What Needs to Be Done When a Tooth Becomes Impacted
Posted on 4/1/2026 by San Tan Oral Surgery |
 Let's talk about teeth that don't come in quite right – specifically, when a tooth gets stuck and can't erupt properly. This is what we call an impacted tooth, and it's a common problem that can lead to other issues if not addressed.
# Understanding Impacted Teeth
An impacted tooth is basically a tooth that's blocked from fully emerging into its correct position in your mouth. While any tooth can become impacted, it most often happens with wisdom teeth (third molars). This is because they're the last teeth to develop, and sometimes there simply isn't enough room in the jaw for them.
Other teeth can also become impacted, though. Sometimes teeth are blocked by other teeth, bone, or soft tissue. There might also be unusual growths that get in the way.
# Why Impacted Teeth Cause Problems
When a tooth is impacted, it can cause a variety of problems. One of the most common is pain and discomfort. The pressure from the impacted tooth can irritate the surrounding gums and even affect nearby teeth.
Impacted teeth can also increase the risk of infection. Because they are hard to clean, bacteria can accumulate around the area, leading to pericoronitis (an infection of the gum tissue around the crown of the tooth). This can cause swelling, stiffness in the jaw, and general illness.
Furthermore, an impacted tooth can damage adjacent teeth. It might push against them, causing crowding, shifting, or even damage to their roots. In some cases, a cyst or tumor can form around the impacted tooth, which can damage the jawbone.
# What Happens When a Tooth is Impacted
The first step is usually an examination, including X-rays. The X-rays allow your dentist to see the position of the impacted tooth and assess any potential problems.
Based on the examination, your dentist will determine the best course of action. Sometimes, if the tooth isn't causing any problems, and there's a good chance it won't in the future, a "watch and wait" approach might be recommended. This involves regular checkups and X-rays to monitor the tooth.
# Treatment Options
If the impacted tooth is causing problems or is likely to cause problems in the future, removal is often the best option. This is a surgical procedure where the tooth is extracted. The complexity of the extraction depends on the position of the tooth and how deeply it is impacted.
In some cases, if the impacted tooth is needed for future oral care needs (like supporting a bridge or other restoration dentistry procedures), a procedure called an exposure and bracketing may be recommended. This involves surgically exposing the impacted tooth and attaching a bracket to it. The bracket is then connected to orthodontic wires, which will slowly guide the tooth into its correct position.
# Taking Care of Yourself
After any procedure to address an impacted tooth, it's important to follow your dentist's instructions carefully. This may include taking pain medication, using an antibacterial mouthwash, and eating soft foods for a few days. Good oral hygiene is essential to prevent infection and promote healing. This includes gentle brushing and flossing around the surgical site, as directed by your dentist.
Addressing impacted teeth can help improve your overall oral health and prevent future complications. Talk to your dentist if you suspect you have an impacted tooth or are experiencing any pain or discomfort in your mouth.
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