Conversation: The conversation between human and AI assistant.
[|Human|] Hello, i was wonderjng if you could help me? The last few days where my wisdom tooth would be growing through and the bottom in my gum it has been rather painful but more so this morning and I have now realised that there is a hole where my wisdom tooth would be ans a flappy skin over it. What do i do im not at home to be able to make a dentist appointment. Is it anything to worry about or is it normal? Thanks
[|AI|]  Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that the wisdom tooth has started erupting and the bone as well as the gum flap has perforated and as the wisdom tooth has not yet completely erupted there is appearing a hole and pain seems to be due to inflamed gum flap leading to a condition known as Peritonitis, and it is due to infection secondary to food lodgment in the area between the gum flap and the tooth. You should consult an Oral Physician and get an x-ray done and if the wisdom tooth is found impacted extraction of the same will resolve the problem permanently. In case if it is not impacted and will erupt completely the removal of gum flap [operculectomy] has to be done followed by antibiotics and painkillers. As of now you can take a short course of antibiotics like Augmenting for 5 days, take anti-inflammatory painkiller like Ibuprofen or Naproxen. Do warm saline gargles and take a soft diet. Keep the area clean. Hope this information helps. Thanks and regards. Chat Doctor.