Only in some people the teething of the third pair of molars does not cause any inconvenience. Many say that the gum inflamed near the wisdom tooth and there is a very strong pain. In addition, the process of teething is complicated and brings a lot of various inconveniences.
The most common complication is acute pericoronitis (according to ICD-10 code K05.2.). The formation of a hood is a very complex problem that can be removed surgically.
Features of the growth of a wisdom tooth
The person at the end of each dentition has a wisdom tooth. There is no need for them, rather, only problems related to their growth are added. The reason for this is that by the time they grow, the formation of jaw bone has already ended. There is not enough space for teething molars, so they can cause severe pain and discomfort.
They do not replace dairy, so they do not have a conductive channel that would facilitate their eruption. Unpleasant sensations are mainly provoked by the thickness of the gingival mucosa and the size of the walls of the tooth sac. Discomfort can also be accompanied by swelling, fever, difficulty opening the mouth. This can go on for quite some time. All these signs occur due to inflammation of adjacent tissues. That is why it is absolutely necessary to consult a dentist.
It’s quite difficult to clean the wisdom teeth, and sometimes located next to them. Even at the stage of their growth, molars are often carious, and also able to transmit the infection. Their growth is almost always accompanied by various kinds of problems. It is necessary to consult a dentist in a timely manner, since these molars cause significant discomfort, sometimes affecting the well-being of a person.
What is pericoronitis
Pericoronitis is an inflammation characterized by swelling, redness of the mucosa, and possibly suppuration of the hood. This is a kind of mucous overhanging over the tubercles of the crown that have not yet appeared.
In the process of growth, a space is formed between the tooth and the remaining mucosa, into which particles of food fall. Moreover, its removal is almost impossible. As a result of this, optimal conditions are created for the propagation of pathogens, which causes complications.
Causes of occurrence
When teething wisdom teeth, the main reasons that provoke pericoronitis are:
- dystopia of the third molar;
- semi-prosthesis;
- thickening of the mucous tissues;
- small width of the dental arch.
Dystopia is characterized by the fact that the tooth grows at an angle or parallel to the main dentition. Polyurethia is a condition accompanied by the eruption of only part of the molar.
All this can be accompanied by the formation of a hood over the wisdom tooth, even if in the future it takes its usual position.
Main symptoms
Initially, a patient for a long time may not even notice that he has a hood over his tooth, since in a calm state he rarely brings inconvenience and discomfort. However, literally in 1-2 days certain difficulties begin. Initially, particles of food begin to fall into the gap between the mucosa and the molar, creating good conditions for the development of bacteria.
Due to the fact that pathogens develop very quickly, and inflammation begins. If the gum inflamed near the wisdom tooth, then certain symptoms begin to occur. The main features include such as:
- swelling of the gums and parts of the face;
- it is impossible to open your mouth normally;
- trouble swallowing;
- headache;
- dizziness;
- temperature rise.
Every few hours, symptoms will only worsen. This is due to the fact that a developing infection spreads rapidly to adjacent tissues. Initially, the chewing muscles suffer, which with each movement will give off very severe pain. Gradually, the entire jaw begins to hurt.
There may also be a general infection. This is due to the fact that many blood vessels are localized in the affected soft tissues. Once bacteria enter the bloodstream, they spread to all organs. This threatens the development of chronic diseases, as well as a general deterioration in immunity.
Treatment features
When a wisdom tooth climbs, the gum hurts, what should I do? This question is of interest to every person suffering from pericoronitis, since such a condition causes considerable discomfort and very severe pain. Treatment is selected only by the attending physician. The most radical method of treatment is to remove a wisdom tooth. The operation is carried out only if the molar has no physiological value. In addition, removal is carried out if it was revealed on an X-ray that there is not enough space for the formation of the molar, and it grows in the wrong direction.
In all other cases, the hood is removed, the wisdom tooth in this case, you can save and prevent the development of complications. Excision of the inflamed mucosa - the operation is not very complicated and is performed by applying local anesthesia.
How is the hood removed?
If a wisdom tooth grows, a hood can be removed for reasons such as:
- when biting the gums, severe pain occurs;
- local swelling of the tissues occurs;
- inflammation;
- the tooth is located under the hood.
If the pain is tolerable and lasts for a short time, then you can try to wait a bit. It is possible that the hood will gradually erase itself. The operation to excise the mucosa is carried out if there is a strong swelling of the tissues. Often, it spreads to the larynx, then there are signs of a sore throat, dryness and sore throat, difficulty swallowing.
In the event of an unpleasant aftertaste, this may indicate that the infection has turned into a chronic form. If the required measures are not taken in a timely manner, then inflammation can go to the root of the tooth. This condition will require removal of the molar.
The tooth located under the hood is quite difficult to completely clean out, so the development of caries may begin. To conduct quality treatment, preliminary excision of the mucosa will be required.
If you experience very severe discomfort and inflammation, the hood is removed. In this case, the wisdom tooth begins to grow correctly and there are no problems. Mucosal excision is performed by a dentist surgeon. This process is not particularly difficult, and takes only a few minutes in time.
Initially, only the gum surface is anesthetized. This can be done by injection or by local application of an anesthetic. When the anesthetic works, the doctor cuts off the hood with a sickle-shaped scalpel. At the end of the procedure, a cotton swab soaked with medication is applied.
After removing the hood over the wisdom tooth, healing takes place within 1-3 days. To speed up this process and prevent the occurrence of complications, you must strictly follow the recommendations of the dentist.
Rehabilitation after removal
After removing the hood over the wisdom tooth during the day, a person may experience severe discomfort, swelling and pain. To make this process less painful, you can rinse your mouth with a solution of soda and salt. This remedy gives a very good anti-inflammatory and disinfecting effect.
