Question about Wisdom Teeth

The wisdom teeth on the top of my mouth are killing me right now.
Both of them are completely decayed and are VERY sensitive to the
touch. Also on my left side the tooth that is next to my wisdom has
broken off and this tooth is also very sensitive.

They don't really hurt all the time. If I can manage to not bite down
or them or hit them with my tongue they don't really hurt but that is
a very difficult task to do. If I touch any of the teeth they hurt
pretty badly and will continue to hurt until they have been left a
lone for a while.

My first question is how do I know if the tooth is infected. I am
sure they are by now just because of the condition they are in but how
can I be sure? I know it is dangerous to have infected teeth because
the infection can spread.

Right now it's a big annoyance but I know that it's going to develop
into something more than that. Eating is very difficult, if I
accidentally bite down on the tooth with any kind of source I am in
for some serious pain.

Second question, should I got to the ER. Like I said the pain is
pretty intense. Is there some kind of dentist that is always at an ER
that can look at my teeth? If I do goto the ER what should I expect
the Dr's would do? I have gums and everything else hanging around
these teeth and the one that is broken off seems like it is loose.

Would appreciate any advice.

.

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