Posted on 10/1/2024 by Mountain State Oral and Facial Surgery
Pericoronitis is a condition that affects the gums surrounding partially erupted teeth, most commonly wisdom teeth. It occurs when bacteria get trapped under the gum flap that covers the partially erupted tooth, causing inflammation and infection.
What are the symptoms of pericoronitis?
The symptoms of pericoronitis can vary depending on the severity of the infection. Some common symptoms include:
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Pain and swelling in the gums around the affected tooth
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Redness and inflammation of the gums
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Bleeding from the gums
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Bad breath
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Difficulty opening your mouth
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Swollen lymph nodes in your neck
What are the causes of pericoronitis?
Pericoronitis is most commonly caused by poor oral hygiene. When food and debris get trapped under the gum flap, it creates an ideal environment for bacteria to grow. Other factors that can contribute to pericoronitis include:
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Partially erupted teeth: These teeth are more likely to trap food and debris under the gum flap.
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Wisdom teeth: Wisdom teeth are the most common teeth affected by pericoronitis, as they are often partially erupted.
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Crowded teeth: Crowded teeth can make it more difficult to clean around the gums, increasing the risk of infection.
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Compromised immune system: People with weakened immune systems are more susceptible to infections, including pericoronitis.
How is pericoronitis diagnosed?
Pericoronitis is usually diagnosed by a dentist during a routine dental exam. The dentist will examine your gums and teeth and may take an X-ray to get a better look at the affected tooth.
How is pericoronitis treated?
The treatment for pericoronitis will depend on the severity of the infection. In some cases, the infection may clear up on its own with good oral hygiene. However, if the infection is more severe, your dentist may recommend one of the following treatments:
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Irrigation: Your dentist will use a special tool to flush out the area under the gum flap and remove any food debris or bacteria.
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Antibiotics: If the infection is severe, your dentist may prescribe antibiotics to help clear up the infection.
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Extraction: In some cases, the best way to treat pericoronitis is to remove the affected tooth. This is especially true for wisdom teeth, which are often the cause of the problem.
What are the potential complications of pericoronitis?
If pericoronitis is left untreated, it can lead to serious complications, including:
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Cellulitis: This is a serious infection that can spread to the surrounding tissues.
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Abscess: An abscess is a collection of pus that can form in the gums or jawbone.
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Osteomyelitis: This is an infection of the bone.
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Sepsis: This is a life-threatening condition that can occur when an infection spreads to the bloodstream.
How can I prevent pericoronitis?
The best way to prevent pericoronitis is to practice good oral hygiene. This includes brushing your teeth twice a day, flossing daily, and rinsing with an antiseptic mouthwash. You should also see your dentist for regular checkups and cleanings.
How can restorative dentistry help with pericoronitis?
Restorative dentistry can play a role in preventing and treating pericoronitis. For example, if a tooth is decayed or damaged, it can be more difficult to clean around the gums, increasing the risk of infection. Restorative dentistry procedures, such as fillings, crowns, and bridges, can help to restore teeth and make them easier to clean.
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