Formulary

Management of pericoronitis

First Line
Second Line
Specialist
Hospital Only
Patients presenting with acute oral conditions should be referred to a dental specialist.

Please follow this link to obtain information on the emergency dental service.

In exceptional circumstances patients may be unable to access dental services in a timely manner; in which case, the guidance below is designed for the management of acute oral conditions pending review by a dental specialist.

Refer to dentist for irrigation & debridement.

Amoxicillin
  • 500mg every 8 hours for 3 days
  • If there is persistent swelling or systemic symptoms use metronidazole.
Metronidazole
  • 400mg every 8 hours for 3 days

Use antiseptic mouthwash if pain and trismus limit oral hygiene

Chlorhexidine 0.12-0.2%
  • Rinse mouth for 1 minute every 12 hours with 5mL diluted with 5-10mL water (do not use within 30 minutes of toothpaste) or hydrogen peroxide 6% rinse mouth for 2 minute every 8 hours with 15mL diluted in half a glass of warm water. Use until oral hygiene possible