Pericoronitis

11 min read

Pericoronitis is an infection of the soft tissue around the crown of a partially erupted tooth, usually a wisdom tooth. It is caused by bacteria that accumulate in the area, leading to inflammation and pain. It is most common in young adults, but can occur at any age.

Causes of Pericoronitis

Pericoronitis is caused by bacteria that accumulate in the area around a partially erupted tooth. This can happen when food particles and bacteria become trapped in the flap of gum tissue that covers the tooth. Poor oral hygiene can also contribute to the development of pericoronitis.

Diagnosis of Pericoronitis

Pericoronitis is usually diagnosed by a dentist or oral surgeon. The dentist will examine the area around the tooth and may take X-rays to determine the extent of the infection. In some cases, a sample of the infected tissue may be taken for laboratory analysis.

Complications of Pericoronitis

If left untreated, pericoronitis can lead to serious complications, such as an abscess or cellulitis. It can also spread to other areas of the mouth, such as the throat or sinuses. In rare cases, it can spread to other parts of the body, such as the lungs.

Prevention of Pericoronitis

Good oral hygiene is the best way to prevent pericoronitis. This includes brushing and flossing regularly, as well as visiting the dentist for regular check-ups. If a partially erupted tooth is present, it is important to keep the area clean and free of food particles and bacteria.

Take the Pericoronitis Assessment

Symptoms

  • Pain and tenderness in the area around the wisdom tooth
  • Swelling of the gum tissue around the wisdom tooth
  • Difficulty opening the mouth
  • Bad breath
  • A bad taste in the mouth
  • Fever
  • Headache
  • Swollen lymph nodes in the neck

If you experience any of these symptoms, it is important to see your dentist as soon as possible. Your dentist can diagnose pericoronitis and recommend the best treatment for you.

Causes

Poor Oral Hygiene

Poor oral hygiene is one of the most common causes of pericoronitis. When food particles and bacteria accumulate around the partially erupted tooth, it can cause inflammation and infection. This is why it is important to brush and floss regularly, especially around the wisdom teeth.

Tobacco Use

Tobacco use is another risk factor for pericoronitis. Smoking and chewing tobacco can irritate the gums and increase the risk of infection. Quitting smoking and avoiding tobacco products can help reduce the risk of developing pericoronitis.

Gum Disease

Gum disease, or periodontal disease, is an infection of the gums that can cause inflammation and swelling. This can make it difficult for the wisdom tooth to erupt properly, increasing the risk of pericoronitis. Regular dental checkups and good oral hygiene can help prevent gum disease.

Trauma

Trauma to the mouth can also increase the risk of pericoronitis. This can include injuries from sports, accidents, or even biting down too hard on something. If the trauma affects the wisdom tooth, it can cause inflammation and infection.

Genetics

Genetics can also play a role in the development of pericoronitis. Some people are more prone to developing the condition due to their genetic makeup. If you have a family history of pericoronitis, it is important to take extra care of your teeth and gums to reduce the risk.

Conclusion

Pericoronitis is a common condition that can cause pain and swelling around the crown of a partially erupted tooth. While the exact cause of pericoronitis is not known, there are several factors that can increase the risk, such as poor oral hygiene, tobacco use, gum disease, trauma, and genetics. Taking good care of your teeth and gums can help reduce the risk of developing pericoronitis.

Getting a Diagnosis

Signs and Symptoms

The most common symptom of pericoronitis is pain in the area of the affected tooth. Other symptoms may include swelling, redness, and tenderness of the gum tissue, difficulty opening the mouth, and a bad taste in the mouth.

Diagnostic Tests

To diagnose pericoronitis, the dentist will perform a physical examination of the mouth and take a medical history. X-rays may be taken to determine the extent of the infection and to check for any underlying problems. The dentist may also take a sample of the infected tissue for laboratory testing.

Treatment

Treatment for pericoronitis usually involves antibiotics to reduce the infection and pain medications to relieve the pain. In some cases, the dentist may need to surgically remove the affected tissue. In severe cases, the tooth may need to be extracted.

Questions for Your Doctor

Symptoms

It is important to discuss the symptoms you are experiencing with your doctor. This will help them determine the best course of treatment. Common symptoms of pericoronitis include pain, swelling, and redness in the gums. You may also experience difficulty opening your mouth or difficulty chewing.

Diagnosis

Your doctor will likely perform a physical examination and take a medical history to diagnose pericoronitis. They may also take X-rays or other imaging tests to get a better look at the affected area. It is important to discuss the results of these tests with your doctor.

Treatment Options

Your doctor will discuss the various treatment options available for pericoronitis. These may include antibiotics, anti-inflammatory medications, or even surgery. It is important to discuss the risks and benefits of each option with your doctor before making a decision.

Prevention

Your doctor can also discuss ways to prevent pericoronitis from occurring in the future. This may include practicing good oral hygiene, avoiding certain foods, and avoiding smoking. It is important to discuss these prevention methods with your doctor in order to reduce your risk of developing pericoronitis.

