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

### input:
Hey Docs, For a few days now i have been having swelling on my gums behind the last tooth on the bottom row of my teeth on the right side.It is painful and a pale white color.It feels a lot better after i brush my teeth but the pain eventually comes back.I rinse my mouth with warm salt water and peroxide but the pain will eventually come back.Any advice? Anything would be great.

### output:

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint you are suffering from PERICORONITIIS which is inflammation of the gum flap that covers or lies behind the wisdom tooth and the inflammation occurs as a result of food deposition in the area between the gum flap and the wisdom tooth and inflammation leads to swelling and pain. As when you brush your teeth there must be a reduction in infection in that area which provides you some relief but eventually the bacterial count increases and there is more acid production leading to recurrence of pain and swelling. You should consult a dentist and get evaluated and along with it if your wisdom tooth is not completely erupted an x-ray of the wisdom tooth has to be done.First an antibiotic course is to be taken like Augmenting 625 mg thrice a day, Ibuprofen 400 mg thrice a day and Pantoprazole 40 mg once in morning empty stomach. Take for 5 days and along with it do warm saline gargle. Chlorohexidine gargles are also relieving. In case if the condition resolves it is fine or else if it recurs then x-ray will help in deciding the treatment as if the wisdom tooth is completely erupted then OPERCULECTOMY that is surgical removal of the gum flap is done under local anesthesia. In case if the tooth is impacted Operculectomy can also be done, but in that case extraction of the tooth is the best possible treatment. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. .