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

### input:
Hello, my name is Cassandra! I have this wisdom tooth that has been coming in for a little over 2 years now.. It s on the bottom right.. I can see the whole top of the tooth, but it s not fully grown in yet.. I ve never had any problems with it until sunday morning I woke up with very bad pain in my mouth. From there it progressed to pain in the whole right side of my whole head even down to my neck . I can t hardly open my mouth wide enough to eat because my jaw is a little stiff. It hurts to swollow. My right tonsil is swollen. There is this round lump looking thing right above the back of the tooth on the jaw line. That is what really hurts the worst if it s touched or anything. It s hard to brush my teeth with that there because the pain is so intense.. The tooth is coming in straight, but I guess there is little room for it to completely come in... Can you give me some answers please weather or not I would need to get this wisdom tooth cut out?? And if the lump over the tooth is from the tooth itself?? I have kind of been worrying about it because I ve never had a problem like this before and there s a knot in my mouth...

### output:

Hi Hassan Chat Doctor. Often wisdom tooth are impacted in the jaw bone due to which they fail to erupt in straight line axis with the adjacent tooth, they may be horizontal, tilted medially or distally in the jaw which makes their eruption difficult leading to pain and swelling in the jaw bone. As the area is difficult to clean, the overlying gum or mucosa is more prone to infection and often gets inflamed know as peritonitis.I suggest you to visit a dentist and get an OPG radiograph done, which will show the exact position of the tooth in the jaw and the related vital structures.Accordingly, the tooth is removed surgically under local anesthesia by an oral surgeon.I hope this helps, take care