When to Extract an Impacted Tooth
Posted on 8/1/2024 by San Tan Oral Surgery |
 As an expert Oral Surgeon and member of the American Dental Association, I frequently encounter patients with impacted teeth. While some impacted teeth may not cause any problems and can be left alone, others can lead to significant complications if left untreated. In this article, I will discuss the signs and symptoms of impacted teeth, the risks associated with them, and when extraction may be the best course of action.
What is an Impacted Tooth?
An impacted tooth is a tooth that is unable to erupt fully into its proper position within the mouth. This can occur for a variety of reasons, such as a lack of space in the jaw, the presence of another tooth blocking its path, or abnormal tooth development. Impacted teeth are most commonly found in the wisdom teeth, but they can also occur with other teeth, such as the canines.
Signs and Symptoms of Impacted Teeth
Many impacted teeth do not cause any noticeable symptoms, especially in the early stages. However, as the impacted tooth continues to grow, it can begin to press against surrounding teeth and nerves, leading to various symptoms such as:
| • |
Pain: This is the most common symptom of an impacted tooth. The pain can be sharp and throbbing, or it can be a dull ache. |
| • |
Swelling: The gums around the impacted tooth may become swollen and red. |
| • |
Infection: Impacted teeth are more prone to infection, which can cause pain, swelling, and pus discharge. |
| • |
Damage to other teeth: The pressure from an impacted tooth can damage the roots of adjacent teeth. |
| • |
Cyst formation: In some cases, a cyst can form around an impacted tooth. Cysts can damage the jawbone and surrounding teeth. |
Risks of Leaving an Impacted Tooth Untreated
Leaving an impacted tooth untreated can lead to several complications, including:
| • |
Damage to other teeth: The pressure from an impacted tooth can damage the roots of adjacent teeth, leading to cavities, gum disease, and even tooth loss. |
| • |
Infection: Impacted teeth are more prone to infection, which can spread to other parts of the mouth and body. |
| • |
Cyst formation: Cysts can damage the jawbone and surrounding teeth, and may require surgical removal. |
| • |
Tumors: In rare cases, impacted teeth can contribute to the development of tumors. |
When to Extract an Impacted Tooth
The decision of whether or not to extract an impacted tooth should be made on a case-by-case basis, taking into account factors such as the location of the tooth, the severity of the symptoms, and the patient's overall health. In general, extraction is recommended for impacted teeth that are causing pain, infection, or damage to other teeth. Additionally, extraction may be recommended for impacted teeth that are unlikely to erupt on their own, even with orthodontic treatment.
Oral Care After Tooth Extraction
After an impacted tooth extraction, it is important to follow your oral surgeon's instructions carefully to promote healing and prevent complications. This may include:
| • |
Taking pain medication as prescribed |
| • |
Rinsing your mouth with salt water |
| • |
Avoiding strenuous activity |
| • |
Eating soft foods |
Most patients recover from impacted tooth extraction within a few days. However, it is important to see your oral surgeon for follow-up appointments to ensure that the healing process is progressing well.
Restorative Dentistry Options Following Extraction
In some cases, following the extraction of an impacted tooth, restorative dentistry options may be necessary to restore the function and aesthetics of your smile. These options may include:
| • |
Dental implants: Dental implants are artificial tooth roots that are surgically placed into the jawbone. They can be used to replace one or more missing teeth. |
| • |
Bridges: A bridge is a fixed dental restoration that is used to replace one or more missing teeth. It is made up of a false tooth (or teeth) that is held in place by crowns that are cemented to the teeth on either side of the gap. |
| • |
Partial dentures: A partial denture is a removable dental appliance that is used to replace multiple missing teeth. It consists of a plastic base that fits over the gums and artificial teeth that are attached to the base. |
Your oral surgeon will discuss the best restorative dentistry options for you based on your individual needs and goals.
Conclusion
Impacted teeth can cause a variety of problems if left untreated. If you are experiencing any symptoms of an impacted tooth, it is important to see an oral surgeon for evaluation and treatment. Early intervention can help prevent complications and ensure a healthy smile.
|
|
