Signs of pericoronitis you may observe upon
examination are as follows:
A partially erupted tooth
Red, inflamed tissue around a partially erupted
Pus oozing from under an overlaying tissue flap
A painful reaction when finger pressure is
Swelling in the cheek near the affected tooth
Enlarged lymph nodes
In the treatment of pericoronitis, you may perform
the following emergency procedures:
Follow the emergency treatment guidelines.
Irrigate under the tissue flap with a warm saline
solution (figure 6-5).
Gently clean the area with a sonic scaler or hand
Instruct the patient to rinse with a warm saline
solution every 2 hours.
Contact dental officer if patient is febrile or if
lymph nodes are palpable. The dental officer
will determine the need to prescribe anti-
Figure 6-5.Irrigating beneath a tissue flap.
OTHER ORAL CONDITIONS
This section describes emergency conditions
resulting from inflammation of the oral mucosa,
postexodontic complications, and trauma to the teeth
and their supporting structures.
STOMATITIS AND RECURRENT
Stomatitis is a general term used to denote
inflammation of the oral mucosa.
Two types of
stomatitis are common in dentistry, they are herpetic
gingivostomatitis and aphthous stomatitis. Herpetic
gingivostomatitis usually occurs on the masticatory or
keratinized tissues, while aphthous stomatitis usually
occurs on the lining or nonkeratinized tissue. Both
conditions are marked by the formation of small
blisters and ulcers on the oral mucosa.
Recurrent labial herpes is caused by a virus that
produces the so-called fever blister or cold sore. They
are usually found on the lip and can easily be
transmitted to others through casual contact.
A patient with recurrent labial herpes may
complain of the following symptoms:
A painful swelling
A fever blister, cold sore, or canker sore
Pain when eating or drinking
A fever, headache, or rundown feeling (for
herpetic gingivostomatitis ONLY)
Upon examination of a patient with recurrent
labial herpes, you may observe the following signs:
Red, swollen areas with blisters or small craters
formed in the center
Blisters or craters covered with a grayish-white
or yellowish membrane
Perform the emergency treatment guidelines and
follow instructions given by the dentist. Instruct the
patient NOT to smoke, eat acidic or hot foods, or drink
alcohol or use products that contain alcohol such as
mouthrises that will dry out the mouth.