Pericoronitis Pain Relief: Home Remedies & Treatment Options

Are you experiencing persistent pain and swelling around your wisdom teeth? If so, you’re not alone. Pericoronitis, an inflammation of the gum tissue around a partially erupted or impacted tooth, can be particularly distressing. This condition often affects the third molar, the wisdom tooth, leading to significant pain and swelling. Whether you’re dealing with acute pericoronitis or chronic pericoronitis, understanding the causes and exploring effective treatment options is crucial. In this blog post, we will delve into various methods to provide pericoronitis pain relief at home, discuss the role of professional dental treatment, and share tips on preventing pericoronitis in the future.

What is Pericoronitis?

Pericoronitis is an inflammation of the gum tissue surrounding a partially erupted or impacted wisdom tooth, often the third molar. This condition can develop when the tooth emerges only partially through the gum, creating a flap of soft tissue, known as the dental operculum, that can easily trap food particles and bacteria. This accumulation of bacteria leads to infection and inflammation, causing significant discomfort. Pericoronitis can affect people of all ages, but it usually occurs in late teens or early adulthood when the wisdom teeth are coming in.

Signs and Symptoms of Pericoronitis

For those suffering from pericoronitis, the condition can cause significant discomfort, making daily activities challenging. Symptoms of pericoronitis can last for varying durations, depending on the severity of the infection. The symptoms usually include:

  • Pain in the jaw
  • Swelling of the gum tissue around the affected tooth
  • Pain when biting down or opening the mouth
  • Tenderness in the jawbone near the affected tooth
  • Pericoronitis may cause a bad smell
  • Pus discharges from the gum and a Bad taste in the mouth
  • Difficulty chewing and swallowing food

 In some cases, the infection can spread to the throat and cheeks, leading to more severe complications. Recognizing the symptoms early and seeking appropriate treatment for pericoronitis is crucial to prevent these complications.

Gum tissue flap covering a partially-erupted wisdom tooth, known as a dental operculum.
A dental operculum covers a partially erupted wisdom tooth.

Causes of Dental Operculum Inflammation

The most common cause of pericoronitis pain is the accumulation of bacteria in the area around a partially erupted or impacted tooth, usually the wisdom teeth. This condition, often referred to as third molar pericoronitis, can cause significant discomfort.

Food debris and bacteria can become lodged in the gum flap over the wisdom tooth, leading to infection and inflammation. This accumulation of bacteria is a primary cause of pericoronitis symptoms. Other factors that increase the risk of developing pericoronitis include:

  • Poor oral hygiene is another factor that can cause pericoronitis. When the area around a partially erupted tooth is not kept clean, bacteria and debris accumulate, increasing the risk of infection. This is why maintaining good oral hygiene is crucial in dealing with pericoronitis and preventing further complications.
  • Gum disease also plays a role in the development of pericoronitis. Inflammation of the gums can exacerbate the condition and lead to a more severe infection. 
  • Smokers and tobacco users are at higher risk, as smoking weakens the immune system and hinders the body’s ability to fight off infections.
  • Pregnancy is another factor that can increase the risk of pericoronitis. Hormonal changes during pregnancy can affect the gums, making them more susceptible to inflammation and infection. 
  • Injury or trauma to the gum flap over the wisdom tooth, such as biting on it, can irritate and lead to pericoronitis.
Illustration of inflammation of the gum tissue surrounding a partially erupted or impacted wisdom tooth, known as pericoronitis.
An inflamed gum tissue around a partially erupted wisdom tooth indicates pericoronitis.

Home Remedies for Pericoronitis Pain Relief

Effective management of pericoronitis involves addressing the symptoms and causes of pain. Pericoronitis is inflammation caused by the accumulation of bacteria around a partially erupted tooth, often the wisdom teeth. Home remedies can provide significant pericoronitis pain relief and help alleviate symptoms, but they should be complemented with professional dental care. Home treatment for pericoronitis includes: 

  • Saltwater rinses: One of the simplest and most effective home treatments is using a saline solution to flush out debris and bacteria. To make a saltwater rinse for pericoronitis, mix 1 teaspoon of table salt with a half cup of warm water. Swish the solution around the affected area several times a day to reduce inflammation and clean the infected area.
  • Over-the-counter pain medication: Taking ibuprofen or acetaminophen can help numb the pain and reduce inflammation associated with pericoronitis. These medications are readily available and can provide temporary pericoronitis relief at home.
  • Hydrogen peroxide: Another home remedy to reduce pain and clean the affected area is hydrogen peroxide. Mix one part of 3 percent hydrogen peroxide with two parts of water, swish it in your mouth for 30 seconds, and then spit it out. This can help to kill bacteria and alleviate symptoms.
  • Improve oral hygiene: Keeping the affected area clean is crucial for pericoronitis pain relief. Brush your teeth twice daily and floss regularly, especially around the wisdom teeth. This helps to remove food particles and bacteria that cause pericoronitis.
  • Cold compress: Applying a cold compress to the cheek near the affected area can help numb the pain and reduce swelling. Use the compress for 15-20 minutes at a time.

