature. Daily dose – 3 capsules with an equal time interval.
  • “Ketanov”. Very effective medicine, helps to remove a small fever. Do not take more than 2 days in a row at a dosage of 10 mg every 4-6 hours. Therefore, it is used as an emergency, for example, before visiting a doctor.
  • Askofen. Consists of acetylsalicylic acid and paracetamol. You need to drink 1-2 tablets three times a day after meals.
  • Xefocam. A non-steroidal drug that mainly consists of lornoxicam. Drink no more than 16 mg per day, dividing the medicine into 2-3 doses.

Anti-inflammatory therapy when the gums near the wisdom tooth are inflamed

You can also remove inflammation with local preparations (ointments) or medicines. The dentist can advise:

  • Nise. You can take no more than 200 mg per day.
  • “Nurofen” based on ibuprofen. It is allowed to drink 4 capsules every day.
  • “Nimesil”. Sold as a powder for suspension, it perfectly eliminates redness, swelling and pain.

Ointments and gels

They promote local anesthesia. The good thing is that they can be used without actually worrying about your general condition. Some of them, for example, are allowed during pregnancy. And also a plus is that they can be applied more often – after each meal and just as needed. But before using, be sure to read the instructions and consult a doctor. Usually they are prescribed to relieve mild symptoms with normal upward eruption, without additional pathologies. Lineups:

  • Dentinox.
  • “Traumeel S”.
  • “Holisal”.
  • “Kamistad”.

Folk remedies that will help if the gum is inflamed and hurts a lot, where the wisdom tooth is

Rinsing also helps with pain, has an antiseptic effect, relieves inflammation and redness. Suitable for this purpose:

  • Soda solution with salt.
  • Tincture of calendula leaves and/or chamomile flowers.
  • Decoction of oak bark.

Do not self-medicate for any ailment. Go to a consultation with a specialist who will give you a personal prescription and help.

Surgical treatment

Excision of the fold is necessary when the sensations become unbearable, the “hood” is strongly inflated, swells, and a purulent focus forms inside. In this case, the surgeon removes the upper part of the gum and rinses the contents of the sac.

Removal

This is usually required when the figure eight grows in the wrong direction and can injure a nearby tooth or damage nerves. It is also recommended for significant carious lesions.

Possible growth complications

Often eruption is accompanied by suppuration, abscess formation, pericoronitis, paradental cyst. In addition, the problem often spreads to neighboring healthy second molars – caries and pulpitis are diagnosed. Nerve endings are often affected.

Prevention

It is virtually impossible to change the atypical arrangement of 8s. But it is possible to prevent soreness that occurs due to dental diseases. To do this, you should carefully observe daily hygiene, as well as regularly sign up for a check-up with the dentist, and heal sore areas. Also change your toothbrush once a month, rinse after every meal, and use floss.

In the article we told what to do if the gums near the wisdom tooth are inflamed and sore, what medicines will help solve this problem.