Impacted wisdom teeth commonly cause repeated pain, swelling, jaw stiffness, and sometimes fever, especially when they get infected. Since your OPG shows all four wisdom teeth are impacted, and you are still having severe symptoms despite multiple antibiotics, it suggests that medicines alone are only giving temporary relief, and the main problem is still present. In such cases, the definitive treatment is usually surgical removal of the impacted teeth rather than repeated antibiotic courses. Having epilepsy does require extra precautions, but it does not automatically prevent dental extraction. Many patients with epilepsy safely undergo tooth removal, especially when their condition is stable, and their anti-epileptic medicines are continued properly. In many cases, extraction can still be done safely under local anaesthesia in a hospital setting with careful monitoring and stress control, which helps reduce the risk of triggering seizures. However, if the teeth are deeply impacted, the infection is severe, or anxiety is very high, then extraction under general anaesthesia may be considered as a safer and more comfortable option, provided it is done in a well-equipped hospital with an experienced anaesthetist and coordination with your neurologist. Since your pain, stiffness, and fever are persisting even after multiple antibiotics, you should consult an oral and maxillofacial surgeon urgently for proper evaluation and planning of definitive treatment, rather than continuing only medicines.