06/09/2024
Greetings Everyone!
Sharing this case review on a patient with chronic pericorinitis which is an inflammation of gum tissue(first image) of a partially erupted wisdom teeth. One of the primary causes is the build up of food underneath the gums that the individual is unable to remove. In this case, a sinus tract (second image) has developed outside of the oral cavity. This causes discharge from time to time and a permanent malformation of an otherwise healthy facial features. This has formed from about 2 years period from onset of initial symptoms.
The radiographic(third) images shows a seemingly normal erupted tooth(panoramic) with further periapical images (fourth image) a malformation of one of the roots increased the degree of it's removal.
Odontectomy (incision, surgical sectioning and removal) was done and after a 2 week recall, it showed that the sinus tract had completely dried and closed. Normally, most cases are isolated within the oral cavity depending on the tooth position and aggressiveness of the infecting microorganism.
In summary, early detection with proper diagnostic tools can help avoid this case from progressing into something irreversible. Wisdom teeth typically erupt within the period of 17 or 21 years of age. However, it is advised to have an earlier examination if it is erupting normally, is absent altogether, or showing signs of impaction. If the latter, early removal is advised to decrease the degree of difficulty and lessen complications.
Thank you for reading through this case review. We're hoping this information has helped our patients and readers.
