Based on your x-rays and your complaint of pain, it seems like you have pericoronal tissue infections associated with your impacted wisdom tooth.
The upper left wisdom tooth is situated too far posterior (back in position) and the location makes it difficult for effective cleaning. Hence, the gum inflammation and pain you're experiencing.
This also applies to the lower wisdom tooth which is impacted against the tooth in front, creating a food trap. I would strongly suggest you have your wisdom teeth removed as soon as possible.
If you are anxious and nervous, you can consider getting them removed under intravenous sedation. This is done with a medical anaesthetist in attendance during the entire procedure. Your heart rate, oxygen level and blood pressure will be monitored continuously to ensure your safety.
During the procedure, you will be asleep and unaware when your wisdom tooth is removed, thus allaying your fears and anxiety of surgeries.
Best regards,
Dr Ho Kok Sen
Oral & Maxillofacial Surgeon
