Numbers of impacted teeth. Removal of impacted and dystopic teeth. The essence and types of retention

Before answering the question - to remove or treat impacted and dystopic teeth, it is necessary to understand what it is, what threat it poses, how to diagnose, and whether it is possible to prevent this pathology.

What is retention

So what does an impacted tooth mean? In dentistry, an impacted tooth is considered to be a tooth that has not erupted for various reasons, but has formed, remaining entirely in the jaw or partially hidden by the gum. Retrieval is divided into two types:

complete - the tooth has not erupted and is completely hidden inside the bone under the gum. It cannot be seen or felt,
partial - the tooth has not completely erupted and only a separate part of it looks out from under the gum.

The impacted elements deform the gums, provoke their inflammation, and adversely affect the process of chewing food. If the problem is not solved in time, an infection may develop that will harm other internal organs. Also, due to the significant load during chewing, the impacted tooth can break. In such cases, long-term treatment requiring significant material costs will be required.

What is dystopia

Dystopic is a tooth, the formation and growth of which occur with deviations. For example, it develops correctly, but grows in the wrong place, or, conversely, takes its place, but the growth angle is disturbed.

Based on these possible options, dystopic teeth may have the following disorders:

tilt left or right
change in the axis of growth,
violation of the position relative to the rest of the teeth in the row - they are literally "pressed" into the mouth or shifted forward, towards the lips or cheek.

Ignoring such a pathology can cause the formation of a malocclusion, which in turn will negatively affect the aesthetic appeal of a smile.

Important! Retention and dystopia can complement each other i.e. an abnormally growing tooth can be impacted and vice versa. It hurts, interferes, constantly disturbs the patient. The development of dual pathology is fraught with a serious threat to the health of not only the oral cavity, but also the body as a whole. By the way, it is most often found in the so-called wise "eights".

Causes of retention and dystopia

So why do these pathologies occur and can they be avoided? The causes of anomalies may be the following:

genetic predisposition: the patient could inherit the structural features of the jaw,
presence: they cut through quite late and most often combine both retention and dystopia at the same time. Eruption of "eights" can be difficult due to abnormalities in embryonic development (for example, with increased density of soft tissues),
jaw injuries resulting from mechanical damage,
bite anomalies: this may be, for example, the presence of supernumerary teeth - they are “superfluous” and take the place allotted by the main ones, which grow later. Due to bite defects, the load on the jaws increases, which can lead to their destruction, deep damage to the periodontal tissue and functional disorders of the temporomandibular joint,
dental diseases: inflammatory processes in the mouth, premature loss or vice versa, the prolonged presence of milk teeth prevent the formation of a correct permanent bite,
diseases: rickets, infectious and somatic disorders that have depleted the body and disrupted metabolism.

Important! Make sure that the diet contains coarse vegetable and animal fibers, hard vegetables and fruits. It was thanks to this that the jaws of our ancestors received the necessary load, as a result of which the risk of bone tissue atrophy and retention was excluded.

Symptoms and Diagnosis

Often, retention is asymptomatic and is only detected at the dentist's appointment. But it is not difficult to identify a semi-retinated tooth on its own, it can be detected by carefully feeling an excessively protruding gum. Partial cutting of the crown also indicates the presence of incomplete retention, as a result of which the mucosa can be systematically injured, edema appears on it, its shade changes, and the inflammatory process begins. To make a final diagnosis, you need to take an x-ray, and sometimes undergo a computed tomography.

Important! With retention, some patients complain of pain, including when chewing food, inconvenience when opening the mouth. Cervical caries, pulpitis, chronic periodontitis often appear on impacted teeth. Another sign is the formation of follicular cysts. They can suppurate and provoke sinusitis, abscesses, purulent-necrotic processes of the jaws.

Dystopia is detected by a dentist-therapist or orthodontist during the examination. However, the patient himself can notice it. This anomaly provokes the formation of malocclusion, leads to damage to the tongue, lips, cheeks. As a result of injury, ulcers form, pain is felt during meals. Complete oral hygiene becomes impossible, and poorly removed plaque and food debris serve as fertile ground for the development of caries.

