How to manage pericoronitis and treat it ?

⁉️What is Pericoronitis?

🔴is an inflammation of the soft tissues associated with the crown of a partially erupted tooth and is seen most commonly in relation to the mandibular third molar.

🔴The common symptoms and signs are pain, bad taste, inflammation of, and pus expressible from beneath, the pericoronal tissues and aggravation by trauma from an opposing tooth.

🔴Unless the cause is removed pericoronitis may present as a recurrent condition requiring multiple episodes of treatment. In severe episodes an acute pericoronal abscess may develop which may remain localised or spread to involve one or more of the adjacent deep surgical spaces and may be associated with systemic as well as local signs and symptoms.

 

⚙MANAGEMENT

❌Risk Factors

1-Presence of unerupted,partially erupted tooth and teeth in communication with the oral cavity.
💡Vertical and distoangular mandibular third molars most commonly affected.
2-Pathological periodontal pocketing adjacent to unerupted/partially erupted teeth. 3-Opposing tooth,teeth in relation to pericoronal tissues surrounding unerupted and partially erupted
teeth. 4-Previous history of pericoronitis.
5-Poor oral hygiene. 6-Respiratory tract infections

 

💊TREATMENT

The following should be considered in the acute phase: 1-Irrigation of pericoronal space. 2-Use of local agents to cauterise the soft tissues. 3-Removal of opposing tooth/teeth if traumatic occlusion with pericoronal tissues present.
4-Use of appropriate analgesia.
5-Use of appropriate antibiotics in the presence of severe local disease or if systemic symptoms identified.
6-Use of 0.12% chlorhexidine mouthwash

‎Also, You csn read about Common features of all posterior teeth ( anatomy _ occlusion _ grooves _ ridges_ fossa )

 

 


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