Remove Them Now Before They Cause You Pain
Wisdom teeth, or third molars, usually appear around age 18. Eruption may be straight, crooked, or impacted. Even if these molars come in straight, they may need to be extracted due to a lack of space and an inability to keep them cleaned and maintained. Please read and view the images below for the various types of erupting patterns and impactions.
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The lower tooth, in the image to the right, is partially vertically impacted. This means that part of the tooth is above the bone and visible in the mouth, and part of it is submerged in the bone. This tooth could still erupt properly as the tooth next to it is not in its way. The upper tooth is fully vertically impacted. This means that the entire tooth is submerged in the bone. If no tooth movement is shown after a few years, then we know that the teeth are impacted and should be considered for removal. This tooth could still erupt properly as the tooth next to it is not in its way.
Forward (Mesial) Impactions
The lower tooth, in the image to the left, is partially mesially erupted. This means that part of the tooth is above the bone and visible in the mouth and part of it is submerged in the bone and is it tilted mesially, which means it is tipped toward the front of the mouth. This tooth will not likely erupt properly as the tooth next to it is in its way. These teeth typically need to be extracted because the bacteria that collects under the gum tissue are almost impossible to clean, which can cause an infection. The tooth next to the wisdom tooth can also decay due to the wisdom tooth.
The upper tooth is fully mesially impacted. This means that the entire tooth is submerged in the bone and is tipped toward the front of the mouth. These teeth can be observed for a few years but it is best if they get removed especially if other teeth need to be removed.
Backward (Distal) Impactions
The lower tooth, in the image to the right, is partially distally erupted. This means that part of the tooth is above the bone and visible in the mouth, and part of it is submerged in the bone and that is it tilted distally, which means it is tipped toward the back of the mouth. This tooth will not likely erupt properly due to a lack of space toward the back of the jaw. These teeth typically need to be removed because the bacteria that gets under the gum tissue is almost impossible to clean, which then causes an infection.
The upper tooth, which is indicated by the yellow arrow, is fully distally impacted. This means that the entire tooth is submerged in bone and is tipped toward the back of the mouth. These teeth can be observed for a few years but it is best if they are removed.
Both of the teeth in the image to the left are horizontally impacted. This means that the tooth is perpendicular where they should be. This tooth will not erupt properly since there is no place for them to go and there is almost no chance that they will be guided into proper position in the mouth. These teeth typically need to be extracted. They can be observed for a few years, but it is best if they get removed.
Impacted Canine Teeth
Upper canines are the most commonly treated impacted teeth in children. Failure of teeth to erupt (come into the mouth) can be due to an obstruction, genetic changes, and/or head and neck syndromes. Extra teeth and tumors can cause an obstruction or blockage in the pathway for the tooth to move down to the mouth. Inadequate space can also cause impactions. The American Association of Orthodontists recommends that a panorex screening x-ray, along with a dental examination, be performed on all dental patients at around the age of seven years to count the teeth and determine if there are problems with eruption of the adult teeth. It is important to determine whether all the adult teeth are present. This exam is usually performed by your general dentist or hygienist who will refer you to an orthodontist for orthodontic treatment if they find any issues or missing teeth.
Facts about upper canines:
- Upper canines erupt around age 13.
- They are the last anterior upper tooth to erupt.
- Impacted upper canines are present in 1% of the general population.
- Upper canine are frequently oriented upside down.
What can cause the impaction of upper canines?
- Not enough space for eruption
- If you have Peg-shaped (short) or missing upper lateral (away form the middle) incisors teeth, you are more likely to have impacted canines
- Baby teeth and extra teeth that are blocking the canines to erupt
- Teeth that are facing the roof of the mouth have difficulty erupting even though there is enough space.
Exposure & Bonding of Impacted Canines & Teeth
What is expose and bond?
The impacted tooth is exposed through the gum by an oral surgeon. After finding the tooth, a gold chain is attached with temporary glue. The chain is attached to the bracket or wire. You will have some stitches that are dissolvable. The chain is activated by your orthodontist about 2 weeks after surgery. A rubber band is attached to the gold chain and the wire and the impacted canine is slowly pulled down into the mouth over several months.
Early recognition is important for a successful treatment. If the impaction is not treated at an early age pulling the tooth into the mouth may not be successful. The tooth can be stuck to the bone if treated later on in life. At this point the only option maybe to remove the impacted tooth and filling the space with either a dental implant or a fixed bridge.
Meet the Best Oral Surgeon for Impacted Wisdom Teeth Extraction in Wellington, Royal Palm Beach:
At Family Dentist of Palm Beach in Royal Palm Beach, Oral Surgeon, Dr. Nishul Patel can discuss with you everything that will happen during and after the procedure.
Dr. Patel’s popularity with his patients stems as much from his sensitivity as it does from his skill. After completing his undergraduate studies at Florida Atlantic University, he earned his dental degree from the Nova Southeastern University College of Dental Medicine. Dr. Patel further honed his talents by taking part in the prestigious oral surgery residency program at Kings County Hospital in Brooklyn. He stays current with the newest trends in oral surgery and is actively involved in the American Board of Oral and Maxillofacial Surgery.
If you're experiencing tooth or jaw pain, you may need your wisdom teeth removed!
Call the Best Oral Surgeon for Wisdom Teeth Extraction in
Wellington, Royal Palm Beach Today 561-795-7668
Schedule FREE Consultation Book My Appointment Now