What to do with "abnormal" teeth

Important! Even if you do not have obvious signs of retention or dystopia, the best prevention of complications will be annual check-ups at the dentist and x-rays, which will reveal hidden processes. After a thorough diagnosis of the disease, only a qualified specialist will prescribe the correct treatment and give recommendations for care.

Treatment is prescribed based on the characteristics of the clinical history of the individual patient, the results of x-ray examination. The tooth is saved if it does not pose a potential threat to health, and its presence is not fraught with consequences and does not cause concern. But most often, removal is indicated, especially for the lower teeth - in the event of inflammation, the likelihood of infection penetrating into the extensive structures of the bone tissue is greater here than in the upper jaw.

Abnormal elements of a smile are often removed, and indications for removal may be various factors: a delay in the change of milk teeth, the absence of physiological resorption of the roots, the presence of "extra" teeth, improper positioning, lack of space for growth, pronounced clinical symptoms, complications.

Removal is performed surgically. The operation is carried out in several stages. First, the patient is given local anesthesia, the gum is incised, opening the bone, a hole is drilled in it with a drill. Then the problematic unit is removed with tongs, the debris is removed. At the final stage, the bone protrusions are smoothed out, the hole is treated with a special solution and sutured.

Postoperative care

The period after surgery plays a significant role in the successful completion of treatment. Usually the patient receives recommendations that must be followed very carefully:

within 3-4 hours after the operation, you can not eat, drink, smoke,
during hygiene procedures, it is necessary to be especially careful and not get carried away with intense pressure, and even rinsing in the wound area,
when chewing food, you need to use the healthy side: the food should be soft, not too cold or hot, so as not to injure the wound,
in the first two days after the operation, physical activity should be limited.

Often a person does not pay attention to such smile defects, believing that they will not harm, or simply experiencing fear of visiting the dentist. But in most cases, a neglectful attitude to the problem is fraught with serious consequences: the development of bite pathologies, a disorder in the functioning of the digestive organs, and the threat of losing neighboring teeth. If you run it, it threatens to injure the tongue, cheeks and mucous membranes, which also explains why the gums become inflamed. The patient may develop defects in diction and asymmetry of the face, which causes problems in communication and establishing personal contacts.

To minimize the risk of complications, it is enough to monitor the condition of the jaw in children during its development, as well as timely treat emerging problems.

Related videos

An impacted tooth is a tooth that is not able to erupt properly due to its partial or complete occlusion by bone or gum tissue. This anomaly is quite common in medical practice and requires mandatory dental intervention.

Often, but not always, an impacted tooth is a wisdom tooth that erupts later than the others and therefore does not have enough room to develop. In other cases, impacted teeth can be in any position.

Abnormal impacted teeth appear in the mouth for the following reasons:

Premature removal of milk teeth;
Violation of the process of laying the rudiments of permanent teeth;
The presence of a dental superset in the mouth;
Too crowded and dense arrangement of teeth in the mouth, leading to a lack of space;
Diseases of the oral cavity of an inflammatory nature;
Violation of the endocrine glands.

Clinical picture

An impacted tooth is often fully formed, but is located not outside, but inside the bone and cannot erupt. Sometimes retention (improper eruption) does not cause a person any concern and is detected randomly during fluoroscopy of the dentition.

Sometimes there is a thickening of the alveolar process, which has the outlines of an unerupted tooth. Local mucosal inflammation may be present in this area.

Impacted teeth often lead to changes in the position of adjacent teeth, which contributes to improper occlusion (occlusion) and the development of aesthetic or functional defects. Often, the patient feels numbness in the mouth due to the pressure of an unerupted tooth on the nerve endings.

Diagnosis is carried out by a dentist based on a visual examination and panoramic X-ray data. In the pictures, the tooth, located in the bone, is seen quite clearly.

The cutting process itself is painful. The pain can radiate to the ear, neck, infraorbital region, depending on the location of the tooth. In severe cases, serious damage can occur to the roots of nearby healthy teeth that are in the way of eruption.

There is also such a variety as an impacted dystopian tooth - one that has deviated from its normal location.

