iStomatolog > Surgical dentistry > Treatment of pericoronitis

Treatment of pericoronitis

Pericoronitis, what is it?

Pericoronitis is an inflammation of the tissues that surround a wisdom tooth during its eruption period.

The causes of pericoronitis are not fully understood. According to one theory, improper tooth eruption is genetically determined, meaning that the anomaly develops in utero. According to another hypothesis, the pathology is associated with changes in the structure of the dental system over the course of life (the width of the dental arch decreases by 10 mm), and the wisdom tooth simply does not have enough space.

During eruption, the gums and adjacent soft tissues are traumatized. When chewing food, the area around the tooth becomes inflamed, which causes pain. The process of eruption slows down and sometimes stops. The situation is further complicated by dense bone tissue in the area of eruption and thickened gums.

In the area of the erupting wisdom tooth, a gum pocket is formed, which provides a favorable environment for the multiplication of pathogenic bacteria. That is why wisdom teeth often erupt with caries and even pulpitis.

Symptoms of pericoronitis

Symptoms of pericoronitis depend on the stage of inflammation. Medical statistics show that inflammatory processes are often preceded by ENT infections: sinusitis, rhinitis, otitis.

In the initial stage, a dull pain occurs in the area where the tooth is erupting, and over time, the intensity of the pain syndrome increases. Opening the mouth and chewing food becomes a real problem.

In the absence of medical help, swelling forms in the gum area, which in turn causes asymmetry of the face oval. As for the general state of health, it remains satisfactory. Sometimes the temperature rises to subfebrile levels, and headaches may appear. In the future, the process becomes chronic, and the severity of symptoms is dulled.

However, the inflammatory process in periocoronitis continues to progress in the soft tissues surrounding the tooth, and spreads to the regional lymph nodes. The formation of serous or purulent exudate causes a putrid odor from the mouth. In the most unfavorable situations, the root of the adjacent tooth may be affected. As the infection spreads (and in the absence of dental care), atrophy of the jawbone and chronic edema of the soft tissues develop.

Classification of pericoronitis

Pericoronitis is classified by the nature of its course (acute and chronic) and by the type of inflammatory process (catarrhal, purulent, ulcerative).

The catarrhal form is the initial stage of the pathology, in which the overhanging edge of the gum becomes inflamed, hyperemic, and painful. At this stage, no exudate is formed, and pain does not occur when the mouth is opened. When receiving dental care, all symptoms quickly disappear.

The ulcerative form develops against the background of persistent inflammation, when soft tissues begin to break down. Small ulcers covered with a grayish plaque form around the tooth on the mucous membrane. Attempts to remove the plaque are accompanied by pain.

The purulent form is a severe form of pericoronitis. The temperature rises to 38 degrees, and overall weakness increases. The patient loses appetite, and there is increased pain when opening the mouth. Pus is released from the area around the tooth, the gums swell, and the lymph nodes enlarge.

A separate form is distinguished for the pathological process that develops behind the tooth (retromolar pericoronitis). The peculiar feature of the disease is that the area of inflammation is located below the tooth crown.

Complications of pericoronitis

Improper eruption of a wisdom tooth against the background of weakened immunity and the presence of chronic infections can lead to a number of complications:

  • ulcerative gingivitis;
  • periostitis;
  • abscess, phlegmon;
  • osteomyelitis.

Periostitis and osteomyelitis are the most severe complications, as not only soft tissues but also the periosteum, jawbone, and submandibular space become inflamed. Taking antibiotics will not solve the problem as the cause of inflammation is not eliminated. It is necessary to make an immediate appointment with a dentist to avoid even more serious complications.

Diagnosis of pericoronitis at iStomatolog dental clinic

The dentist will conduct a clinical examination, assess the condition of the oral cavity and regional lymph nodes, and palpate the soft tissues. The doctor should know how long the symptoms of inflammation have been present, what medications the patient has been taking, and if there are any chronic illnesses. Depending on the stage of the pathology and the nature of the course, a diagnosis is made - X-ray or CT. After receiving the diagnostic conclusions, the doctor develops a treatment plan.

