[18F] With sudden onset of swollen cheek and painful gum

Patient Description

An 18-year-old female presents with a swollen left cheek and painful back left gum, which started suddenly today. The pain is described as a 6 out of 10 in severity, tender to touch or movement, and is localized to the bottom and side of the gum behind the back left molars. She has difficulty opening her mouth due to pain and swelling, which also restricts movement. This has been occurring for approximately 2 hours, and swallowing is painful on the left side. There is no fever, chills, difficulty breathing, or unusual drainage from the affected area. The patient is currently taking Adderall and antidepressants and has no known allergies or adverse reactions to medications. There is no significant past medical history reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Pericoronitis: This is an inflammation of the gum tissue around the wisdom teeth, which are the last teeth to come in, usually between ages 17 and 25. It can cause symptoms like pain, swelling, and difficulty opening the mouth.

    • Treatment typically involves good oral hygiene, pain relief, and sometimes antibiotics. In some cases, the wisdom tooth may need to be removed.
  • Dental Abscess: This is a pocket of pus that forms in the tooth or gum due to a bacterial infection. It can cause severe toothache, facial swelling, and difficulty opening the mouth.

    • Treatment typically involves draining the abscess and treating the infection, often with antibiotics. In some cases, the affected tooth may need to be treated or removed.
  • Temporomandibular Joint (TMJ) Disorder: This is a condition affecting the joint that connects the jaw to the skull. It can cause pain and difficulty opening the mouth, among other symptoms.

    • Treatment typically involves pain relief, physical therapy, and sometimes dental treatments.

What you can do

While waiting for a formal assessment from a healthcare professional, you can try the following:

  1. Maintain good oral hygiene: Brush your teeth twice a day and floss daily. This can help prevent further infection.
  2. Use over-the-counter pain relief: Non-prescription pain relievers can help manage the pain. Always follow the instructions on the package.
  3. Apply a cold compress: This can help reduce swelling. Apply it to the affected area for 15 minutes at a time.
  4. Avoid hard or chewy foods: These can exacerbate the pain.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • Fever
  • Rapid swelling of the face or neck
  • Severe, uncontrolled pain

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What is pericoronitis and how is it treated?

Pericoronitis is an inflammation of the gum tissue around a partially erupted tooth, often a wisdom tooth. It can cause pain, swelling, and difficulty opening the mouth. Treatment typically involves maintaining good oral hygiene, using pain relief medications, and sometimes antibiotics. In some cases, the wisdom tooth may need to be removed.


What are the symptoms and treatment options for a dental abscess?

A dental abscess is a pocket of pus caused by a bacterial infection in the tooth or gum. Symptoms include severe toothache, facial swelling, and difficulty opening the mouth. Treatment usually involves draining the abscess and treating the infection with antibiotics. The affected tooth may need to be treated or removed.


How can TMJ disorder affect my jaw and what are the treatment options?

TMJ disorder affects the joint connecting the jaw to the skull, causing pain and difficulty opening the mouth. Treatment options include pain relief medications, physical therapy, and sometimes dental treatments to address the underlying cause.


What should I do if I experience severe pain or swelling in my mouth?

If you experience severe pain or swelling in your mouth, it's important to seek medical attention. You can manage symptoms temporarily with over-the-counter pain relief, cold compresses, and avoiding hard foods, but a healthcare professional should evaluate the condition for appropriate treatment.


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