Pericoronitis

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Description

This is an inflammation / infection of a gum flap (operculum) overlying a partially erupted tooth, usually a lower wisdom tooth (or lower third molars) - often traumatised by an over erupted upper wisdom tooth (or upper third molars).

Treatment

• Chlorhexidine gluconate 0.2% mouth wash
• Irrigation with 3% hydrogen peroxide
• Phenoxy methyl penicillin 5mg/kg four times daily for 5-7 days OR
• Amoxicillin 25mg/kg three times daily for 5-7days
• If penicillin hypersensitive-
  • Erythromycin 10-20mg/kg orally twice daily OR
  • Cephalexin 6.25 mg/kg orally 6-hourly