Therapy Methods

The most effective way to eliminate retention is to remove the impacted tooth. Surgical intervention is necessary in the following cases:

If there is a closed access to an unerupted tooth and it is impossible to apply orthodontic or other treatment;
With pressure anomalies on the nerve endings;
With the pressure of an abnormal tooth on the neighboring ones and the danger of their curvature (this can lead to serious bite defects, speech disorders and pathologies of the facial muscles);

Impacted wisdom teeth are removed in most situations. Even if the tooth does not bother the patient yet, in the future its growth and development can cause serious harm to neighboring teeth, and its treatment and removal can be complicated.

The dentist approaches each case individually. If there is a chance to leave an impacted tooth, as indicated by x-rays and the doctor's own experience, then extraction does not occur. The tooth may remain if:

it does not cause and will not be able to cause further harm to adjacent teeth;
takes a direct part in the process of chewing;
suitable as a base for a prosthesis;
healthy and does not show signs of inflammation;
can be used as a natural implant;

If we are not talking about a wisdom tooth, but about a canine, then removal is practiced only when its further extension is impossible. When deciding to keep a tooth, the dentist may try to remedy the situation with surgery.

During the intervention, which takes place under local anesthesia, the surgeon makes a small incision over the problematic tooth, removes, if necessary, part of the bone, and attaches a special orthodontic button to the exposed part of the roots.

After the wound has healed, all required orthodontic procedures will be performed to pull out the abnormal tooth. For this, special dental elastics are used to achieve results in the shortest possible time.

Sometimes it is reasonable to orthodontic move the anomaly to the proper correct position by means of a bracket system.

Extraction of an impacted tooth is a rather complicated procedure and is carried out in several stages:

After local anesthesia (conduction or infiltration), an incision is made and a flap of the mucous membrane is exfoliated along with the periosteum;
Then the bone is cut with a drill until the crown is completely exposed;
The tooth is extracted with the assistance of forceps or dental elevators, and biological material (hydroxyapatite) is placed in the resulting cavity;
The flap is returned to its place and tightly sewn with sutures;

Sometimes (if the tooth is too large), the dentist divides it into several parts and removes each of them in turn. The removal procedure requires patience from the patient - sometimes the operation lasts more than 3 hours.

The postoperative recovery period is quite painful. If the operation turned out to be difficult, edema may appear, pain occurs when opening the mouth. The rehabilitation process lasts several days: if the pain is too intense, the doctor may prescribe mild anesthetics.

In addition to pain, such teeth cause complications with the correct formation of the dentition, they can move or damage neighboring molars.

Improper growth of a wisdom tooth can cause infection and an abscess (purulent growth).

Wisdom Tooth Extraction

The inconvenience of tooth decay is not allowed to be removed in the usual way. The removal of a wisdom tooth (impacted tooth) is carried out in several stages:

- During the initial examination, an anamnesis (questionnaire) is taken. With such a complex operation, such an item is required more than ever. The dentist detects drug intolerance in the patient and learns about chronic diseases that can cause some complications. Most often, problems occur in patients with diabetes and diseases of the gastrointestinal tract. They need to be more careful about the antibiotics they need to take after surgery.

- For a normal tooth extraction, sometimes only local anesthesia is enough, for the removal of an impacted tooth, some specialists use ingol (anesthesia) or combined. It's not just about pain, it's about the patient. For many, even a simple check-up causes a lot of anxiety, and such a complex operation can turn into a lot of stress. It is better for the patient to be immobilized.

“After that, the operation itself begins. First, the dentist cuts through the mucous membrane, using a scalpel and medical scissors. Quite often, the gum is not easily cut, and a separate part of it is removed.

1) Do not take painkillers or antiseptics without a prescription from a dentist.
2) In the first days after the operation, it will be difficult for you to even open your mouth, so eating or drinking becomes problematic. As a rule, most patients lose their appetite due to aching pain, but if you still want to eat, give preference to soft foods, chew only with the back of your jaw and drink through a straw.
3) Refuse any hot water procedures, such as a bath or bath. These days, raising body temperature is more than dangerous, it can cause a sharp jump in the development of harmful bacteria in a wound that has not yet healed.
4) After partial healing, it is recommended to rinse the mouth with antiseptic compounds.
5) You need to brush your teeth very carefully, and in the first days you will have to completely refuse this.
6) Apply cold compresses to the sore cheek, this will not only reduce swelling, but also prevent infection.
7) At the slightest deterioration in health, immediately consult a doctor. Headache or fever indicates the development of an infection.

