How to treat acute pericoronitis
Acute pericoronitis is a common oral disease that mainly manifests as an inflammatory reaction in the soft tissues around wisdom teeth, often accompanied by symptoms such as pain, swelling, and even suppuration. Recently, there has been a lot of discussion on acute pericoronitis on the Internet, especially treatment methods and preventive measures have become the focus. This article will give you a detailed introduction to the treatment options for acute pericoronitis based on hot topics in the past 10 days.
1. Common symptoms of acute pericoronitis

Typical symptoms of acute pericoronitis include:
| Symptoms | Description |
|---|---|
| pain | Persistent pain around the wisdom teeth that may radiate to the ears or head |
| swelling | Red and swollen gums, and in severe cases swelling may be seen on the face |
| Restricted mouth opening | Spasm of masticatory muscles due to inflammation, making it difficult to open the mouth |
| Fever | Some patients are accompanied by low-grade fever or general malaise |
| suppuration | In severe cases, abscesses may form and purulent secretions may be seen. |
2. Treatment of acute pericoronitis
According to recent recommendations from medical experts and experiences shared by patients, the treatment of acute pericoronitis mainly includes the following methods:
| Treatment | Specific measures | Applicable situations |
|---|---|---|
| drug treatment | Antibiotics (such as amoxicillin, metronidazole), pain relievers (such as ibuprofen), mouthwash (containing chlorhexidine) | mild to moderate inflammation |
| local treatment | Pericoronal irrigation (normal saline or hydrogen peroxide), abscess incision and drainage | With pus or severe swelling |
| surgical treatment | Wisdom teeth removal (after inflammation is controlled) | Recurrent or impacted wisdom teeth |
| Traditional Chinese Medicine Treatment | Heat-clearing and detoxifying traditional Chinese medicine (such as Coptidis Shangqing Tablets), acupuncture | Adjuvant therapy or chronic phase |
3. Treatment precautions that have been hotly discussed recently
1.Antibiotic usage guidelines: Recently, many experts have emphasized the avoidance of misuse of antibiotics and recommend their use under the guidance of a doctor. The usual course of treatment is 3-5 days.
2.Wisdom teeth removal timing: One of the hot topics of discussion on the Internet is whether tooth extraction is suitable during the acute stage. The latest consensus recommends controlling inflammation first, and then evaluating the need for removal after the acute phase.
3.home care methods: The "salt water gargle method" that has been popular on short video platforms recently has been approved by dentists, but it emphasizes the need to use warm salt water (concentration of about 0.9%) 3-4 times a day.
4. Recent popular suggestions for preventing acute pericoronitis
| Precautions | Specific methods | Effect evaluation |
|---|---|---|
| oral hygiene | Use a dental rinser to clean the wisdom teeth area at least 2 times a day | Recent surveys show that it can reduce the incidence rate by 40% |
| Regular inspection | Oral examination every 6 months to detect impacted wisdom teeth early | Prophylactic extraction avoids acute attacks |
| diet regulation | Avoid hard or hot foods that may irritate your gums | Especially suitable for those who already have mild symptoms |
| Enhance immunity | Get enough sleep and supplement with vitamin C | Recent studies have shown a correlation with recurrence rates |
5. Answers to the 5 questions that patients are most concerned about recently
1.Q: Will acute pericoronitis heal on its own?
A: Mild symptoms may be relieved, but most require treatment. Recent cases show that delayed treatment may lead to interstitial infection.
2.Q: How to choose painkillers?
A: Recent guidelines recommend ibuprofen (which has both anti-inflammatory and analgesic properties), but if it causes severe gastrointestinal irritation, acetaminophen can be chosen.
3.Q: What should I do if it is inconvenient to seek medical treatment during the epidemic?
A: Many hospitals have opened online consultations, and you can get medication recommendations first. However, severe swelling requires timely offline consultation.
4.Q: Is traditional Chinese medicine treatment effective?
A: Recent studies have shown that auxiliary treatment with traditional Chinese medicine can shorten the course of the disease, but antibiotics are still needed in the acute phase.
5.Q: How long does it take to resume normal eating after treatment?
A: After symptoms are relieved, it is recommended to continue soft food for 2-3 days. Recently, patients have reported that returning to hard food too early can easily lead to relapse.
Summary:The treatment of acute pericoronitis requires a step-by-step approach based on the severity of the disease. Recent medical consensus emphasizes the importance of early intervention and standardized medication. At the same time, the strengthening of preventive measures, especially oral hygiene, has become a hot topic of discussion recently. If the symptoms persist, it is recommended to seek medical treatment in time to avoid complications.
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