Pericoronitis in children Presented by :
Dr.Afiqur Rahman Sourav
Intern Doctor
Department Of Paediatric Dentistry
Dhaka Dental College Hospital
ERUPTION GINGIVITIS
• What is it?
A transitory type of gingivitis is often observed in young children when the primary or permanent teeth are erupting.
It is often localized and associated with difficult eruption, subsides after the teeth emerge into the oral cavity. Incidence
• The greatest increase in the incidence of gingivitis in children is often seen in the 6to 7-year age group when the permanent teeth begin to erupt.
• This inflammation is most commonly associated with the eruption of the first and second permanent molars, and the condition can be painful.
Causes of Eruption Gingivitis
• This increase in gingivitis apparently occurs because the gingival margin receives no protection from the coronal contour of the tooth during the early stage of active eruption, where
Food debris, materia alba, and bacterial plaque often collect around and beneath the free tissue, partially cover the crown of the erupting tooth, and cause the development of an inflammatory process. Clinical Features
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Pain
Swelling of the Gingiva
Redness of the Gingiva
Bleeding on probing
Anorexia & Dysphagia
Mostly heals after complete eruption of the teeth
In cases of Molar,if pericoronitis develops then pus discharge sometimes associated with Lymphnode enlargement and fever.
Treatment
Mild eruption gingivitis requires no treatment other than improved oral hygiene.
Painful eruption gingivitis is managed by
Oral Hygiene Instruction along with
Systemic Antibiotics and NSAIDs. The condition may be helped when the area is irrigated with a counterirritant, such as
Peroxyl.
Sequele
• If it is Untreated and there is operculum covering the erupting tooth partially,it ma develop Pericoronitis and Pericoronal
Abscess.
pericoroniti s Pericoronitis
What is it?
Pericoronitis is defined as inflammation