An unerupted tooth, which the patient decided not to remove for any reason, can bring him a lot of trouble in the future. You are likely to experience problems such as:

pericoronitis;
Periodontitis;
periodontal pocket;
Foci of chronic or acute infection;
Caries.

Lack of treatment can cause more serious consequences - the infection can reach the peripharyngeal or parotid space and cause inflammation in these areas. If an increased chewing load acts on a problem tooth, it can break, and then its removal will become a doubly difficult procedure.

If you find yourself with an impacted tooth, it is better not to postpone a visit to the dentist - timely treatment will save you time and money.

Can an impacted tooth be saved?

Of course, removing impacted teeth is the most effective treatment, but it happens that this cannot be done for a number of reasons:
1) Contraindications to the operation, for example, infectious diseases of the oral cavity.
2) Pregnancy.
3) Chronic periodontitis (growth of soft tissue on the tooth), in which tooth extraction can cause great consequences.
4) The impossibility of deep anesthesia.
In these cases, the operation is not only problematic, but simply prohibited. Then orthodontists come to the rescue.
It is quite difficult to treat an impacted wisdom tooth without extraction, but it is safer. Unfortunately, such a procedure can only be performed at an early stage of tooth development, when it has not yet fully formed.

This article will tell you:

what is an impacted tooth;
what are the causes of tooth retention;
how to recognize this problem and solve it.

An impacted tooth is a segment of the dentition that is fully formed, but not erupted or not completely erupted in the jaw. Impacted dental units differ from normal ones only in that they are not able to fully erupt outwards. Impacted segments can “get stuck” both in the soft tissues of the oral cavity and in the jaw bones. Very often, impacted teeth are also dystopic, which means that they occupy an incorrect position in a row of teeth.

An impacted tooth may not manifest itself in any way, and if it does not cause inconvenience, then there are no direct indications for surgical intervention. However, in most cases, the presence of a retinated tooth in a row is reported to its owner by pain and inflammation. In this regard, some dentists strongly recommend that an impacted tooth be removed immediately after its discovery.

In mild cases of retention, orthodontic treatment can be performed - moving the segment instead of removing it, as well as excising the hood over the tooth. The removal procedure is most relevant for problematic wisdom teeth, which are considered rudimentary, since they do not actively participate in grinding food and their presence in the mouth (or absence) is hardly noticeable. The remaining teeth, if they are not supernumerary, are necessary for a person, and they try to remove them as a last resort, when it is not possible to normalize their condition or location.

Segments of the dentition, whose eruption is considered problematic, often become the culprits of both minor and major dental troubles. For example, half-impacted segments often cause inflammation of the gingival hood covering the dental tissues, and fully impacted segments put pressure on the roots of neighboring teeth, leading to displacement of the dental units. In general, the presence of impacted segments in the mouth can cause:

formation of periodontal cysts;
caries of neighboring teeth;
pulpitis;
periostitis;
periodontitis;
pericoronitis;
purulent lymphadenitis;
odontogenic sinusitis;
inflammation of the trigeminal nerve;
the appearance of an abscess;
development of phlegmon;
resorption of the roots of adjacent teeth;
changes in the normal arrangement of teeth in a row (which entails additional problems with bite, chewing food, deviations in the work of the temporomandibular joint).

Types of tooth retention

An impacted tooth can be both milk and permanent, that is, this problem is observed not only in adults, but also in children. However, in most clinical cases, “eights” – absolutely “adult” teeth – are impacted. They grow later than the rest of the segments, and they do not always have enough space or “strength” to cut through the way they need. In second place in terms of tendency to retention are fangs.

There are several types of retention:

1. Depending on the degree of pathology, retention happens:

complete (the segment is hidden in soft and bone tissues, not visible and not palpable or almost not palpable);
partial (a small part of the crown of the segment is on the surface, but most of it is hidden from view).

2. Depending on the position of the crown and the root of the segment, retention occurs:

vertical (the crown is even, but does not protrude to a sufficient level - it seems that the tooth is lower than the rest);
horizontal (the segment grows perpendicular to the standard growth axis);
angular or angular (the angle between the normal axis and the tooth is less than ninety degrees, the segment can be tilted back, forward, inward or to the cheek);
reverse (the chewing surface of the segment is directed to the alveolar ridge, and the root - to the periodontium).