Treatment principles for pericoronitis in iStomatolog dentistry

Treatment for advanced-stage pericoronitis is performed comprehensively, using the latest generation of equipment and technology. The use of a dental laser significantly reduces the traumatic load on tissues and achieves a radical solution to the problem. Other advantages of laser treatment include:

  • absence of the risk of secondary infection of the wound;
  • no bleeding;
  • rapid tissue regeneration;
  • antiseptic effect.

At iStomatolog clinic, the Japanese preparation IG (iodo-glycol) is used as an antiseptic, which quickly relieves inflammation and maintains bactericidal action for a long time. Successful treatment without surgery and pain is our priority. However, if the tooth cannot be saved, we will remove it using effective anesthesia and prevent any possible complications.

If the eruption of the tooth is associated with its incorrect position, and the intense inflammatory process periodically worsens, then there is a high probability that the tooth will have to be removed after the acute symptoms are relieved. Each case is considered individually, and the decision is made based on the diagnosis.

Advantages of treating pericoronitis at iStomatolog dental clinic

  • Use of laser and ozone
  • One-session cessation of purulent inflammation
  • Pain-free, without incisions
  • Fast healing with Japanese IG preparation

How much does pericoronitis treatment cost?

During the consultation at iStomatolog dental clinic, the doctor will determine the optimal method of treatment and the stages of the procedures after examination and computer diagnosis. You will also learn about the advantages or disadvantages of the proposed treatment options and possible complications. After agreeing on the treatment strategy, a financial justification of all stages will be provided.

To find out the cost of the procedure and to determine the necessity and cost of possible additional treatment, you can make an appointment directly at our clinic iStomatolog, by filling out the form on the website or by calling:

+38067 332 4 999, +38093 332 4 999.

Full Price list of dental clinic services is available at the following link 


If you feel pain during the eruption of your tooth and unpleasant sensations persist for several days, make an appointment with a dentist. Unfortunately, maintaining good oral hygiene and other preventive measures do not guarantee prevention of problems with the eruption of wisdom teeth. However, the dentist will choose the right treatment strategy that will prevent inflammation and help save the tooth.
Medications should only be taken as prescribed by a doctor. Self-treatment will inevitably lead to exacerbation of the pathology, its transition to a chronic form, and the spread of inflammation to surrounding tissues. Make an appointment with a dentist - pericoronitis can be successfully treated with the right approach.
This is an incorrect positioning of teeth in the dental arch. Wisdom teeth often erupt with a tilt to the side, forward, or backward. Dystopic teeth can have a negative impact on the root system of adjacent teeth.
The task of the dentist is to use all possible means to preserve teeth. The decision on the treatment plan is made after evaluating the condition of the root system, the degree of damage to dental tissues, and the presence of other complicating factors.
For pericoronitis, in addition to dystopia, retention is a characteristic pathology. Retained teeth are those that have fully formed but have not erupted or have only partially erupted.
Treatment of pericoronitis

Article author:

Olena Daynetska, chief Doctor of iStomatolog Dental Center

During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
Самая лучшая стоматология в которой я была. Очень рекомендую)
Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
Що мене очікувало в центрі iStomatolog.
1. Відсутність очікування біля кабінету.
2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
І нарешті результат, який я навіть вже і не очікувала.
Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
Excellent! I was limited in time and came here in hope to fix broken front tooth crown. This is the only available place that made it in one day. Wonderful friendly staff and fabulous technology. Great!
I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
Професіоналізм на вищому рівні, дуже гарно працюють а також затишно та комфортно,всім рекомендую
Очень рекомендую данную клинику!!!!! Все на высшем уровне!!!! Лечу зубки у Виталия Петровича, врач отличный, мастер своего дела, имеет свой подход к каждому клиенту, всегда с улыбкой и юмором!
Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
Я із задоволенням буду ходити тільки до вас 😊
Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!

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