<s>[INST] Red swollen guns around my wisdom teeth , pain when swallowing , jaw is hard to open and close. I have been using salt water for 3 days. It s very painful and It s gotten so bad that I can t sleep. [/INST] Hi, Thanks for asking the query, I would like to tell you that wisdom tooth is the last tooth to erupt in the oral in the oral cavity which is usually maligned and impacted in the jaw bone, the area is difficult to clean and causes bacterial accumulation leading to inflammation and swelling of the overlying gums known as PERITONITIS. I would suggest you to visit the Dentist and get thorough checkup done take an OPG radiograph. The tooth can either be extracted or the periodontal flap can be surgically removed to guide the eruption of the tooth in the oral cavity. Take complete course of antibiotics and analgesics. Take lukewarm saline rinses and antiseptic mouthwash gargles twice daily. Hope this helps out. Regards.... </s>