Lower jaw of the next eruption of wisdom teeth position insufficient, leading to the eruption blocked received wisdom teeth, some of eruption of wisdom teeth and tooth around Wo identified between a blind pouch, impaction of food and bacteria, once the event of flu, fatigue, and other systemic reduce body resistance , Often induced by acute pericoronitis. Upper wisdom teeth pericoronitis rare.
[Clinical]
1, initially affected areas after the molars are swelling discomfort, and then pain, chewing and swallowing, heavier, more for early Duntong. When the infection spread to masticatory muscle, there may be limited mouth, or facial swelling. Local infection increase, there may be fever, fatigue. Headache, and other systemic symptoms.
2. I check that impacted wisdom teeth,congestion, edema, erosion, tenderness, a blind bag or food residues of Nongxing exudation. Late in the wisdom teeth can be formed around the abscess, in some cases, the infection along the mandible down the spread of abscess can be located in the second molar or the buccal cheek. To be affected under the lymph nodes, and tenderness.
[Treatment]
1. Partial treatment
blind cleaning bags; available 3% hydrogen peroxide, 1% Leifunuoer, wash, glycerine blind bag Add to iodine or concentrated's solution. Blind bag and rinse the local inflammatory drugs on the importance of dissipated, should be conditional on day 1.
Mouthwash gargle: If more than Bell's solution, can also use the gargle salt water desalination.
are available facial swelling external wishful golden powder.
abscess had formed, should be in line incision and drainage, the incision should be parallel with the gums and bone-Direct.
the acute phase extraction: When patients with systemic in good condition, inflammation more limited, if not more difficult operation is estimated, may consider removal of teeth.
2. Systemic treatment: less serious cases can use either oral antibiotics such as the efficiency of the left-methyl, tetracycline, erythromycin, heavier case may choose to intramuscular injection or intravenous drip intravenous penicillin, streptomycin, and so on.
3. If there is sufficient space jaw, a front view of wisdom teeth impacted, and there are cases of child relationship can be considered to retain gingival resection of teeth, otherwise, should be removed as soon as possible.
[Prevention and tone]
Early treatment of the disease or tooth extraction, can be more effective in preventing the proliferation of organizations close to the inflammation.