Pericoronitis treatment at home can provide temporary relief from pain, but it does not address the underlying cause of pericoronitis. Pericoronitis can develop into a more serious condition if not properly treated. Therefore, see a dentist for a professional diagnosis of pericoronitis and a tailored treatment plan.

When to See a Dentist?

If you’re experiencing pericoronitis, it’s crucial to know when to see a dentist. While mild cases of pericoronitis can often be managed at home, there are specific situations where professional evaluation and treatment are necessary.

If you notice that your symptoms persist for more than a few days, or if the pain and inflammation associated with pericoronitis become severe, it’s time to seek professional help. Additionally, if you experience difficulty opening your mouth, swelling that extends to your face or neck, or fever, these are signs that the infection may be worsening and require immediate dental attention.

Diagnosis and treatment of pericoronitis by a dentist involve a thorough examination of the affected area. The dentist will assess the severity of your symptoms and evaluate the gum tissue surrounding the partially erupted tooth. The diagnosis of pericoronitis usually includes identifying the accumulation of bacteria and debris under the gum flap.

Symptoms include pain, swelling around the wisdom tooth, and sometimes a bad taste in the mouth due to pus. X-rays may be taken to determine the position of the wisdom tooth and the extent of the infection. Once a diagnosis of pericoronitis is confirmed, the dentist will recommend an appropriate treatment plan.

A panoramic X-ray shows an impacted wisdom tooth.
A panoramic X-ray shows an impacted wisdom tooth.

Treatment Options for Pericoronitis Pain Relief

Unfortunately, pericoronitis tends to recur. Therefore, it is crucial to treat pericoronitis effectively to prevent its recurrence. Your dentist can provide various professional treatment options for pericoronitis pain relief, including:

  • Professional teeth cleaning: Your dentist will thoroughly clean the affected area to remove food debris, plaque, and bacteria that may be causing the infection. This helps to alleviate symptoms and prevent further complications.
  • Antibiotics: If the infection is severe, your dentist may prescribe antibiotics to help fight off the infection and reduce inflammation. This can be particularly useful in managing pain and preventing the spread of bacteria.
  • Oral surgery: One common treatment option for pericoronitis is the removal of the inflamed gum tissue covering the wisdom tooth, a procedure known as an operculectomy. This surgery helps reduce pericoronitis pain and inflammation and can prevent recurrence by eliminating the gum flap where bacteria accumulate.
  • Tooth extraction: In cases where the tooth is impacted or there is wisdom tooth infection, your dentist may recommend extracting the tooth. This can provide permanent relief from pericoronitis pain and prevent future issues.
  • Pain medications: Taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. In more severe cases, your dentist may prescribe stronger medications to manage the pain.

Pericoronitis can be a painful condition that affects many people, but with the right treatment and care, you can recover from pericoronitis and prevent its recurrence.

Following your dentist’s instructions is vital for effective pericoronitis pain relief. This includes taking medications as prescribed, maintaining good oral hygiene by brushing and flossing regularly, and avoiding foods that could irritate the tissue. Additionally, keeping your mouth clean by rinsing with an antiseptic mouthwash after meals can help prevent pericoronitis at home.

A dentist extracting a wisdom tooth from a patient in a dental office for pericoronitis pain relief.
A dentist extracted a wisdom tooth in a dental office.

Conclusion: Pericoronitis Pain Relief 

Pericoronitis is a common condition that can cause pain and discomfort. Home remedies, such as ibuprofen and warm salt water rinses, can help reduce inflammation and pain. However, these remedies don’t address the underlying cause and can’t prevent recurrences.

Therefore, see a dentist if you experience any symptoms of pericoronitis to properly address the problem and get appropriate treatment for lasting pain relief. This may include surgical removal of the gum tissue or wisdom tooth extraction. With proper treatment, it is possible to achieve long-term relief from pericoronitis pain.

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