Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I m 39. I recently recovered from a gum infection under my right rearmost molar. Very painful. Now I am experiencing more pain and tenderness in the gum that presses against the back of my right wisdome tooth. I think it s infected (when I swallow I also hear crackling in my ears. Hoping to get some advice before going down the rabbit hole of seeing doctors or specialists (I don t have insurance at the moment). Here are the details: - seven months ago I had my teeth cleaned; all was normal except at the end of my checkup, my dentist said I should keep an eye on my right rear wisdom tooth because there was a bit of movement. - six months ago I noticed an odd sense of pressure in my right ear. - this roughly coincided with a throat infection ( antibiotics cleared it up) - hurt as hell - not sure if it s related. - following the throat infection, I experienced ongoing tightness of the throat. Sometimes hard to swallow and speak. Continues to this day. - about nine weeks ago I experienced soreness in my gum behind my right wisdom tooth. It went away eventually (lots of rinsing). - ear pressure continues.... - six weeks ago I developed severe pain in my right jaw. Antibiotics cleared it up for about a week, but the pain came back. - when it came back, I was in agony with pain in my jaw. Couldn t sleep or think... A few days later I had developed a periodontal (gum) abscess below my rear right molar - the tooth in front of the questionable wisdom tooth. - my dentist drained the abscess (yes, sorry... gross) and put me on antibiotics. (Diagnosis was a periodontal pocket which has since healed quickly.) - this cleared things up (severe, life altering head throbbing pain is gone thank god) and things were back to normal. - that was a week ago. - however, now I am experiencing the same pain behind my wisdom tooth. The gum is sore in a small region behind the tooth. I have pressure in my right ear and it s sometimes hard to swallow.
[|AI|]  Hello there... After all that do you mean that your wisdom tooth is retained? Periodontal abscess or any kind of abscess related to the wisdom tooth i advice go for the removal. Pain with relation to the lower wisdom tooth will have a characteristic pain radiating to the ear on that side, to the throat, side of your head (temple region), that side of the jaw, difficulty in swallowing. We call this referred pain... The other complication you see are the space infections and restricted mouth opening. Antibiotics won't help once the space infections sets in... Surgical intervention becomes mandatory. Get your wisdom tooth removed. Consult an Oral and Maxillofacial Surgeon for clinical evaluation and management.