PERIOCORONITIS, AN ACUTE GINGIVAL INFECTION.

When your gums get irritated around a partly erupted tooth—typically those bothersome wisdom teeth—you suffer pericoronitis. Under the gum flap, picture a little food trap that invites germs to join the party. What was the outcome? red, swollen gums that might cause a lot of oral pain! A unpleasant taste or smell may be detected, and you may even experience difficulty opening your mouth. The remedy? A thorough cleaning, perhaps some antibiotics, and occasionally bidding farewell to the uncooperative tooth. Maintaining good dental hygiene can help prevent pericoronitis, allowing your smile to remain bright and healthy.

1. PERIOCORONITIS BY DENTAL PEARL

2. CONTENTS OF LECTURE DEFINATION ETIOLOGY CLINICAL FEATURE COMPLICATIONS TREATMENT

3. DEFINATION Pericoronitis is a inflammation of gingiva or peri coronal portion of gingiva in relation to the crown of an incomplete erupted tooth. Mostly occurs in mandibular third molars

4. ETIOLOGY AND TYPES ETIOLOGY Bacteria Trauma to operculum due to eating. Foreign body trapped into tissue flap. Types Acute Subacute Chronic

5. Clinical features Red ,swollen ,suppurative lesion of operculum. Tenderness Pain is radiating to ear ,throat and floor of mouth Foul test Inability to close jaw Swelling of check in the region of angle of jaw Acute condition there is trismus of jaw Patient may have systemic manifestation in acute conditions like fever ,leukocytosis , lymphadenopathy and malaise.

6. COMPLICATIONS Acute peri coronal abscess Trismus Cellulitis Ludwig angina

7. CLINICAL PICTURE

8. TREATMENT Acute phase to subacute cleaning an irrigation of operculum to remove any foreign body and flush out microbes to reduce microbial load . Prescribe antibiotics, anti inflammatory along with chlorohexidine mouth rinse . When acute symptoms subside advise patient to remove operculum or extraction of tooth.