INBDE (Integrated National Board Dental Examination) Practice Exam

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How is pericoronitis typically treated?

Surgical intervention
Antibiotics then extraction
Immediate extraction
Topical application of medication

The correct answer is: Antibiotics then extraction

Pericoronitis is an infection of the soft tissues surrounding a partially erupted tooth, often the third molars or wisdom teeth. The most common treatment approach for pericoronitis involves prescribing antibiotics to resolve the infection followed by extraction of the offending tooth to prevent recurrence. Antibiotics help to reduce inflammation and control the infection temporarily, but the definitive treatment is usually extraction of the partially erupted tooth. This eliminates the source of infection and reduces the likelihood of future episodes of pericoronitis. Thus, the correct answer is antibiotics followed by extraction. Surgical intervention might be necessary in severe cases where there is significant swelling, pain, or difficulty in opening the mouth. Immediate extraction is not typically recommended as the first line of treatment, as antibiotics are usually initiated first to control the infection. Topical application of medications may provide symptomatic relief but is not a definitive treatment for pericoronitis.