Pericoronitis (from the Greek peri, “around”, Latin corona “crown” and -itis, “inflammation”) also known as operculitis, is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, including the gingiva (gums) and the dental follicle. The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods. The synonym operculitis technically refers to inflammation of the operculum alone.
Pericoronitis is caused by an accumulation of bacteria and debris beneath the operculum, or by mechanical trauma (e.g. biting the operculum with the opposing tooth). Pericoronitis is often associated with partially erupted and impacted mandibular third molars (lower wisdom teeth), often occurring at the age of wisdom tooth eruption (15-24). Other common causes of similar pain from the third molar region are food impaction causing periodontal pain, pulpitis from dental caries (tooth decay), and acute myofascial pain in temporomandibular joint disorder.
Pericoronitis is classified into chronic and acute. Chronic pericoronitis can present with no or only mild symptoms and long remissions between any escalations to acute pericoronitis. Acute pericoronitis is associated with a wide range of symptoms including severe pain, swelling and fever. Sometimes there is an associated pericoronal abscess (an accumulation of pus). This infection can spread to other parts of the face or neck, and occasionally can lead to airway compromise (e.g. Ludwig’s angina) requiring emergency hospital treatment.
The treatment of pericoronitis is through pain management and by resolving the inflammation. The inflammation can be resolved by flushing the debris or infection from the pericoronal tissues or by removing the associated tooth or operculum. Retaining the tooth requires improved oral hygiene in the area to prevent further acute pericoronitis episodes. Tooth removal is often indicated in cases of recurrent pericoronitis, extensive decay, or tooth impaction.
Our address is: 8F Gilbert Place, London, WC1A 2JD. About Camden: Lincoln's Inn Fields is a neighbourhood in the extreme south of the borough that is only 500 metres from the Thames. The northern part of the borough is home to Kentish Town, Hampstead, and Hampstead Heath, which are less populous districts. Numerous parks and open areas may be found in the London Borough of Camden. City of Westminster (near Soho, London) and the City of London are the next-door boroughs, followed by Brent to the west of what was once Roman Watling Street (now the A5 Road), Barnet and Haringey to the north, and Islington to the east. It encompasses all or a portion of the following postcode areas: N1, N6, N7, N19, NW1, NW2, NW3, NW5, NW6, NW8, EC1, WC1, WC2, W1, and W9.