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    An Overview of Pericoronitis

    Last updated 8 months ago

    Pericoronitis is a dental disorder that occurs when gum tissue around the wisdom teeth becomes swollen and infected. Wisdom teeth are the third set of molars that most people grow in their late teens and early twenties. Read on for more information about pericoronitis.


    This disorder can develop when wisdom teeth only partially break through the gum. When this happens, bacteria can enter through the opening in the gum and surround the tooth, causing an infection. Food and plaque can get trapped beneath the flap of gum around the tooth, which can also lead to pericoronitis. If pericoronitis becomes sever, swelling and infection can spread to the jaw, cheeks, and neck.

    Diagnosis and Symptoms
    The dentist can determine if a wisdom tooth is partially erupted when examining the growth process. He/she may periodically take an X-ray of the mouth to monitor wisdom teeth alignment. If the dentist notes a gum flap, swelling, or infection, they will diagnose the disorder. A patient with pericoronitis will experience pain in the gums around the tooth, infection, swelling in the gum tissue, and difficulty opening the mouth. The patient will also have a bad taste in the mouth, which is due to pus that is leaking from the gums. Swollen lymph nodes in the neck are another symptom.

    If the pericoronitis hasn’t spread beyond the tooth, it can be treated by rinsing the mouth with warm salt water. The patient will also need to check the gum flap regularly to ensure there is no food trapped beneath it. If the tooth, jaw, and cheek are swollen and painful, the dentist will prescribe antibiotics to treat the infection. Pain relievers such as aspirin and ibuprofen can also be taken. If the pericoronitis is severe or recurs, the dentist may suggest oral surgery to remove the gum flap or wisdom tooth.

    Center for Oral & Facial Surgery serves San Diego as the oldest and largest oral surgeon practice in the county. We provide a variety of services, including dental implants, bone grafting, tooth extractions, wisdom teeth removal, and more. Visit our website or call (619) 312-4417 and schedule a consultation.  

    Causes of Impacted Wisdom Teeth

    Last updated 8 months ago

    Wisdom teeth become impacted when they erupt, or grow in, without enough time to properly do so. This can lead to several complications and can result in decay and gum disease. Read on for information on the causes and complications of impacted wisdom teeth.


    Wisdom teeth typically emerge in the late teens and early twenties. Some people have wisdom teeth that emerge normally without any complications. In these cases, wisdom teeth line up with the other teeth located behind the second molars. In other cases, however, the mouth is too crowded to allow the wisdom teeth to develop normally. When the teeth are too crowded, the wisdom teeth become trapped, leading to them becoming impacted.

    Tooth Position

    An impacted tooth might partially emerge through the gums, making some of the crown visible. This means it is partially impacted. If the tooth is fully impacted, it never breaks through the gums. Partially and fully impacted wisdom teeth can grow in a variety of directions. They can grow at an angle toward the second molar, grow toward the back of the mouth, grow at a right angle toward the other teeth, or grow straight up or down similar to other teeth while staying trapped within the jawbone.


    Impacted wisdom teeth can cause several problems in the mouth. They can damage other teeth by pushing against them or making them more vulnerable to infection. Impacted wisdom teeth can also create cysts in the mouth. The wisdom tooth grows within a sac in the jawbone. This sac can fill with fluid and form a cyst that can damage the jawbone, teeth, and nerves. Other risks that impacted wisdom teeth present are decay and gum disease.

    Are you considering having your wisdom teeth removed while on Thanksgiving or Christmas break? You probably aren’t alone! These appointments fill up fast, so please call Center for Oral & Facial Surgery of San Diego today to reserve a date. In addition to wisdom tooth removal, we provide dental implants, bone grafting, tooth extractions, and more. Call us at (619) 312-4417 or visit our website to learn more about our practice.

    Preparing for Impacted Canine Surgery

    Last updated 8 months ago

    When canine teeth are in a position that doesn’t allow them to enter the mouth properly, they are called impacted. When undergoing canine surgery, the goal is to bring the impacted tooth down into the correct position so it is aligned with the other teeth in the mouth. Before surgery, it is important for the mouth to be clean, so patients should brush and floss as usual. The doctor may advise restrictions on drinking and eating before sedation for the procedure. The patient should also wear loose, comfortable clothing. The surgery takes about 45 minutes. Watch this helpful video to learn more about impacted canine surgery.

    Center for Oral & Facial Surgery serves San Diego with a variety of treatments and surgical procedures. Among these are wisdom teeth removal, dental implants, impacted tooth surgery, tooth extractions, bone grafting, and more. If you are in need of dental care, visit our website or call (619) 312-4417 to schedule an appointment.

    What to Expect When Undergoing Surgery to Expose and Bracket an Impacted Tooth

    Last updated 9 months ago

    Impacted teeth require tooth extraction under many circumstances. For instance, extraction may be needed if a person has wisdom teeth that are unsuccessfully trying to erupt through the gum. In some cases, though, the impacted tooth is critical to the person’s oral health and must remain in the mouth if possible. One such scenario is when an eyetooth cannot slide into its proper place among the other teeth. Because this tooth is essential to the chewing process, an oral surgeon may recommend exposing and bracketing the impacted tooth.

    Prior to the Process

    If a patient doesn’t experience natural eruption of a tooth, an oral surgeon may first take x-rays to better understand the reason for this condition. Should he see the tooth present in the gum, but too little space is available for its eruption, he may decide that exposing and bracketing is necessary.

    During Oral Surgery

    The purpose of exposing and bracketing is to give the impacted tooth a means to join the other teeth. If insufficient room is the cause for the impaction, an orthodontist’s services may first be needed to create space in the gumline. For some patients, though, the tooth simply does not descend regardless of adequate room in the mouth. The oral surgeon can expose the tooth with a small incision to the gum and attach a bracket to it. With this bracket and an accompanying chain, the surgeon can gently pull the tooth into place over a matter of months.

    After the Procedure

    To ensure that the tooth’s roots and surrounding gums remain strong and healthy, slow repositioning of the tooth is key. Only once the oral surgeon is satisfied with the placement of the tooth is the procedure considered complete. Even then, the surgeon may decide to bolster support for the tooth with gum grafts.

    Do you have an impacted tooth that requires exposure? Call the Center for Oral & Facial Surgery in San Diego at (619) 312-4417 for an appointment. We offer services for both wisdom teeth impaction and eyeteeth exposure.

    Center For Oral And Facial Surgery Celebrated the Anniversary of Two Special Team Members

    Last updated 9 months ago

    On Thursday, October 16th, Center For Oral And Facial Surgery  celebrated the anniversary of two special team members  at a  lunch at the University Club atop Symphony Towers

    Elizabeth is an RN, who we are celebrating for 10 years @ at The Center for Oral & Facial Surgery. Elizabeth is a compassionate nurse who always puts the needs of the patients first. Dr’s are-Standing in back, L-R: Dr. Jason Gile, Dr. Brian Oleksy, Dr. James Eckstein, Sitting L to R: Dr. Frank L. Pavel, and  Dr. William Hendrix (retired)

    Darlene (also known as “Carmie”) has been with our practice for 20 years. She is a highly skilled surgical assistant who is also the surgical team supervisor. Dr’s are –Standing in back: L to R-Dr, Jason Gile, Dr. Brian Oleksy, Dr. Frank Pavel, Sitting L to R: Dr. William Hendrix (retired),and Dr. James Eckstein.

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