Pericoronites And Operculites; Specific Infections


A “typical” pericoronitis is an infection and inflammation of the gum partially covering a tooth (often a wisdom tooth) that tries to pierce or that eruptes. Sometimes a small piece of skin (gum) called a “gill” covers the partially erupted tooth. The fact that a tooth is partially out of the gum creates a gateway for bacteria that can cause infection.


Food debris and bacteria (plaque) can accumulate there and cause infection. These conditions are often very painful and need to be treated. See your dentist as soon as possible to have this problem assessed and treated. He will probably suggest that you remove the part of the gum (operculum) that covers your molar (operculectomy).

He may also prescribe antibiotics if an infection is already well established. Until your dentist can see you, make sure you clean and debride this area well, even if it is painful, to avoid the buildup of plaque and food debris that will only make the problem worse. The term “pericoronitis” comes from “peri” which means “around” as in “periphery” of the tooth and “coronite” which is an adjective relating to the “crown” of the tooth. This condition is most common in young adults when wisdom teeth are trying to pierce (± 17-21 years) but can occur at any age.

A semi-enclosed wisdom tooth is an excellent entry point for infection (pathogens, bacteria, accumulation of various food debris, etc.) and can lead to the development of gum problems (pericoronitis, operculitis), cavities and loss bone (periodontitis to varying degrees) and, as previously mentioned, causing the spread of the infection in a more systemic way, which can have serious consequences, even death.


Here is an example of a situation where a seal could become inflamed and painful. This example describes a problem associated with second molars, but it can happen with any molar including wisdom teeth.

(A, B) The lower second molars erupt in this young 13-year-old patient. The one on the right side (blue circle) has just pierced the gum. Perforation in the gum constitutes a potential entry point for plaque, food debris, etc. if oral hygiene is not adequate.

(B, C) The one on the left is more advanced in its eruption process. The part of the gum that covers the back of the tooth is the operculum (arrow). The hygiene of this patient is excellent so that there is no infection or other associated problem but if the plaque builds up around this heap of skin, the seal may become inflamed, red, swollen … and very painful. In the event of a problem, the operculum can be simply excised (operculectomy).


When these problems arise, either suddenly or gradually, it is important to consult a dentist as soon as possible in order to make a complete assessment of the mouth. A panoramic x-ray can reveal the presence of wisdom teeth when they have not yet erupted or problems that are invisible to the naked eye. Intra-oral x-rays can also be taken at the dental office to obtain more specific details on wisdom teeth that are already in the mouth.


Unlikely or rarer symptoms are symptoms and problems that can affect a person, but the link between these and wisdom teeth has rarely been established, without however concluding that it is impossible to establish. Pain in the ears , when the pain in the jaw connected to the wisdom teeth is very intense. Various headaches and migraines . It should be noted that headaches can have a multitude of causes. Wisdom teeth can be the cause indirectly (the pain in wisdom teeth is very intense, which promotes the onset of headaches). Often the headaches do not go away with the extraction of wisdom teeth.

Significant dental movements , although slight dental movements may occur near the region where the third molars are located. The eruption of wisdom teeth is often accused of causing dental overlap in the lower anterior region because these two phenomena can occur at the same time, but several studies have shown that they are not a significant cause of these dental movements. Find out more .

3 Things You Can Do To Help Your Child Avoid Tooth Decay

3 Things You Can Do to Help Your Child Avoid Tooth Decay

Ask any parent their main parenting concerns, and they are sure to mention their child’s health. Ensuring good health and growth is important for any child, and problems like tooth decay can be a hindrance. Tooth decay interferes with the dental development of your child. Tooth decay is a bacterial infection that destroys your child’s dental issue. If you leave it untreated, it could even lead to tooth loss. If this happens, your child’s normal development can be seriously affected, even though it is the “baby” teeth that are affected. This is why you must take the measures to prevent and treat tooth decay promptly. Here are three ways that you can reduce the likelihood of tooth decay in your child:

Start Dental Hygiene Early

Hygiene is your best defense against dental problems. If you don’t clean your child’s teeth properly and regularly, he or she may experience painful dental problems. These happen because of a thin film of bacteria called dental plaque and stuck food particles. You should ensure that your child has a regular habit of brushing and flossing their teeth. As soon as their teeth begin to grow, start with these hygiene habits. Encourage your child to do them independently as soon as he or she is old enough to understand. Note that oral hygiene is necessary even before your child’s teeth appear. To reduce the growth of bacteria, you can wipe your baby’s gums with a clean and damp cloth after nursing.


