Pericoronitis




Pericoronitis is inflammation of the gum tissue surrounding the crown portion of a tooth. Pericoronitis usually affects the lower third molar (wisdom tooth) where gum tissue overlaps the chewing surface of the tooth. Pericoronitis can be either chronic or acute. Chronic pericoronitis is a mild persistent inflammation of the area. Acute pericoronitis is when the symptoms intensify to fever, swelling, and pain, which indicate a spreading infection.


CAUSES 
The primary cause for pericoronitis is accumulation of bacteria. Usually, the tooth is only partially exposed (soft tissue impaction) and has excess gum tissue that overlaps the tooth. Bacteria and food debris gets trapped in the space between the tooth and the overlapping gingiva. This overlapping gum flap is called an "operculum." Initially, inflammation of the operculum (operculitis) takes place. A pericoronal infection can develop by the formation of an abscess under the operculum. If left unattended, the infection can spread to other soft tissue spaces. 

SIGNS AND SYMPTOMS
Pain.
Swelling of the gums.
Tenderness. 
Redness of gum tissue. 
Bad taste due to pus.
Difficulty opening the jaw (trismus). 
Difficulty swallowing (dysphagia).
Swollen sub-mandibular lymph nodes. 
Fever.
Loss of appetite.
Feeling unwell. 


TREATMENT
There are three methods for treatment of pericoronitis depending on the severity of the condition: 
Management of pain and resolving the pericoronal inflammation and/or infection. Using Analgesic, Antibiotics and Warm Saline Mouth Wash 
Minor oral surgery to remove the overlapping gingival tissue (operculectomy) 
Removal of the wisdom tooth 


Don’t hesitate to contact me for further clarification, Dr. Odeyemi Kolade Project Smile 32 Senior facilitator 0806-9815-500

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