Pericoronitis - Revision history

Rossdonaldson1 at 23:59, 2 December 2021

2021-12-02T23:59:16Z

← Revisión anterior		Revisión del 23:59 2 dic 2021
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	==Background==		==Background==
			{{Dental numbers}}

	[[File:Periodontium.png\|thumb\|Anatomy of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. G, gingival sulcus. H, principal gingival fibers. I, alveolar crest fibers of the periodontal ligament (PDL). J, horizontal fibers of the PDL. K, oblique fibers of the PDL.]]		[[File:Periodontium.png\|thumb\|Anatomy of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. G, gingival sulcus. H, principal gingival fibers. I, alveolar crest fibers of the periodontal ligament (PDL). J, horizontal fibers of the PDL. K, oblique fibers of the PDL.]]
	*Occurs during tooth eruption through the gingiva		*Occurs during tooth eruption through the gingiva

Rossdonaldson1 at 23:57, 2 December 2021

2021-12-02T23:57:03Z

← Revisión anterior		Revisión del 23:57 2 dic 2021
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	==Background==		==Background==
			[[File:Periodontium.png\|thumb\|Anatomy of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone. D, subepithelial connective tissue. E, oral epithelium. F, free gingival margin. G, gingival sulcus. H, principal gingival fibers. I, alveolar crest fibers of the periodontal ligament (PDL). J, horizontal fibers of the PDL. K, oblique fibers of the PDL.]]
	*Occurs during tooth eruption through the gingiva		*Occurs during tooth eruption through the gingiva
	*Food and bacteria can accumulate between the erupting tooth and operculum (flap of gingiva) leading to infection and pain		*Food and bacteria can accumulate between the erupting tooth and operculum (flap of gingiva) leading to infection and pain

Rossdonaldson1: /* See Also */

2021-12-02T23:55:57Z

Rossdonaldson1: /* Clinical Features */

2021-12-02T23:54:39Z

Clinical Features

← Revisión anterior		Revisión del 23:54 2 dic 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]		[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]
	*[[~~dental~~ pain\|Pain]] at site of recent tooth eruption with operculum		*[[Dental pain\|Pain]] at site of recent tooth eruption with operculum

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis at 22:26, 30 September 2019

2019-09-30T22:26:11Z

← Revisión anterior		Revisión del 22:26 30 sep 2019
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	==Clinical Features==		==Clinical Features==
	[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]		[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]
	*Pain at site of recent tooth eruption with operculum		*[[dental pain\|Pain]] at site of recent tooth eruption with operculum

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Management */

2019-09-24T17:51:25Z

Management

← Revisión anterior		Revisión del 17:51 24 sep 2019
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	==Management==		==Management==
	===Mild to Moderate===		===Mild to Moderate===
	*Analgesia (often requires dental block)		*[[Analgesia]] (often requires dental block)
	*Chlorhexidine rinses (a randomized trial showed green tea was equally effective)<ref>Shahakbari R, Eshghpour M, Rajaei A, et al. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial. Int J Oral Maxillofac Surg. 2014;43(11):1394- 1398</ref>		*Chlorhexidine rinses (a randomized trial showed green tea was equally effective)<ref>Shahakbari R, Eshghpour M, Rajaei A, et al. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial. Int J Oral Maxillofac Surg. 2014;43(11):1394- 1398</ref>
	*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID		*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID
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	===Severe===		===Severe===
	*Severe infections require intravenous antibiotics and admission		*Severe infections require intravenous [[antibiotics]] and admission
	*Complications: Deep soft tissue infection		*Complications: Deep soft tissue infection

Rossdonaldson1 at 02:49, 5 December 2017

2017-12-05T02:49:21Z

← Revisión anterior		Revisión del 02:49 5 dic 2017
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	*Food and bacteria can accumulate between the erupting tooth and operculum (flap of gingiva) leading to infection and pain		*Food and bacteria can accumulate between the erupting tooth and operculum (flap of gingiva) leading to infection and pain
	*The wisdom tooth (3rd molar) is the most common site of pericoronitis		*The wisdom tooth (3rd molar) is the most common site of pericoronitis

			==Clinical Features==
	[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]		[[File:Pericoronitis.jpg\|thumb\|Pericoronitis]]
	~~==Clinical Features==~~
	*Pain at site of recent tooth eruption with operculum		*Pain at site of recent tooth eruption with operculum

Rossdonaldson1: /* Disposition */

2017-12-05T02:48:54Z

Disposition

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	==Disposition==		==Disposition==
	*Discharge with dental follow-up		===Mild to Moderate===
			*Discharge with dental follow-up
			**Refer to dentist for surgical excision of the operculum and/or removal of the offending tooth

			===Severe===
			*Admit

	==See Also==		==See Also==

Rossdonaldson1: /* Management */

2017-12-05T02:48:23Z

Management

← Revisión anterior		Revisión del 02:48 5 dic 2017
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	==Management==		==Management==
			===Mild to Moderate===
	*Analgesia (often requires dental block)		*Analgesia (often requires dental block)
	*~~Treat with chlorhexidine~~ rinses, a randomized trial showed green tea was equally effective <ref>Shahakbari R, Eshghpour M, Rajaei A, et al. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial. Int J Oral Maxillofac Surg. 2014;43(11):1394- 1398</ref>		*Chlorhexidine rinses (a randomized trial showed green tea was equally effective)<ref>Shahakbari R, Eshghpour M, Rajaei A, et al. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial. Int J Oral Maxillofac Surg. 2014;43(11):1394- 1398</ref>
			*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID
	*ED debridement of the operculum or debris is usually not indicated		*ED debridement of the operculum or debris is usually not indicated
	*Refer to dentist for surgical excision of the operculum and/or removal of the offending tooth
	*~~Mild to moderate pericoronitis can be treated with oral antibiotics, severe~~ infections require intravenous antibiotics and admission.		===Severe===
	*Complications: Deep soft tissue infection		*Severe infections require intravenous antibiotics and admission
	*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID		*Complications: Deep soft tissue infection

	==Disposition==		==Disposition==

Iwm5010: /* Management */

2017-11-26T18:35:08Z

Management

← Revisión anterior		Revisión del 18:35 26 nov 2017
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	*ED debridement of the operculum or debris is usually not indicated		*ED debridement of the operculum or debris is usually not indicated
	*Refer to dentist for surgical excision of the operculum and/or removal of the offending tooth		*Refer to dentist for surgical excision of the operculum and/or removal of the offending tooth
	*~~Severe~~ pericoronitis can be treated with oral antibiotics.		*Mild to moderate pericoronitis can be treated with oral antibiotics, severe infections require intravenous antibiotics and admission.
			*Complications: Deep soft tissue infection
	*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID		*[[Penicillin VK]] 500mg PO QID '''OR''' [[clindamycin]] 300mg PO QID

← Revisión anterior		Revisión del 23:55 2 dic 2021
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	==See Also==		==See Also==
	*[[Dental problems]]		*[[Dental problems]]
	*[[Dental numbers]]

	==References==		==References==