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19 Year old boy presented with pain ,swelling at angel of ma

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by

sara ali

on 28 October 2013

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Transcript of 19 Year old boy presented with pain ,swelling at angel of ma

PERICORONITIS
Managment Of Pericoronitis
MANAGMENT CONSISTS OF:
WHAT IS YOUR DIAGNOSIS
WHAT IS YOUR MANAGMENT
Pericoronitis is the infection of the soft tissue around the crown of a partially impacted tooth
History of pain
History Of Associated symptoms
Drug history
HISTORY
Throbbing in nature
Severe
Radiates to ear,tmj,posterior submandibular region and floor of the mouth
Swelling
Trismus
Halitosis
Bad breath
Fever and malaise
Loss of apetite
OTHER SYMPTOMS
PERICORONITIS
EXAMINATION:
Intraoral
Extraoral
SECOND STEP:
SCENARIO:
19 year old boy presented with pain and swelling at the angel of mandilble since 10 days with salty taste and fever
WHAT IS PERICORONITIS
CAUSES:
Collection of bacteria and debris under operculum leading to inflammation
Trauma from opposing tooth
Bacteria like streptococci,anaerobes and normal oral flora
PAIN
INTRA ORAL EXAMINATION:
PARTIALLY ERUPTED TOOTH COVERED BY OPERCULUM
Swelling of and ulceration of operculum

Pus discharge from the tissues
Plaque and debris under the operculum
Maxillary 3 molar in traumatic position
HALITOSIS
Swelling of lymph nodes
Radiographic Investigations:
LAB INVESTIGATIONS
INCLUDES
CBC
ESR
INVESTIGATIONS:
3 rd step:
OTHERS:
CT Scan:
In case when the condion can not be diagnosed by conventional radiographs

Also shows EXTENT of lymph node involvment
MRI:
Determine extent of soft tissue involvment

Shows the spread of infection to facial spaces
ON CBC;

There will be leukocytosis and on
differential WBC count there will
be increased neutrophil count
HELPS TO DETERMINE:
Presence of infection.

Exclude any BLEEDING DISORDER

Helps to determine whether the patients immune response will be adequate to allow for post op recovry
ESR:
Non specific test

Values are increased in case of pericoronitis
EXTRAORAL EXAMINATION
SWELLING

ERYTHEMA
Swelling of lymph nodes
Not suitable in case of acute pericoronitis

shows bone resoption in chronic pericoronitis

Also used to exclude pulpitis in adjacent teeth

Shows the position of impacted tooth
Periapical Radiograph:
Full transcript