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Pericoronitis is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, [1] including the gingiva (gums) and the dental follicle. [2] The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods.
The presence of buccal exostosis can be diagnosed by both clinical examination and radiological interpretation of the oral cavity. Clinically, buccal exostoses appear as single, broad-based masses, usually situated bilaterally in the premolar and molar region on the facial surface of the maxillary alveolar bone. [11]
Putting pressure or warmth on the tooth may induce extreme pain. The area may be sensitive to touch and possibly swollen as well. This swelling may be present at either the base of the tooth, the gum, and/or the cheek, and sometimes can be reduced by applying ice packs. An acute abscess may be painless but still have a swelling present on the gum.
As gingivitis progresses further and is not treated, it may progress into periodontitis. Periodontal disease is when the gums surrounding the teeth become swollen causing surrounding plaque to build up. If left untreated can cause the teeth to become loose due to weak gums. Periodontal disease can compromise factors such as: [4] Gingiva
This has led to the popular belief that necrotizing gingivitis is contagious, but this is not the case. The main features of necrotizing gingivitis are painful, bleeding gums and ulceration and necrosis of the interdental papilla. There may also be intra-oral halitosis, cervical lymphadenitis (swollen lymph nodes in the neck) and malaise.
Diagramatic representation of mucosal erosion (left), excoriation (center), and ulceration (right) Simplistic representation of the life cycle of mouth ulcers. An ulcer (/ ˈ ʌ l s ər /; from Latin ulcus, "ulcer, sore") [2] is a break in the skin or mucous membrane with loss of surface tissue and the disintegration and necrosis of epithelial tissue. [3]
If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part. If the tooth is dirty, wash it briefly (ten seconds) under cold running water but do not scrub the tooth. Place the tooth back in the socket where it was lost from, taking care to place it the correct way (matching the other tooth)
The gums are red, friable, or sometimes granular, and sometimes bleed easily if traumatised. [6] The normal stippling is lost. [7] There is not usually any loss of periodontal attachment. [6] In a few cases a sore mouth can develop, and if so pain is sometimes made worse by toothpastes, or hot or spicy food. [7]
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