Make an Early Habit of Visiting the Dentist

Most children develop some teeth by the time they turn 1. This is the recommended time for making their first dental visit. A series of dental visits will enable your child dentist to identify any emerging dental problems. He can also assist you in your plaque removal efforts. When you start visiting the dentist early, your child becomes used to this process, and this helps curbs dental visit anxiety later on in life.

Prevent “Baby Bottle Decay”

The bacteria that cause decay thrives on sugar, one of its most favorite food sources. If you want to lower the risk of decay in your child, you should limit their carbohydrate intake. Not only should you limit candies and sugary snacks, but it is also important to remove sugar from your infant’s naptime or nighttime baby bottle. Several parents lay their babies down to sleep with a baby bottle filled with sugary liquids such as milk, juice or formula. Ensure that the bottle contains only water or avoid giving it to your child altogether.

All in all, the safety of your child’s teeth is your responsibility, so make sure that you make the right decisions in this regard. If you would like to know more about how to help your kids’ teeth to stay healthy and develop properly, please contact us. You can also schedule an appointment for a consultation. Read our other blogs for more useful and interesting topics related to dental health.  

Understand Your Toothache

Understand Your Toothache f
Understand your toothache

Frequent toothache or facial pain on awakening? It is a fairly common problem that can be rather disturbing. Of course, it is important to consult a health professional to determine the source of these persistent toothaches and facial pain. But already, some tracks can be considered. Toothache or to the face when waking up can have different causes. 

One of these can come from a toothache done during sleep at night. This problem, called bruxism, is common. It can be related to stress and tension experienced during the day. The strong pressure on the teeth and jaws caused by bruxism leads to various pains in the mouth and face. The muscles of this region remaining very tense can also create these pains. Also, toothache or face may be caused by a problem in the neck or sinus. Indeed, these areas of the head share common nerves, which could explain why the pain spreads to the teeth or the rest of the face. Another important element to consider during face pain or toothache in the morning: dental prosthesis problems if you miss some natural teeth. If you wear partial dentures, here is some information that can shed light on your pain. Here are some solutions to help you.

Solutions to toothache with dental prosthesis

Dentures that cause toothache or face pain can happen, even if they are made for you and adjusted to your body type. Prostheses can be broken or worn, or they may have lost the fit that your denturist had given them. Also, your mouth may have changed over time. New adjustments to your dentures may, therefore, be required. As you will have understood, your denturologist is the person to consult when you have toothache or pain in your mouth, if you wear dental prostheses. However, only a dentist can diagnose and treat your natural teeth. If your denturologist suspects a problem like this, he will refer you to a dentist for relief. If you think your discomfort is related to dentures, your denturologist is the person who can help you. He made your dentures, and he knows the peculiarities of your mouth and his needs. Together, you can find the solutions that are best suited to the problems with your teeth that you feel in the morning, or at any other time of the day.

Your denturologist, to consult during pains

Remember that the primary goal of your denturologist is to relieve you. Your denturologist will also take care to keep your dentures perfectly functional and to ensure all the aesthetics of your smile. Depending on the evaluation of the type of problem that you present, it will be able to propose various solutions. One of these may be an occlusal plaque. This plate makes it possible to avoid the contact between the teeth of the top and those of the bottom. It is used especially during bruxism or jaw problems. Also, if muscle disorders are related to your pain, your denturologist may offer you the care of other health professionals, such as a physiotherapist.

Importance of Orthodontics

Importance of Orthodontics1
Importance of Orthodontics

Many people believe that the reason orthodontics is used is purely aesthetic. While in truth everyone likes to have a perfect smile, this is not the only motivation. Orthodontics plays a very important role in oral health that in turn can affect the rest of the body. A person can present many anomalies, from very deep bite to crowding of the teeth. 

Orthodontics is responsible for solving those problems, to have healthier teeth and even gain security. The time used depends on the type of treatment needed and orthodontics.

