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Gingiva Diseases Of89

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PERICHORONITIES

What is pericoronitis?

Pericoronitis is inflammation of the tissue surrounding a third molar, otherwise


known as a wisdom tooth. The condition most often occurs in molars that are
partially impacted, or not fully visible. It’s also more common in lower molars than
in the upper ones.

Most people with pericoronitis have a flap of gum tissue partially covering the
crown of the erupting tooth.

Your doctor may recommend having the flap removed or extracting the tooth,
based on a number of factors. Sometimes, only treating the actual symptoms is
the best course of action.

What are the symptoms of pericoronitis?

The symptoms of pericoronitis vary, based on whether the condition is acute or


chronic.

The symptoms of acute pericoronitis include:

 severe pain near your back teeth


 swelling of gum tissue
 pain when swallowing
 the discharge of pus
 trismus (lockjaw)

Chronic pericoronitis can include the following symptoms:


 bad breath
 a bad taste in your mouth
 a mild or dull ache lasting for one or two days

What are the causes and risk factors of pericoronitis?

Pericoronitis usually occurs when a molar is partially impacted. Bacteria then


accumulates around the soft tissue, causing inflammation.

The following factors can increase your risk of pericoronitis:

 age between 20 to 29
 wisdom teeth that haven’t properly erupted
 poor oral hygiene
 excess gum tissue
 fatigue and emotional stress
 pregnancy

Overall health hasn’t shown to be a risk factor for pericoronitis.

How is pericoronitis diagnosed ?

Your dentist will examine your tooth to see if it’s partially erupted and to check for
a gum flap. They’ll note your symptoms and may take an X-ray.

What are the complications of pericoronitis?


The main complication of pericoronitis is pain and swelling around the
molar. You may also have difficulty biting down or experience lockjaw. In
some cases, infection can spread from the affected tooth to other areas of
your mouth.

2
While rare, a person experiencing pericoronitis can develop a life-
threatening complication called Ludwig’s angina, in which the infection
spreads into their head and neck. An infection that spreads to the
bloodstream, otherwise known as sepsis, is also a rare, life-threatening
complication

How is pericoronitis treated ?


Your dentist will take a number of factors into consideration when deciding
how to treat your pericoronitis. The three treatment options are:

Managing or alleviating the pain near the molar


Removing the flap covering the tooth
Removing the tooth
Name:_Twana Azad
Group:_B

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