<s>[INST] M 29 female.my right upper wisdom tooth is impacted and its tilted..it is causing alot of pain n my right cheek is swollen too. i completed an antibiotic course few days back as my mouth had limited opening.all went fine and i was feeling well.After 1 .5 weeks now , i m facing the same condition again.dentist has again advised me antibiotic course and he told to have surgery after that.is extraction the only solution left? my eyesight is already weak(-4.75).does it vl effect my eyesight? [/INST] Hii, I have gone through your query and the reason for your pain and swollen cheek is the infection progressing around your impacted right wisdom toothache wisdom tooth is last to erupt in the oral cavity and hence many a time due to lack of space it gets impacted and tilted within the bone.  The reason of infection around it is due to improper cleaning as it is the posterior most area. The only permanent treatment for it is the surgery.also it's just a taboo that surgery may affect your eyesight.  The impaction surgery is very safe, and please feel free to visit an oral and maxillofacial surgeon for the same.take care.thank you </s>