<s>[INST] I think my wisdom tooth is coming in and earlier today it was very swollen and just now I rinsed with hot salt water and i looked at it and picked up the flap gum with qtip and pus started coming out so what do I do now? [/INST] Hi, Ideally a wisdom tooth if not coming out completely or creating difficulty in cleaning due to improper positioning requires extraction by an oral surgeon. Sometimes food gets deposited in between the flap over the erupting wisdom tooth and the tooth itself, and it is almost impossible to clean it out resulting pus formation due to infection. As there is presence of pus in that area you need to do warm saline gargles 3-4 times/day along with a good chlorhexidine mouthwash. You may require antibiotics and an anti inflammatory Chat Doctor.  These are temporary measures, I would strongly recommend you to visit your dentist for further treatment i.e.: extraction or operculectomy (cutting of the flap) for better oral hygiene. Regards </s>