Pericoronitis

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Inflammation of the soft tissues covering the crown of erupting tooth and occurs more commonly in association with the mandibular third molar (wisdom) teeth. 

Clinical presentation 

• High temperature
• Discomfort in swallowing and chewing
• Well  localized  dull  pain,  swollen and tender gum flap
• Signs of partial tooth eruption
• Bad smell (Foetor-ox oris)
• Trismus

Non-pharmacological Treatment 

• Excision of the operculum/flap (flapectomy) under local anesthesia
• Extraction of the third molar associated with the condition
• Grinding or extraction of the opposing tooth

Pharmacological Treatment 

A: hydrogen peroxide solution 3% (PO) 6hourly for 5days (Gurgle /rinse) 

A: amoxicillin (PO) 500mg 6hourly for 5days

AND 

A: metronidazole (PO) 400mg 8hourly for 5days 

If severe (rare) refer to treatment of dental abscess section