### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello,I have a problem with my upper left wisdom tooth thats been painfully growing for the past few years. I havent thought of taking a look at it before, since its not really visually accessible, but when I did, I noticed that its looking very odd. First, on one side it has a rather purple line on it. Second, its like its top is broken in a way that makes it detached from the gum. So yeah, theres a gap between it and the gum, but the gap isnt exactly empty since theres a brown-ish substance that neither looks like tooth nor gum.Herere pictures  taken with my phone (sorry if its not clear, its hard to take any picture of it)+ http://s16.postimg.org/dkwohrjet/IMG_0837.jpg+ http://s16.postimg.org/tx6q7hxqd/IMG_0838.jpgIts really really painful, especially when I smile for example (I can imagine the inner skin of my mouth getting in that gap, and that hurts me a lot. )What is it? Is it an infection? Is that a nerve uncovered? I got an appointment with an orthodontist but its in May, can my tooth wait? Or is it urgent  and I should just directly go see the emergency doctor?Otherwise who should I see? A dentist? An orthodontist ?Thank you very much for your help!

### output:

Hi Dear, Understanding your concern. Yours left upper wisdom tooth about which you are talking about if it's accompanied by symptoms such as intense pain, swelling over that area, fever, problem in breathing and headache then it needs immediate attention.Otherwise, warm saline rinses, antibacterial mouthwash, OTC painkillers will provide relief. Ice chips around that area can be applied to relieve pain as that causes nerve numbness. Gap you are talking about between tooth and gum is filled with brownish substance which is called calculus which is a hard substance. Pain could be because of this as it builds pressure in that area. In that case sublingual cleaning/ scaling or curettage is treatment option. Wisdom tooth extraction is not an option for some people because of potential risk of complications so pain management is recommended in that case. Well it's not an emergent situation. Your tooth can wait. You should go to dentist. Till then take all the preventive measures like saline rinses. Hope your concern has been resolved. Best Wishes,