You might have a condition called PERICORONITIS
This very common and painful condition is usually seen with a partially erupted wisdom tooth. Because there is not enough room for the tooth to come in completely, it becomes “stuck” or “wedged”. A pocket or sack develops in the gum tissue around and behind this tooth. This pocket quickly fills with bacteria and food debris. Because the mouth is moist, warm and dark (it’s a perfect incubator) an abscess can form rapidly.
This pain can be very severe and continuous and is commonly sent to (referred to) the area around the ear. Pain when opening or even severe limitation when trying to open the mouth in common. We often see patients coming from an ear doctor when their real problem was a wisdom tooth.
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Symptoms of pericoronitis can be either acute (short-term) or chronic (be ongoing).
Acute symptoms include:
Pain Swelling in the gum tissue (caused by an accumulation of fluid) Pus discharge Trismus, or difficulty opening your mouth and jaw, also called lockjaw Pain with swallowing Fever Loss of appetite Infection Swollen submandibular lymph nodes in the neck Occasional dull pain or mild discomfort A bad taste in the mouth
Symptoms of pericoronitis can last for days to weeks depending on the severity. The condition should resolve in approximately one to two weeks with treatment. If the initial cause of the infection is not treated, the condition will likely return.
If you’re unable to get to a dentist immediately, some home remedies can work to ease your pericoronitis symptoms and reduce the chances of worsening the existing condition.
Generally, saltwater is a disinfectant and has anti-inflammatory property. Thus it can tackle bacteria growing in your mouth. Dissolve a teaspoon of table salt in a cup of boiled water and swish it around for about 30 seconds before spitting it out. Thus rinsing your mouth with salt water dislodges food particles and other debris.
Ice reduces inflammation in your gum tissues. So place the ice in a zip lock bag, wrap it in a thin, clean towel and place it over the swollen area 3 to 4 times a day for 15 minutes.
Guava leaves have anti-inflammatory and antibacterial properties against many oral pathogens including Streptococcus mutants. This antibacterial property is due to the presence of flavonoids. Guava leave’s paste has been a traditional oral hygiene remedy and can be used 2–3 times a day.
over-the-counter pain relievers. oral water irrigators. good oral hygiene, including brushing and flossing.
Oral hygiene/oral irrigators and rinses: If the pericoronitis is in a small area and hasn’t spread, treatment may be rinsing your mouth with warm salt water. Your dentist can flush out food debris or bacteria, or give you an oral rinse. You’ll need to make sure to keep the gum flap free of any food trapped. Pain medicine: You can take pain relievers such as aspirin, acetaminophen, or ibuprofen. Your dentist may also prescribe you a pain medication. Antibiotics: If your tooth, jaw, and cheek are swollen and painful, see your dentist right away. They can treat the infection with antibiotics (usually penicillin, unless you are allergic). Minor surgery to remove the operculum: If the pain and inflammation are severe, or if the pericoronitis recurs, it may be necessary to have oral surgery to remove the gum flap or wisdom tooth. Your dentist can make the appropriate referral to the oral and maxillofacial surgeon. A low-level laser can be used to reduce pain and inflammation associated with pericoronitis. Extraction: If a wisdom tooth still can’t come in normally, you may need surgery to have it taken out. Your dentist may recommend you extract both your upper and lower wisdom teeth to prevent your upper tooth from biting your gum and causing another infection.
A person should contact their dentist or oral surgeon if they experience intense or throbbing pain, fever, or bleeding. The most important thing about treating pericoronitis is ensuring that individuals receive the right treatment so that this painful condition can be corrected as soon as possible.
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