Algorithm For Selecting Minimally Invasive Methods Of Operaculoctomy For Pericoronitis
Abstract
Pericoronitis is a type of inflammatory process of the oral cavity, the cause of which is an infection of the soft tissues near the crown of an incompletely erupted tooth, including the surrounding gum itself and the tooth rudiment [1, 3, 5]. According to statistics, in most cases pericoronitis is observed in the lower third molar (HTM); usually in teeth that erupt very slowly and gradually or are retentive. It is accepted that microbial invasion into the follicular region is the cause of the infectious process starting from the moment the dental follicle comes into contact with the oral cavity. The basis of the microbiome in pericoronitis consists of anaerobes. The accumulation of food residues near the lining around the tooth and damage to soft tissues by the antagonist tooth lead to an aggravation of the inflammatory process. Currently, there are limited conflicting data on the etiology and pathogenesis of pericoronitis. According to statistics, the average frequency of successful HTM eruption is slightly less than 5% among patients in the age range from 20 to 25 years. At the same time, about 95% of cases of HTM eruption are accompanied by pericoronitis [2, 4].