Pericoronitis: Causes, Symptoms, Diagnosis, and Treatment



Pericoronitis refers to the inflammation of gum tissue surrounding the third molars, commonly known as wisdom teeth. This condition can range from mild to severe, with symptoms including pain, swelling, pus formation, and bad breath. It primarily affects the lower jaw more often than the upper jaw and is most common among individuals in their early 20s, as this is when wisdom teeth typically begin to emerge.

If left untreated, pericoronitis can lead to serious complications, making prompt dental care essential. Continue reading to learn more about home remedies for symptom relief and the professional treatment options available.

Causes and Risk Factors of Pericoronitis

Pericoronitis occurs when wisdom teeth partially emerge, leaving a flap of gum tissue that can trap bacteria, food debris, plaque, and bacterial film. This leads to inflammation and infection in the surrounding gum tissue.

Certain factors increase the likelihood of developing pericoronitis, including:

  • Being in your early 20s
  • Partially erupted wisdom teeth
  • Poor oral hygiene
  • Emotional stress and fatigue
  • Pregnancy
  • Excess gum tissue
  • Upper respiratory tract infections

Symptoms of Pericoronitis

The symptoms of pericoronitis vary depending on whether the condition is acute (short-term) or chronic (long-term).

Acute (Short-Term) Symptoms:

  • Intense pain around the affected tooth
  • Swelling and redness in the gums
  • Pus discharge from the gum flap
  • Difficulty opening the mouth (trismus)
  • Bad breath or an unpleasant taste in the mouth
  • Fever and general discomfort
Chronic (Long-Term) Symptoms:
  • Persistent mild pain or discomfort
  • Occasional gum swelling
  • Bad breath due to bacterial buildup
  • A recurring unpleasant taste in the mouth
  • Difficulty maintaining oral hygiene in the affected area


Home Remedies for Pericoronitis

  • While pericoronitis cannot be completely cured without professional dental care, certain home remedies can help alleviate minor symptoms:
  • Warm salt water rinse: Gently rinsing with salt water can help remove bacteria and soothe inflammation.
  • Hydrogen peroxide rinse: A diluted solution can help reduce bacterial buildup in the affected area.
  • Cold compress: Applying a cold compress to the outside of the jaw can reduce swelling and numb pain.
  • Over-the-counter pain relievers: Medications like ibuprofen or acetaminophen can help manage pain and inflammation. Ensure you follow the recommended dosage.
  • Good oral hygiene: Brushing and flossing gently around the affected area can help prevent infection by removing bacteria and food debris.
  • Clove oil application: Clove oil, which contains eugenol, acts as a natural pain reliever with antibacterial properties.


What to Avoid When Affected by Pericoronitis

Along with following home remedies, avoiding certain habits can help speed up healing and prevent complications:

Skipping dental visits: Without professional treatment, pericoronitis can worsen, so timely consultation with a dentist is crucial.

  • Ignoring symptoms: Delaying treatment increases the risk of severe infection.
  • Hard, crunchy, or sticky foods: These can irritate the gum flap and worsen pain.
  • Smoking and tobacco use: These slow down the healing process and increase infection risks.
  • Alcohol and sugary drinks: They can irritate the gums and promote bacterial growth.
  • Using sharp or hard objects to clean the area: This may cause further injury or infection.
  • Overusing pain relievers: Relying excessively on medication without addressing the root cause can delay proper treatment.
  • Poor oral hygiene: Neglecting proper cleaning can lead to bacterial buildup and worsen the condition.
  • Touching the affected area frequently: This can introduce more bacteria and increase the risk of infection.

Diagnosis of Pericoronitis

  • Dentists diagnose pericoronitis through a three-step process:
  • Clinical Examination: The dentist examines the gums for swelling, redness, or infection.
  • X-rays: Dental X-rays help assess the alignment and eruption of wisdom teeth.

Symptom Evaluation: The severity of symptoms determines whether the condition is acute or chronic.


Professional Dental Treatments for Pericoronitis

Following a diagnosis, a dentist may recommend the following treatments to promote healing:

  • Deep cleaning: Removing trapped food debris and bacteria from the gum flap.
  • Antibiotics: In severe cases, antibiotics are prescribed to control infection.
  • Pain management: Prescription pain relievers may be used if necessary.


Operculectomy (Gum flap removal surgery): If the condition recurs, excess gum tissue may be surgically removed.

Wisdom tooth extraction: Removal may be necessary in cases where the tooth is severely impacted or causing frequent infections.

Takeaway

Pericoronitis is an inflammatory condition affecting the gum tissue around wisdom teeth. While home remedies can help alleviate symptoms, the condition does not resolve on its own and requires professional dental care. Consulting a dentist for proper diagnosis and treatment is essential to prevent complications.

For expert care and professional treatment of pericoronitis, schedule a consultation with Surya Dental Care today. 

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