Prepared by :

Dr.Afiqur Rahman SouravIntern Doctor

Department Of Paediatric Dentistry

Dhaka Dental College Hospital

• What is it?

A transitory type of gingivitis is often

observed in young children when the

primary or permanent teeth are

erupting.

Often localized

Associated with difficult eruption,

Subsides after the teeth emerge into

the oral cavity.

Name: Ubaidul

IslamAge: 6 years 2months

Address: Mirpur

Date : 5th

November’14

ERUPTION GINGIVITIS

• The greatest increase in the incidence of

gingivitis in children is often seen in the 6-

to 7-year age group when the permanent

teeth begin to erupt.

• This inflammation is most commonly

associated with the eruption of the first

and second permanent molars, and the

condition can be painful.

• This increase in gingivitis apparently occurs

because the gingival margin receives no

protection from the coronal contour of the tooth

during the early stage of active eruption, where

Food debris, materia alba, and bacterial plaque

often collect around and beneath the free tissue,

partially cover the crown of the erupting tooth,

and cause the development of an inflammatory

process.

• Pain

• Redness of the Gingiva

• Swelling of the Gingiva

• Bleeding on probing

• Anorexia & Dysphagia

• Mostly heals after complete eruption of the teeth

• In cases of Molar,if pericoronitis develops then pus

discharge sometimes associated with Lymphnode

enlargement and fever.

Mild eruption gingivitis requires no treatment other than improved oral hygiene.

Painful eruption gingivitis is managed by Oral Hygiene Instruction along with Systemic Antibiotics and NSAIDs. The condition may be helped when the area is irrigated with a counterirritant, such as Peroxyl.

• If it is Untreated and there is operculum

covering the erupting tooth partially,it ma

develop Pericoronitis and Pericoronal

Abscess.pericoronitis

What is it?

Pericoronitis is defined as inflammation

of the oral soft tissues surrounding the

crown of a partially erupted tooth.

• The major cause is the food and debris

impaction and microbial flora that develops

in the distally located pseudopocket.

Red, swollen, suppurating lesion that is exquisitely tender with

radiating pain to ear, throat and floor of mouth. It is usually

associated with fever and lymph node enlargement.

The diagnosis of pericoronitis is mainly clinical with three

distinct diagnostic categories recognized:

1) Acute pericoronitis,

2) Sub-acute pericoronitis, and

3) Chronic pericoronitis.

Acute Pericoronitis

Trismus, fever, pain, dysphagia, extraoral swelling,

malaise, halitosis, pus discharge, sore throat, and

anorexia. Pain may disturb sleep, lymphadenitis

involving the deep cervical lymph nodes may be

present.

Subacute Pericoronitis

Pain, dysphagia, intraoral swelling, halitosis, pus discharge,

sore throat. Associated pain is most often described as

continuous, dull, and is occasionally sharp or throbbing.

Unlike acute attacks, radiation of painful symptoms into

adjacent muscles is rare. The individual does not have

limited mouth opening. This is a distinguishing feature from

acute pericoronitis.

Chronic Pericoronitis

It is diagnosed based on a history of temporary dull

aching low grade pain that typically lasts only 1-2

days. Signs include palpable non-tender

submandibular lymph nodes and macerated buccal

tissue consistent with cheek biting.

1. Pericoronal abscess

2. It may spreads posteriorly in oropharyngeal area.

3. Dysphagia

4. Involvement of lymph nodes- posterior and deep

cervical.

5. Peritonsillar abscess.

6. Ludwig's angina

PERICORONITIS

•OPERCULECTOMY

•EXTRACTION (usually not done in children)

Operculectomy is contra-indicated in Acute

condition.So Acute condition is eliminated by-

NSAIDs to relieve pain.

-Acetaminophen, Ibuprofen etc.

Systemic Antibiotics when Fever and Lymph Node

Enlargement is present.

-Penicillin, Erythromycin, Cephalosporins etc.

Oral Hygiene Instructions.

Operculectomy is done in Three procedures:

•Scalpel

•Laser

•Electrocautary

Operculect

omy