Wisdom tooth pericoronitis is a common oral disease in modern life, mostly in adolescents, caused by many reasons, such as inattention to oral hygiene, excessive intake of sweet and spicy stimulating food, too fine food, resulting in chewing function retreat, etc. can trigger the disease. Once the disease is taken lightly, it can lead to a variety of complications over time, which can seriously affect life and work, so we need to understand the main symptoms of the disease and treat it promptly. The following content describes the clinical manifestations of wisdom tooth pericoronitis: Wisdom tooth pericoronitis often occurs in adolescents aged 18 to 25 years old, the lower jaw is common, there are acute, chronic. The first time a person has a problem with a person’s gums, he or she may feel a burning sensation in the posterior area of the molar, a dull pain and discomfort that affects chewing and swallowing. When symptoms worsen, headache, fever, loss of appetite, and increased blood leukocyte count may occur. If the disease progresses, there may be localized throbbing pain that radiates to the ear-temporal region. When the infection involves the masticatory muscles, it may cause difficulty in opening the mouth, odor in the mouth (e.g., halitosis), and purulent discharge from the posterior region of the molar. Most of the unerupted or incompletely erupted wisdom teeth can be seen with swollen and red gingiva and soft tissues around them, gingival margins are eroded and painful to touch, and pus can be drained from the gingival pockets with a probe. When the inflammation worsens, a local abscess may form, accompanied by enlarged ipsilateral submaxillary lymph nodes. On a panoramic jaw X-ray, the location, morphology, growth direction, root morphology and degree of bone blockage of the wisdom tooth can be clearly observed. Pericoronitis can spread directly or via lymphatic tissue, the
It can cause infections in the adjacent interstices, such as subcutaneous abscesses in the cheek, buccal fistula, infection in the occlusal space, pterygomaxillary space, and parapharyngeal space. Chronic pericoronitis may form a fistula on the buccal side of the mandibular first molar or a skin fistula on the anterior margin of the occlusal muscle. The main symptom of acute pericoronitis The main symptom of acute pericoronitis is painful swelling of the soft tissue around the crown of the tooth. If the inflammation affects the masticatory muscles, it can cause varying degrees of mouth opening restriction, and if it affects the pharynx, painful swallowing can occur, resulting in difficulty in chewing, eating and swallowing. In severe cases, there may be generalized symptoms such as discomfort, headache, rising body temperature, and loss of appetite. The examination of wisdom tooth pericoronitis shows redness and swelling of the gingival flap, with obvious tenderness and pus overflow from the gingival pockets under pressure. The whole body may have different degrees of chills, fever, headache, constipation and other symptoms, and the total number of white blood cells is significantly increased, and the proportion of neutral white blood cells increases. Chronic pericoronitis of the wisdom tooth is mostly clinically asymptomatic, with only slight pressure and discomfort at the affected area. When the resistance decreases, it often leads to acute attacks. Acute pericoronitis can be aggravated by infection of adjacent tissues and organs or fascial spaces. The above is the clinical manifestation of wisdom teeth pericoronitis, I believe we have understood, we only do early detection early diagnosis early treatment to slow down the disease to bring more serious harm to the body, it is recommended that patients once the disease should go to professional medical institutions and do not blindly use drugs, believe that there is no scientific basis for the prescriptions lead to delayed disease, but also should be reasonable diet, pay attention to oral hygiene, pay attention to oral hygiene. Make a good habit of rinsing your mouth after meals and brushing your teeth in the morning and evening.