tooth eruption pain
Introduction
Introduction Pericoronitis is a complication caused by the inconsistent position of the molars, mainly due to the pain of soft tissue around the crown. The third molar of the mandible (commonly known as wisdom tooth) is more common in clinical practice. Secondly, the maxillary third molar can also occur. The disease mostly occurs between the ages of 18 and 30.
Cause
Cause
The cause of tooth eruption
Partially ejected vertical impact and near-middle tilt are the most common, and most often cause pericoronitis. The position of the erupted crown is mostly lower than the bite plane of the second molar. The distal and buccal and lingual sides are often covered with a flap, and a deep and narrow blind pocket is formed between the flap and the crown, which has a poor self-cleaning effect. Easy to hide food residue, its temperature and humidity are good conditions for bacterial growth and reproduction. Under normal circumstances, the human body is strong and the bacteria cannot get rid of it. However, when the human body is caught in a cold, lack of sleep, fatigue, etc., the body's low resistance is reduced, and bacterial reproduction causes infection.
The mechanical damage to the sacral flap during biting and chewing causes the mucosa to fester, destroying the defense function of the tissue, allowing the bacteria to take the opportunity to enter, and can also cause pericoronitis.
Examine
an examination
Related inspection
Oral endoscopic oral X-ray examination
Examination of tooth eruption
At the beginning of pericoronitis, the pain of the gums is red and swollen. When it is chewed and swallowed, the pain in the mouth may increase. When the infection affects the muscles and the pterygoid muscles, the jaws may close. Swelling may occur locally, and lymph nodes may increase and tenderness. Systemic symptoms such as general malaise, fever, and increased white blood cells can occur at this time.
2 to 3 days of onset, such as pain, fever, not retreat, can consider the development of inflammation to the suppuration. In this period, the drainage was cut in time, and the inflammation gradually subsided. If the infection is not controlled in this way, the inflammation spreads, and the infection may cause a gap infection of the corresponding gap caused by diffusion of the chewing muscle, the cheek, the parapharyngeal, and the lower jaw. Can further cause a variety of serious complications.
Diagnosis
Differential diagnosis
Symptoms of tooth evoke pain
The tooth has a sense of elongation and tenderness: the tooth has a feeling of elongation, and the tenderness and tenderness are obviously the clinical manifestations of the periapical periodontitis. Periapical diseases include acute and chronic apical periodontitis. Periapical disease refers to periodontal tissue confined to the apex of the apex, including inflammation of the cementum, periodontal ligament and alveolar bone.
Gum pain: Gingivitis is caused by bacterial invasion, which is characterized by bleeding gums, redness, pain, and continued development of invasion of hard tissues, resulting in periodontal inflammation.
Denture pain: Dentures should be adjusted once every 3 to 4 years. Oral pain for more than ten days. When you bite the chin, it will hurt, it will be difficult to open your mouth, and the mouth will be closed.
Upper toothache: Patients with odontogenic maxillary sinusitis often have toothache due to maxillary sinusitis. Odontogenic maxillary sinusitis is a chronic maxillary sinusitis caused by diseased teeth. It is called odontogenic maxillary sinusitis. The cause is relatively simple. Not all teeth can cause this disease, but limited to those with close relationship with maxillary sinus. The teeth are the first premolar second premolar and the first molar in the upper dentition, that is, the fourth, fifth and sixth teeth from the incisors. Usually, the first inflammation of the teeth, such as acute periarthritis, periodontitis, alveolar abscess, etc., infects the bottom of the maxillary sinus, further expanding into maxillary sinusitis.
Toothache: It is a common disease. Its performance is: red and swollen gums, hot and cold pain, swelling of the cheeks. Toothache is mostly caused by gingivitis and periodontitis, dental caries (fangs) or fractured teeth leading to infection of the pulp (dental nerve). Chinese medicine believes that toothache is caused by exogenous wind and evil, stomach fire, stagnation of kidneys, and insects. Gingivitis is a common periodontal disease. It is caused by the lack of attention to oral hygiene, the long-term stimulation caused by soft tartar and hard tartar formed by food residue, bacteria and other things around the teeth, as well as improper brushing habits and vitamin deficiency.
Delayed sprouting: The newborn has no teeth. The deciduous teeth begin to erupt 4 to 10 months after birth. The late ones can reach 10~12 months. After 12 months, the sprouts are delayed. The early and late eruption of teeth is not an important indicator to measure the baby's growth and development. Generally speaking, the morning and evening of a child's teething is mainly determined by innate factors. Some children can start teething at 4 months, and some children have just erupted their first deciduous teeth in 10 months. Even after 10 months, the deciduous teeth are still not erupted and need not be nervous. As long as the body has no other diseases, it is not very important to postpone the first deciduous teeth until the age of one year.
