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Why is there gum over my wisdom tooth?

Published in Wisdom Teeth 2 mins read

A flap of gum, called an operculum, can form over your wisdom tooth, especially if it's impacted or only partially erupted.

Understanding the Operculum

When a wisdom tooth doesn't fully emerge from the gums, a flap of gum tissue can cover a portion of the tooth. This is the operculum.

Reasons for Gum Over Wisdom Tooth

  • Partial Eruption: Wisdom teeth often struggle to erupt completely due to lack of space in the jaw.
  • Impaction: The tooth may be blocked by other teeth or bone, preventing full emergence.
  • Pericoronitis: Food particles and bacteria can become trapped under the operculum, leading to infection (pericoronitis).

Potential Problems with Gum Over Wisdom Tooth

  • Infection (Pericoronitis): Trapped debris under the gum flap creates an environment for bacteria to thrive, causing inflammation, pain, swelling, and even pus formation.
  • Difficulty Cleaning: The flap makes it difficult to properly clean the area, further contributing to bacterial buildup.
  • Pain and Discomfort: The inflammation and pressure from the erupting tooth can cause significant pain.

What To Do

Consult with a dentist or oral surgeon. They can assess the situation and recommend the best course of action, which may include:

  • Cleaning: Thorough cleaning of the area under the operculum.
  • Antibiotics: If there's an active infection, antibiotics may be prescribed.
  • Operculectomy: Removal of the gum flap (operculum).
  • Tooth Extraction: In many cases, extraction of the wisdom tooth is recommended to prevent recurring problems.

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