Pericoronitis

Disease overview

Wisdom (the third molars) soft tissue inflammation around the Crown as pericoronitis. Come to the 18-25 year-old youth, was one of the forces of common oral diseases.

Third molar eruption process or eruption difficult part of the Crown was free of the gingival part is covered, in the Crown and gingival flap between blind bag (gingival pockets), blind bag regular food particles and bacteria. The local conditions allow bacteria to growth, reproduction. If cold, fatigue, or other reasons caused by the organism resistance drop, or due to local trauma (such as jaw teeth bite) and other factors that can trigger pericoronitis. Because of the mandibular third molar eruption often lack adequate location and easy form of impacted, the disease is prevalent in the teeth. Clinical common impacted situation near impacted, horizontal impacted and vertical impacted.

Clinical manifestations

Acute pericoronitis main symptoms are swelling of the soft tissue surrounding the tooth pain. If inflammation affects the masticatory muscles can cause varying degrees of mouths restricted, such as the spread of pharyngeal side swallowing pain occurs, causing the patient to chew, eating and swallowing difficulties. Patient weight can have discomfort, headache, increased body temperature, appetite, and other systemic symptoms.

Check the visible third molar eruption failure, gingival flap cover, blind bag shape. Crown surrounding soft tissue swelling, gingival flap edges erosion, blind bags have purulent exudate. Sometimes you can form a canopy of abscess, facial swelling, ipsilateral submandibular lymph node enlargement, tenderness.

Acute pericoronitis as failure to complete treatment, you can become chronic, recurrent, and even legacy fistula. If inflammation continues to expand, following complications can occur. For example, spread to the subperiosteal subperiosteal abscess formation; or pus along the lower jaw forward lateral facial types, you can stream corresponds to the first or second molar cheek side formed abscesses or gingival fistula; or you can scale out subcutaneous abscesses, cheek, or puncture the skin forming a fistula. There are visible on the clinical buccal fistula patients, consideration should be given to a possible pericoronitis, prevent misdiagnosed. Pericoronitis in severe cases, there may be complicated by jaw week cellulitis, mandibular osteomyelitis or even systemic infection.

Pericoronitis treatment mainly enhanced patient body resistance, infection control, promote inflammation. After the acute stage, consider the use of the pathogens teeth to prevent recurrence of surgical treatment.

1. whole body treatment

According to the severity of the choice of antibiotic or oral antipyretic, detoxifying herbal medicines for treatment.

2. local treatment

Pericoronitis-local treatment is important. Daily available 1-3% hydrogen peroxide solution and normal saline or other sterilization solution flushing blind bag, and then point to 3% Glycerin. Another to compound borax solution or gargling of nitrofurazone fluids, etc., 1 times. Early can also be local physiotherapy, topical herbal medicine to help the absorption of inflammation. Acupuncture may have analgesic, improve your mouth, etc. Such as the formation of pus cavity, incision and drainage.

3. sources of the dental treatment

Acute inflammation subsided, dealing with illness tooth for further action to prevent recurrence. If the tooth is, eruption of properly, and the exercise of the jaw teeth, masticatory function for Crown week gingival flap surgery wedges. Otherwise should be uprooted.

Treatment

Pericoronitis treatment mainly enhanced patient body resistance, infection control, promote inflammation. After the acute stage, consider the use of the pathogens teeth to prevent recurrence of surgical treatment.

1. whole body treatment

According to the severity of the choice of antibiotic or oral antipyretic, detoxifying herbal medicines for treatment.

2. local treatment

Pericoronitis-local treatment is important. Daily available 1-3% hydrogen peroxide solution and normal saline or other sterilization solution flushing blind bag, and then point to 3% Glycerin. Another to compound borax solution or gargling of nitrofurazone fluids, etc., 1 times. Early can also be local physiotherapy, topical herbal medicine to help the absorption of inflammation. Acupuncture may have analgesic, improve your mouth, etc. Such as the formation of pus cavity, incision and drainage.

3. sources of the dental treatment

Acute inflammation subsided, dealing with illness tooth for further action to prevent recurrence. If the tooth is, eruption of properly, and the exercise of the jaw teeth, masticatory function for Crown week gingival flap surgery wedges. Otherwise should be uprooted.

(Editors: Han 1m1m SWE)