When a tooth does not erupt within the expected time, it is probably because of a dense overlying bone, thick soft tissue and the adjacent teeth. These are the most common reasons. As a general rule, all impacted teeth are recommended to be removed unless there are any contraindications such as it causing more complications and more serious problems.
As soon as a tooth is known to be impacted, it should be removed immediately before any complications arise. Here are a number of reasons why an impacted teeth should be removed:
Prevention of Periodontal Disease
Prevention of Dental Caries
Prevention of Pericoronitis
Prevention of Root Resorption
Impacted Teeth under a dental prosthesis
Prevention of Odontogenic Cysts and Tumors
Treatment of Pain of unexplained origin
Prevention of Jaw Fractures
Facilitation of Orthodontic Treatment
Optimal Periodontal Healing
There are also contraindications such as extremes of age, compromised medical status and probable excessive damage to adjacent structures
Upon knowing that an impacted tooth exists, there will be confirmatory diagnosis such as periapical/ panoramic radiographs and CBCT.
This helps in letting the dentists know the kind of impaction: depth, angulation, condition of adjacent teeth, presence of other pathology and the relationship of the tooth to vital structures. Root and crown anatomy may also be seen. These perceives difficulty and thus this will aid in the formulation of the strategy in extracting the tooth.
During the procedure, the area will be anesthetized. The gingiva will be opened in order to have access to the embedded tooth. There might be a need to remove bone or to cut the tooth in order for it to be delivered out of the socket. After extraction of the tooth, the gingiva will be sutured back together.
After the procedure, analgesics will be prescribed even before the patient feels pain. Antibiotic medications will also be prescribed in order to prevent negative sequelae. Patients who undergo impacted tooth removal usually experience post-operative swelling. In order to minimize this, the use of ice packs on the face is recommended,
The maximum pain can be felt within the first 12hours after surgery. It can be expected that there will be swelling for 3-4 days and will slowly dissipate in the 5thto 7th day. Sometimes patients will also slightly feel uncomfortable opening their mouths.
The body will moderately respond to the surgery with minimum amount of post-operative discomfort. If there are any unusual events, please contact us immediately at our hotline.


Author: Dr. Keneshia Tingson