You can also apply chamomile flowers, St. John's wort. It is important to wait until the cooked product has cooled to room temperature. Pharmacy products, such as Miramistin, have a good result. Irrigation of the mucosa is necessary every 2 hours.
If the temperature is observed after removing the hood over the wisdom tooth, it is important to immediately visit the dentist, as this can be a sign of a serious inflammation.
Causes of Teething Pain
If a wisdom tooth climbs and a gum sore, what can a dentist determine after a comprehensive examination. There are several reasons why pain can occur during the eruption of extreme molars. Among them, it is necessary to highlight:
- atypical tooth growth;
- pericoronitis;
- trigeminal neuralgia.
When extreme molars erupt, it is not the tooth itself that hurts, but the adjacent soft tissues. This can happen if the tooth does not grow properly and rests on the gum, and it hurts very much.
With difficult eruption of the molar, a kind of gingival hood forms. Food remains and pathogens penetrate this fold, causing inflammation.
Sometimes the wisdom tooth begins to put pressure on the facial nerves, and then there are very severe pains that cover almost half of the face.
Painkillers
It is important to know if the wisdom tooth is cut and the gums hurt, how to anesthetize and eliminate inflammation. It is worth remembering that drugs that eliminate painful sensations remove only general symptoms, but do not solve the problem as a whole. To eliminate discomfort, tools such as:
- analgesics;
- anti-inflammatory drugs;
- gels and ointments for local processing.
If the hood over the wisdom tooth becomes inflamed, only a dentist in the clinic can determine what to do. However, in the presence of severe pain, analgesics can be used. It is recommended to take a pill "Nurofen", "Ketanova", "Analgin." The effect lasts 1-5 hours. It is worth noting that in some cases, analgesics may not work. Then you can not increase the dosage of the drug and you must strictly follow the instructions for use. If there is very severe inflammation, then antibiotics for pericoronitis can be prescribed to eliminate pathogens, as this will prevent the subsequent spread of pathogens.
Anti-inflammatory drugs are also taken orally and they give a good analgesic effect, help reduce the temperature, which often rises with the eruption of extreme molars.
If a wisdom tooth is cut and the gum hurts, than to anesthetize - this is a matter of concern to many people who experience discomfort and severe pain. You can use local remedies, such as Metrogil Denta, Kamistad, Holisal. These funds have an antibacterial, analgesic and wound healing effect. Instead of ointment or gel, you can use the Angilex spray.
It is worth noting that these are only temporary measures, so if a wisdom tooth grows and the gums hurt, only a qualified dentist can determine what to do.
Folk remedies
If a wisdom tooth grows and your gums hurt, what should you do to a person who does not want to take medicine, but cannot visit a dentist? In this case, you should turn to traditional medicine. There are many different recipes that can help eliminate soreness and inflammation. One of the most effective means is sage. To eliminate the pain, you need 1 tbsp. l herbs pour 1 cup boiling water. Cover with a plate and let it brew for at least 1 hour. Rinse with a warm solution.
A decoction of oak bark will help reduce pain and inflammation. It must be brewed as indicated on the package, and for greater effect, it can be combined with sage. Rinsing is carried out every hour.
For pain relief, you can additionally use propolis infusion. Some of the applications of propolis, which are applied to the inflamed area of the gums, help a lot. Such funds have a short-term effect, and if pericoronitis has formed, it is important to visit the dentist as soon as possible for treatment.
Possible complications
Complications of pericoronitis with untimely or improper treatment are quite common. The disease can lead to the development of an abscess or phlegmon, and also affects adjacent teeth. Sometimes inflammation rapidly spreads to the area of the pharynx and tonsil, simulating the development of tonsillitis. It is worth remembering that it is possible to cope with complications only when conducting treatment in a hospital, as a complete operation is required.
If a lot of pus has accumulated, then over time it can lead to osteomyelitis and pathologies of the entire jaw. With damage to the lymph nodes, lymphadenitis is sometimes found in patients. Problems such as actinomycosis, ulcerative stomatitis and many other dental diseases may also occur.
Late dental care can lead to blood poisoning. If there is an infiltrate in the mouth for a long time, then it breaks out. The tissues of the neck and jaw have a loose structure, which contributes to the very rapid spread of infection. In especially advanced cases, this threatens the life of a person.
If a wisdom tooth grows and the gum hurts, what should be decided by the dentist, since extreme molars, if erupted incorrectly, can lead to malocclusion. This leads to impaired diction, a distortion of aesthetic functions and a deterioration in the quality of chewing food.
Prophylaxis
It is impossible to exclude the possibility of incorrect teething. It depends on the structure of the jaw of each person. In order to prevent the occurrence of rather dangerous complications and the development of the inflammatory process, certain preventive measures must be taken. These include the following:
- regular oral care;
- periodic visits to the dentist;
- going to the doctor for any signs of the disease.
The dentist must conduct not only a visual examination of the oral cavity, but also in the case of certain complaints and the appearance of unpleasant symptoms, perform an X-ray examination. The problem area will be clearly visible in the image. This will allow you to choose a methodology for conducting therapy.
Professional Tips
Most dentists do not support the idea of removing a wisdom tooth, as they believe that it may still be needed for subsequent prosthetics. Others, on the contrary, strongly recommend their removal, as they say that this will avoid many dental problems.
Most people are afraid of visiting a dentist, but this is wrong, since only a doctor can help to eliminate the existing problem, to get rid of unpleasant symptoms. In addition, after dental treatment, a person feels better, and a smile becomes aesthetic.