How Do You Know if a Tooth Infection Is Spreading

• What Is
  • What facts should I know about pericoronitis?
• Overlapping Glue Flap
  • What causes pericoronitis?
• Wisdom Tooth Infection
  • What are risk factors for pericoronitis?
• Symptoms
  • What are pericoronitis symptoms and signs?
• Dental Specialists
  • What specialists treat pericoronitis?
• Swelling and Pain
  • How do health intendance professionals diagnose pericoronitis?
• Treatment
  • What is the treatment for pericoronitis?
  • Is it possible to foreclose pericoronitis?
• Dwelling Handling
  • Are home remedies effective for pericoronitis?
• Prognosis
  • What is the prognosis for pericoronitis?
• Center
  • Pericoronitis Center
• Comments
  • Patient Comments: Pericoronitis - Treatment
  • Patient Comments: Pericoronitis - Symptoms and Signs
  • Patient Comments: Pericoronitis - Experience
• More
  • Find a local Gastroenterologist in your town

What facts should I know about pericoronitis?

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Pericoronitis is a status ofttimes marked by the gum growing over a wisdom tooth.

What is the medical definition of pericoronitis?

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

Pericoronitis is differentiated from periodontal disease (or periodontitis) in that it occurs specifically around a partially erupted tooth where the tooth has not completely emerged from the gum overlying it.

What causes pericoronitis?

The cause of this status is similar to the formation of a mucilage abscess in periodontitis past the entrapment of debris under the gingival tissue.

Pericoronitis and Wisdom Teeth

Do all wisdom teeth need to be extracted?

A soft-tissue growth over a partially erupted wisdom tooth is referred to every bit an operculum. If bacteria become trapped under the operculum, an infection called pericoronitis tin develop.

Pericoronitis is 1 of the virtually common indications for emergency extraction of a wisdom tooth and typically happens when there isn't plenty room for all of the teeth in the lower jaw.

What causes pericoronitis?

The primary cause for pericoronitis is accumulation of bacteria. Usually, the tooth is simply partially exposed (soft tissue impaction) and has excess mucilage tissue that overlaps the molar. Bacteria and food debris get trapped in the infinite between the tooth and the overlapping gingiva. This overlapping mucilage 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.

What are take a chance factors for pericoronitis?

Most usually, pericoronitis affects young adults in their mid-20s who are experiencing poorly erupting wisdom teeth (third molars). Pericoronitis is essentially a "wisdom tooth infection." Risk factors for pericoronitis include the presence of excess gum tissue (operculum) overlying the wisdom tooth and difficult admission to the wisdom teeth for proper cleaning.

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Pericoronitis Run into pictures of dental procedures and oral health atmospheric condition Encounter Images

What are pericoronitis symptoms and signs?

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Signs and symptoms of pericoronitis tin range from mild to severe and include

• hurting,
• swelling of the gums,
• tenderness,
• redness of gum tissue,
• bad jiff (halitosis),
• bad gustatory modality from pus,
• difficulty opening the jaw (trismus),
• difficulty swallowing (dysphagia),
• swollen submandibular lymph nodes,
• fever,
• loss of appetite, and
• feeling unwell.

What specialists treat pericoronitis?

Whatsoever licensed dentist is able to treat pericoronitis. In situations where surgery is required or if it is a severe and complicated case, dental specialists such an oral surgeon or a periodontist (gum surgeon) can provide treatment. In very rare instances, should the infection become more widespread, emergency services with doc intendance might be needed.

How practise health care professionals diagnose pericoronitis?

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Diagnosis of pericoronitis is based on symptoms and appearance during a clinical evaluation with a health care professional such as a dentist or oral surgeon. A dental X-ray is used to assess the expanse and rule out other possible causes for pain, such as dental disuse. In one case all the information from the patient and facts are gathered, the diagnosis of pericoronitis tin be made.

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What is the treatment for pericoronitis?

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There are three methods for treatment of pericoronitis depending on the severity of the condition:

1. Direction of pain and resolving the pericoronal inflammation and/or infection
2. Minor oral surgery to remove the overlapping gingival tissue (operculectomy)
3. Removal of the wisdom tooth

To manage the pain of astute pericoronitis, utilise over-the-counter medications such as acetaminophen (Tylenol) or ibuprofen (Advil). If information technology is localized to the molar and there has been no spread of the infection, a dentist thoroughly cleans out the area under local anesthesia. A dentist may prescribe an oral rinse containing chlorhexidine to keep the expanse clean. Otherwise, warm saltwater or diluted hydrogen peroxide can exist used as an oral rinse. If in that location is swelling or fever, a dentist may prescribe oral antibiotics such every bit amoxicillin or erythromycin.

When the molar can be useful for chewing and there is a desire to continue the tooth, minor oral surgery can be performed to remove the operculum. This volition allow ameliorate admission to properly clean the expanse and prevent the aggregating of bacteria and nutrient debris. In some unfortunate instances, the glue tissue may grow back and create the same problem.

Removal (extraction) of the tooth is the almost mutual treatment method since wisdom teeth oftentimes are poorly positioned and exercise not erupt completely. This method eliminates whatsoever future occurrences of a wisdom tooth infection.

In rare instances, the symptoms become and then astringent that an individual needs to go the hospital emergency room to seek care due to the rapid spread of a pericoronal abscess. This is especially the instance if there is swelling of the lymph nodes.

Are home remedies effective for pericoronitis?

Sometimes, mild symptoms of pericoronitis can be treated at domicile through meticulous oral hygiene without the use of antibiotics. Thorough and gentle brushing of the area with a small-headed toothbrush may help to break up the plaque or food that is trapped. Oral water irrigators tin be effective in clearing out the debris trapped nether the operculum, besides. Rinsing with warm saltwater tin help to soothe the area. Additionally, diluted hydrogen peroxide can be used every bit a rinse or irrigating solution to help reduce the leaner in the expanse.

For severe pericoronitis where swelling and fever are present, dwelling treatments are not advised and proper care should be sought with the appropriate wellness intendance professional person.

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What is the prognosis for pericoronitis?

The prognosis for pericoronitis is usually very proficient. With timely care and treatment, pericoronitis can properly be managed or eliminated. Symptoms of pericoronitis tin can last for days to weeks depending on the severity. The status should resolve in approximately 1 to two weeks with treatment. If the initial cause of the infection is not treated, the condition will probable return.

Complications can occur with pericoronitis. Although rare, the infection tin spread from the mouth into the caput and cervix and cause a serious complication called "Ludwig's angina." This can be a life-threatening condition where the airway could be blocked. Another life-threatening business concern is the spread of the infection to the bloodstream (sepsis). Symptoms are to exist addressed as soon as possible to avoid any possible complications.

Is information technology possible to prevent pericoronitis?

Prevention of pericoronitis may exist accomplished with conscientious oral hygiene, regular dental visits, and preemptive intendance. The dentist can aid in keeping these potential trouble areas clean and determine the need for removal of the operculum. Alternatively, the dentist tin can too monitor the eruption of the third molars and determine the need for early extraction of these teeth. Removal of the wisdom teeth prior to eruption can forestall pericoronitis.

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References

Hazza'a A. Thou., et al. "Angulation of mandibular third molars as a predictive factor for pericoronitis." The Journal of Contemporary Dental Do ten.iii (2009): 51-58.

Nguyen, D., et al. "Common Dental Infections in the Master Care Setting." American Family unit Physician 77.half-dozen (2008): 797-802.

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