An impacted tooth is a tooth that is positioned against another tooth, bone, or soft tissue so that it is unlikely to fully erupt through the gums to reach its normal position in the mouth.
Wisdom Teeth (Third Molars)
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Impaction typically occurs in the third molars, also called wisdom teeth. Wisdom teeth, which begin to develop around age 9, are most vulnerable to impaction because they are the last teeth to erupt, usually between the late teens and early 20s. By then, the jaw has stopped growing and may be too small to accommodate these four teeth.
An impacted tooth remains embedded in soft gum tissue or bone beyond its normal eruption time. The cause may be overcrowding. Other teeth may also become twisted, tilted, or displaced as the new teeth try to emerge.
Impacted teeth are very common. Factors that may increase your risk of impacted teeth include:
Some people with impacted teeth have no pain or other symptoms. In those that have symptoms, impacted teeth may cause:
Complications of untreated impacted teeth include:
Your dentist will ask about your symptoms and medical history. A physical physical exam will be done. Tests may include:
If an impacted tooth causes no pain, inflammation, infection, and does not affect mouth alignment, no treatment may be necessary.
If there are noticeable symptoms, surgery is usually recommended to remove all impacted teeth, preferably while the person is young. This may be done by a dentist under local anesthesia if the tooth is exposed and can be easily removed in one piece. For difficult extractions, your dentist may refer you to an oral surgeon. In these cases, general anesthesia or an IV sedative may be used. Your dentist may recommend following until surgery can be scheduled:
The American Association of Oral and Maxillofacial Surgeons
The American Dental Association
Canadian Dental Association
Canadian Dental Hygienists Association
Center for Oral and Maxillofacial Surgery. Exposure and bracketing of an impacted tooth. Center for Oral and Maxillofacial Surgery website. Available at: http://www.cfoams.org/oral_surgery_madison/impacted_canines.html. Accessed October 29, 2013.
Impacted tooth. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated August 26, 2013. Accessed October 29, 2013.
Wisdom teeth. American Association of Oral and Maxillofacial Surgeons website. Available at: http://www.aaoms.org/conditions-and-treatments/wisdom-teeth. Accessed July 27, 2011.
Wisdom teeth. American Dental Association Mouth Healthy website. Available at: http://www.mouthhealthy.org/en/az-topics/w/wisdom-teeth. Accessed October 29, 2013.
When to remove wisdom teeth. Academy of General Dentistry Know Your Teeth website. Available at: http://www.agd.org/patient-resources.aspx. Updated January 2012. Accessed October 29, 2013.
Last reviewed September 2013 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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