Wisdom Teeth Periodontit

Overview wisdom teeth (third molars) crown surrounding soft tissue inflammation pericoronitis of wisdom tooth. Often occurred in 18 -25 years of age, which is one of the common oral diseases. Cause pathogenesis third molar eruption or eruption process difficulties, the crown was part of the Department of free gingival covered, the crown and gingival flap between blind kit (gingival pocket), a blind envelope regular food debris and bacteria uptime. This restrictive conditions for the bacteria easy growth, reproduction. If the flu, fatigue or other causes resistance to the body dropped, or the local trauma (such as right maxillary teeth bite), and so on, Wisdom Teeth can be induced periodontitis. By mandibular third molar eruption often lack adequate location impacted deceiving formed, it was mostly the disease in the teeth. Common clinical situation has impacted impacted near - horizontal and vertical impacted resistance hygiene. Clinical manifestations of acute pericoronitis of wisdom tooth of the main symptoms of pain crown soft tissue swelling. If inflammatory effects masticatory muscles, which can cause varying degrees of Trismus, parapharyngeal affected if there were swallowing pain, chewing lead to the sick, eating and swallowing difficulties. Fair condition with severe carry loads irritation, headaches, body temperature, loss of appetite and other symptoms. Figure 3 -15 weeks crown Blind bags and engorged gums flap examination showed mandibular third molar eruption insufficiency, and gingival flap cover, Blind bag form. Crown soft tissue swelling, gingival tissue on the edge of erosion and blind bags have purulent secretions (Figure 3 -15). Sometimes weeks crown abscess formation, there facial swelling, ipsilateral submandibular lymphadenopathy, tenderness. Acute Pericoronitis who fail to complete treatment, can be to chronic, after repeated attacks, or even left fistula. If the inflammation continued expansion can occur following complications. For example, under the periosteum spread to the formation of subperiosteal abscess; Pott along or under the jaw bone lateral flow injection of the former, in the equivalent of the first or second mandibular molars buccal gingival formed fistula or abscess (Map 12); also outward expansion, Cheek subcutaneous abscess formation, or break the skin fistula formation. Clinically, we can see Cheek fistula patients should consider Pericoronitis possible, to prevent misdiagnosis. Pericoronitis serious, viable jaw weeks with cellulitis, osteomyelitis of the mandible or systemic infection. Wisdom Teeth for the treatment of periodontitis main body is to enhance patient resistance, infection control, promote inflammation dissipate. After the acute phase, should consider the source of teeth using surgical treatment to prevent relapse. Map 12 mandibular third molar pericoronitis with 67 gingival a fistula. According to the treatment of systemic illness or use of antibacterial Oral Qingre, herbal detoxification treatment. 2. Wisdom Teeth local treatment of periodontitis local treatment is very important. Available daily 1 -3% hydrogen peroxide solution and normal saline solution or other sterile rinse Blind bag, and then into the 3% glycerol iodine. Another compound to Nitrofurazone borax fluid or liquid such as mouthwash, a day repeatedly. Early partial physiotherapy can, and topical inflammatory herbs to help absorption. Acupuncture may ease pain and improve appetite effects. If Vomica formation, incision and drainage. 3. Dental disease with acute inflammation dissipated, should the disease teeth for further processing, in order to prevent recurrence. If teeth are, the normal eruption, and right maxillary teeth chewing function of the exercise, crown for Peri-valve wedge resection (Figure 3 -16). Otherwise they shall be extracted. ① ② incision with bared teeth after all crown ③ Figure 3 -16 suture mandibular third molars Peri-valve wedge resection