Types of orthodontics

Currently there are different types of orthodontics, some are for certain ages or to correct specific anomalies. There are also those that have a more aesthetic or discreet appearance.

Some of the types of orthodontics are:

  • Interceptive: this is used in children during the process of moving their teeth. Its function is to avoid the development of future anomalies. The main problem that may arise is malocclusion. This type of orthodontics also seeks to avoid habits such as nail biting, lower lip suction and palate expansion.
  • Corrective: it is used to correct malocclusion or aesthetic issues in adulthood. These in turn are divided into removable, which are those that can be removed and put on and the fixed ones are the brackets.
  • Lingual: Lingual orthodontics is very similar to the traditional braces but this goes inside the teeth. This factor makes them more discreet, however they can be a bit uncomfortable and it takes longer to adapt due to the constant rubbing with the tongue.
  • Invisalign: they are similar to retainers that can be removed and put on. It is the most discreet and comfortable type of orthodontics because it is seldom noticed that they are wearing.

Anomalies that orthodontics can solve

As we mentioned, there are many anomalies that can occur in the teeth and some of them are:

  • Little alignment and even crowding of the teeth, this problem is usually one of the most common and the main drawback for which it is decided to use orthodontics.
  • Bad position of the teeth with respect to the jaws, these may be too far or far behind.
  • Deep bite or malocclusion, this means that the upper and lower teeth are not aligned and are worn by constant rubbing.
  • Maxillary teeth displacement.

Benefits of orthodontics

Orthodontics helps prevent tooth decay or diseases that develop in the mouth. This is because problems such as crowding prevent proper oral hygiene. It also benefits by preventing the loss of teeth. On the other hand, they also help to eliminate tension caused by tooth abnormalities. Orthodontics allows you to have a better appearance in the smile by correcting their aesthetic problems.

Sterilization In Dentistry: Why Is It So Important?

dentist showing female patient dental X-rays

Disinfection is the process by which pathogens are eradicated or killed. However, sterilization is the chemical and physical process that aims to eliminate absolutely all microorganisms present in any object. That is why disinfection and sterilization are two fundamental pillars in the daily practice of dentistry. All dental material must be disinfected and subsequently sterilized in order to prevent the transmission of infectious diseases in dental procedures. All the staff that makes up a dental clinic must know these concepts and maintain a protocol of action, in addition to the protection itself, making use of the appropriate barriers such as gloves, gown, mask and protective glasses. Use should be made of disinfectant solutions used for cleaning surfaces, furniture and dental equipment that have been found in contact with the patient. Materials such as saliva vacuum cleaners, bibs for the patient, insulating cottons, gauze, needles, glasses and napkins belong to the range of disposable products of new use for each patient.

Sterilization in Dentistry: why is it so important?

Sterilization in Dentistry is the most important process of the protocols that are carried out in a clinic. Therefore, it is important to pay attention to this procedure, since its bad practice can lead to the spread of germs. In each surgical intervention the patient should keep a record of the sterilization process of the concrete material used in their operation. Normally, there are ten cycles that are performed daily in the clinic.


Within this protocol of sterilization in dentistry, different elements are involved:

  • Initial bath with disinfectant ultrasound: This is done before the staff touches anything, to avoid the risk that people working in the office become contaminated.
  • Autoclave: It is the essential step through which sterilization occurs when 134º is reached at a pressure of 2.10 atmospheres for 45 minutes. In addition, these devices perform a vacuum which allows water vapor to penetrate the most difficult places to access. Given the possibility that it could be damaged, two autoclaves should be running daily.
  • Biological control of sterilization: by incubating bacterial spores we verify that sterilization processes really “kill” the most resistant bacteria.
  • Chemical control of sterilization: in each cycle it ensures that the pressure and temperature conditions are the ones programmed and those that are effective for sterilization
  • Bagging: the bagging of the material allows us to store and maintain the sterilization conditions for a period of three months. To control this time, the date of sterilization appears on each bag.


The place where this procedure of sterilization is performed in dentistry for the elimination of microorganisms, is the sterilization cabinet. This is so that the biological material is not contaminated. This technique is typical of general anesthesia; however, it is not required.