<s>[INST] A month ago I had a lower right wisdom tooth pulled.  Im 54 years old -- very traumatic. For the past week Im been having pain in my upper and lower gums and side of my face, opposite the surgery site.  It feels a bit like a migraine.  What do you suggest it could be?  Thank you. [/INST] Thanks for your query, I have gone through your query. The pain on the face could be because of the disc displacement in the Temporomandibular joint secondary to opening your mouth during extraction causing damage to the joint. The pain in the gums can be because of the gum or tooth infection. Consult an oral physician and get it diagnosed. If I am your treating doctor, I would suggest you to take anti-inflammatory Chat Doctor.  You can also take muscle relaxants like chlorzoxazone for joint problem. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. Take soft diet. Regarding your gum or tooth infection, you can take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). After that you can get the tooth or gums treated. I hope my answer will help you, take care. </s>