Treatment

Antibiotics

Antibiotics are often prescribed to treat pericoronitis. These medications can help reduce inflammation and fight off the infection. Common antibiotics used to treat pericoronitis include penicillin, clindamycin, and metronidazole. It is important to take the full course of antibiotics as prescribed by your doctor.

Pain Medication

Pain medications such as ibuprofen or acetaminophen can help reduce pain and inflammation associated with pericoronitis. It is important to follow the instructions on the medication label and not take more than the recommended dose.

Surgical Removal

In some cases, the affected tooth may need to be surgically removed. This is usually done if the infection is severe or if the tooth is causing other problems. The procedure is usually done under local anesthesia and can help reduce pain and prevent the infection from spreading.

Good Oral Hygiene

Good oral hygiene is essential for managing pericoronitis. This includes brushing and flossing regularly, using an antiseptic mouthwash, and avoiding foods that can irritate the affected area. It is also important to see your dentist regularly for checkups and cleanings.

Home Remedies

There are also several home remedies that can help reduce pain and inflammation associated with pericoronitis. These include rinsing the mouth with warm salt water, applying a cold compress to the affected area, and using a topical antiseptic. It is important to talk to your doctor before trying any home remedies.

Drugs & Medications

Symptoms of Pericoronitis

The most common symptom of pericoronitis is pain and swelling in the area around the affected tooth. Other symptoms may include bad breath, difficulty opening the mouth, and a bad taste in the mouth. In some cases, the infection can spread to other parts of the body, leading to fever, chills, and swollen lymph nodes.

Treatment for Pericoronitis

Treatment for pericoronitis typically involves antibiotics to clear the infection. In some cases, the affected tooth may need to be removed. Other treatments may include pain relievers, warm salt water rinses, and anti-inflammatory medications. In severe cases, surgery may be necessary to remove the infected tissue.

Prevention of Pericoronitis

The best way to prevent pericoronitis is to practice good oral hygiene. This includes brushing and flossing regularly, and visiting the dentist for regular checkups. If you have a partially erupted wisdom tooth, it is important to keep the area clean to prevent bacteria from accumulating. If you experience any symptoms of pericoronitis, it is important to seek medical attention right away.

Diet

Foods to Eat

When it comes to diet for pericoronitis, there are certain foods that can help reduce inflammation and promote healing. These include:

  • Fruits and vegetables: Fruits and vegetables are packed with vitamins, minerals, and antioxidants that can help reduce inflammation and promote healing. Aim to eat a variety of colorful fruits and vegetables every day.
  • Whole grains: Whole grains are a great source of fiber, which can help reduce inflammation and promote healthy digestion. Choose whole grain breads, pastas, and cereals over refined grains.
  • Lean proteins: Lean proteins such as fish, chicken, and beans are a great source of protein, which can help promote healing and reduce inflammation. Aim to eat lean proteins at least twice a day.
  • Healthy fats: Healthy fats such as olive oil, nuts, and avocados are a great source of essential fatty acids, which can help reduce inflammation and promote healing. Aim to include healthy fats in your diet every day.

Foods to Avoid

In addition to eating a healthy diet, it is also important to avoid certain foods that can worsen inflammation and make pericoronitis worse. These include:

  • Refined carbohydrates: Refined carbohydrates such as white bread, white rice, and sugary snacks can worsen inflammation and make pericoronitis worse. Avoid these foods as much as possible.
  • Processed foods: Processed foods such as chips, crackers, and frozen meals are often high in sodium and preservatives, which can worsen inflammation and make pericoronitis worse. Avoid these foods as much as possible.
  • Sugary drinks: Sugary drinks such as soda, energy drinks, and sweetened teas can worsen inflammation and make pericoronitis worse. Avoid these drinks as much as possible.
  • Alcohol: Alcohol can worsen inflammation and make pericoronitis worse. Avoid alcohol as much as possible.

Eating a healthy diet can help reduce the risk of developing pericoronitis and can also help reduce the symptoms if you already have it. Aim to eat a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats every day, and avoid refined carbohydrates, processed foods, sugary drinks, and alcohol as much as possible.

Lifestyle

Good Oral Hygiene

Good oral hygiene is essential for preventing and managing pericoronitis. Brush your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste. Floss daily to remove plaque and food particles from between your teeth. Use an antiseptic mouthwash to reduce bacteria in your mouth. Visit your dentist regularly for professional cleanings and checkups.

Avoid Certain Foods

Certain foods can aggravate pericoronitis and should be avoided. These include hard and crunchy foods, such as nuts and popcorn, as well as sticky and sugary foods, such as candy and gum. Avoid smoking and drinking alcohol, as these can also irritate the gums.

Manage Stress

Stress can worsen pericoronitis symptoms, so it is important to manage stress levels. Exercise regularly, get plenty of rest, and practice relaxation techniques, such as yoga and meditation. Avoid situations that cause stress and take time to relax and unwind.

See Your Dentist

If you experience any symptoms of pericoronitis, such as pain, swelling, or redness, see your dentist as soon as possible. Your dentist can diagnose the condition and recommend treatment, such as antibiotics or a dental procedure.