SURGERY FOR IMPACTED TOOTH

Why is a tooth impacted?

•The milk teeth remain in the mouth more than necessary

• The milk teeth are lost early

• Genetic causes

• Prolonged inflammation thickens the mucosa on the teeth.

• The bone has a very high density.

• There is no enough room on the jaw and impaction of adjacent teeth

• The permanent teeth have an extra tooth or cystic formation around them.

• The jawbone has an infection.

• Previous diseases of the mother (scarlet fever, measles, and chicken pox) and medication used during gestational period

How is an impacted tooth recognized?

An impacted tooth is defined as a tooth that does not appear on the array of teeth even if it is time to erupt, remaining underneath the mucosa or bone. It is only identified during a radiological examination because it does not cause discomfort most of the time.

Is it necessary to remove an impacted tooth?

The dentist’s decision is important after an impacted tooth is radiologically examined. However, the common practice is to remove the impacted tooth. Bone degradation and periodontal problems may be observed around the adjacent teeth on which an impacted tooth relies. Moreover, the root of the adjacent tooth may be melted away, resulting in loss of the tooth, without causing any discomfort. Pathological conditions such as cyst and tumor may be originated from the dental sac that contains the impacted tooth. The pain on the jaw or earache or temporomandibular joint pain of unknown origin may sometimes disappear when the impacted tooth is removed. An impacted tooth should be preoperatively removed in case of orthodontic treatment because it would prevent dental maneuvers.

Could an impacted tooth be placed in the mouth?

At a young age, an impacted tooth on the front side in particular can be placed in the array of teeth with orthodontic treatment if its position is appropriate.

What to do after surgery of an impacted tooth

You should avoid spitting, brushing teeth, rinsing your mouth strongly, using straws, or gargling on the first day of extraction. Avoid taking a hot shower. Application of ice cubes will reduce the swelling and bruise within the first twenty-four hours. You should eat warm, non-granular and soft food for the first two days. Use antiseptic mouthwash recommended by your dentist every time you eat something and brush your teeth. The analgesics, and antibiotics -if prescribed- must be taken regularly on time. Do not smoke within the first 48 hours because it will impair the healing process. Visit your dentist to remove the sutures in one week.

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