Dentistry Book

http://www.fpnotebook.com/

Pericoronitis

Advertisement

  1. Definition
    1. Acute, localized infection around crown of partially erupted tooth
    2. Wisdom teeth (third molars) most often affected
  2. Pathophysiology
    1. Plaque and debris accumulate under gum line
  3. Symptoms
    1. Foul taste and halitosis
    2. Localized pain, worse with chewing or swallowing
  4. Signs
    1. Edema around flap overlying erupted tooth
    2. Regional Lymphadenopathy of the Head and Neck
    3. Trismus may occur
  5. Management
    1. Localized cases
      1. Mouthwash with warm salty water
      2. Irrigate under flap of mucosa
      3. Chlorhexidine Gluconate 0.12% Rinse (Peridex)
      4. Hexetidine 0.1% Rinse (Oraldene)
    2. Refractory or severe cases
      1. Dental referral as soon as possible
      2. Oral Penicillin
      3. Adequate Analgesics (e.g. NSAIDs or mild Opioid)
  6. References
    1. Douglass (2003) Am Fam Physician 67(3):511
    2. Nguyen (2008) Am Fam Physician 77:797

Pericoronitis (C0031055)

Definition (MSH)Inflammation of the gingiva surrounding the crown of a tooth.
ConceptsDisease or Syndrome (T047)
MSHD010497
EnglishPericoronitides, Pericoronitis
Spanishpericoronitis
Parent ConceptsGingival Diseases (C0017563), Periodontal Diseases (C0031090), Simple marginal gingivitis (C0266914)
SourcesMSH, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree