I have severe pericoronitis .the swelling won't let me sleep and my neck is stiff .please tell me do I have to get the gums surgically removed? My dentist said it's not that serious and the swelling will go away after antibiotics. But I am scared to eat lots of medicines. Kindly suggest.

Dr. Valsala.PAyurveda32yrs exp

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Use tribaladi powder in hot water for washing and gargling for one week. Use dasanakanthi tooth powder red tooth powder for brushing. It will give improvement.  

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Dr. Uday Pratap SinghDentist5yrs exp

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Regards Please understand what pericoronitis is before you do anything else. It is a physical problem where food particles and plaque accumulate beneath a small area of gingiva overlying a lower third molar. Because of this, it gets inflamed and swells up. Because of the swelling, it gets chewed upon by corrosponding upper tooth. This causes further damage and further aggravates the inflammation and thus swelling. This become a viscious cycle. Because of some antibiotics, painkillers and anti-inflammatory medications, the current episode might resolve only to cause a another episode because the physical problem has not been corrected. This problem is sort of new to our generation based on evolutionary explanations. Our jaw sizes are reducing while the number and size of teeth remains the same. Thus the third molars are generally partially covered by bone and/ or gingiva from the back. This causes third molar impaction or pericoronitis. I would strongly suggest that you stop beating around the bush and get that third molar extracted given that you are unable to sleep because of the severity of this episode. If not indicated in your particular case, consider laser operculectomy (removal of excessive gingiva covering a third molar by laser to cause minimal swelling). It might seem drastic, but take some time and consider the various episodes of pain and swelling that you will have to face unnecessarily because of a tooth that is not as useful in chewing.  

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