Operculectomy in Chicago

An operculum is a flap of gum tissue over a partially erupted tooth. The operculum can trap food debris and over time, an accumulation of bacteria occurs causing a condition known as pericoronitis.

Since pericoronitis is associated with wisdom teeth (teeth that partially erupt or are impacted) it can be very difficult to manage. It is difficult to remove trapped food and debris from the operculum and it can be very painful as well. Most patients with pericoronitis will report pain when eating/drinking, talking and even opening their mouth.

Your dentist may recommend antibiotics to remedy the infection but in some cases an operculectomy procedure is necessary. An operculectomy is a minor surgical procedure where the affected soft tissue (the flap of gum over the wisdom tooth), is cut away, preventing further build-up of debris and plaque, and subsequent inflammation.

The procedure is quite simple, it is performed under a local anesthetic given to numb the area, and a surgical scalpel is used to remove the tissue. No stitches are usually needed.

The procedure prevents further build-up of food debris and bacteria. Post-procedure, the patient needs to adhere to good dental habits mentioned below especially since they have a partially erupted tooth.

• Use a ‘Single tufted Brush’, a small firm one-pronged brush around and underneath the flap of gum. This is a crucial area to clean, especially for people who have wisdom teeth.
• Practice good tooth brushing even when the area is very sore or infected. This can help keep away food debris, and limit the amount of plaque that collects in the area.
• Do hot salty mouth rinses throughout the day, especially after eating.
• Floss to remove food and plaque as best as you can.
• Do regular checkups with your dentist especially whenever you feel pain.