3. Retention may apply to:

one tooth (unilateral pathology);
two teeth (pathology affects two segments symmetrical to each other).

Why do teeth become impacted?

We have looked at what an impacted tooth is, but why do the teeth not erupt or do not erupt completely? The reasons for this anomaly may be different. The main factors contributing to tooth retinal include the following:

Unfortunate heredity, due to which retention is transmitted from generation to generation.
Early loss of milk segments of the dentition.
Delayed replacement of milk teeth with permanent ones.
Completely artificial feeding of the child.
Anomalies of bite and crowding of dental units.
The presence on the way of the erupting segment of supernumerary teeth.
Thickened walls of the dental sac surrounding the crown of an erupting tooth.
Incorrect arrangement of the rudiments of permanent segments in the jaw, in which the crown of the impacted unit is directed to the root of the adjacent tooth (most often this happens with "eights").
Severe infectious diseases.

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Symptoms of retention of the dental unit

It is easiest to recognize a partially impacted tooth - its crown peeks out of the gum in its rightful place or outside the dental arch. Around the not completely erupted dental unit, there is reddening of the soft tissue, swelling, with pressure on the tooth, pain occurs. If an inflammatory process occurs in the gum near the tooth, the body temperature may rise slightly, weakness and malaise may appear.

Fully impacted segments cannot be seen, and their presence is felt only if they provoke any dental disease or put pressure on the roots of adjacent teeth. Sometimes such teeth can still be felt by probing with a finger the area of \u200b\u200bthe gums in which the segments are supposedly located. Of course, the absence of a tooth in its place can be seen with the naked eye. But to understand whether there is a dental unit in the jaw at all, radiography helps. Having taken a picture, the patient will know for sure whether there is an impacted segment in the jaw (for example, the germ of a wisdom tooth in the jaw with a high degree of probability may not exist at all if the person is already twenty-five years old and the tooth has not yet begun to erupt).

Impacted tooth - to remove or not to remove?

Removal of impacted teeth is a common procedure, but its expediency depends on each individual clinical situation, and there cannot be a universal solution. Statistically, impacted segments are removed more often than left, but the decision to extract such teeth is due to one of the following reasons:

Anxiety that the impacted segment gives the patient (this may be discomfort during chewing, tooth pain due to stress, frequent swelling of the periodontal tissue).
Incorrect position of the impacted segment. Removal of an impacted dystopic tooth is performed in almost every case.
The presence of caries on a tooth that has not completely erupted, which can cause disease in neighboring segments.
The presence of an abscess, fistula or cyst in the area of the problem segment.
The presence of pericoronitis (inflammation of the tissues covering the tooth).
High risk of an inflammatory process in the bone tissue.

The doctor and the patient should decide the fate of the impacted segment together. If the patient does not want to part with the tooth, and it does not interfere with him, then there is no need to remove it, but the patient must be aware of the possible consequences of the presence of an impacted unit in his jaw.

How is the impacted segment extracted?

Removal of impacted teeth is a complex surgical procedure. It can only be trusted by an experienced dentist-surgeon. The cost of removing an impacted tooth exceeds the cost of removing normally erupted teeth, and this fact must also be taken into account by the patient. After the operation, the patient has to deal with pain for some time, and there is a high probability of complications after the removal of impacted segments. To minimize all the troubles after surgery, the patient must follow dental recommendations and properly care for the oral cavity.

The operation of deleting an impacted segment proceeds according to the following plan:

Diagnosis of the problem and sanitation of the oral cavity. If necessary, a few days before the operation, the patient is prescribed vitamins and sedatives.
Anesthesia. Local or general anesthesia may be used.
Gingival incision and removal of soft tissue to expose bone. Work with gum tissue is carried out using a laser or a scalpel. If the doctor uses a laser, the gums tolerate the intervention better, but the cost of the procedure increases.
Dissection of bone tissue with a bur and opening access to the segment to be removed.
Extraction of the entire tooth unit using special forceps. In cases where the tooth cannot be removed immediately, the doctor has to saw it with a bur and remove it piece by piece.
Plastic surgery of hard/soft tissues, suturing (if necessary), treatment of the operated area with antiseptics and anti-inflammatory drugs.

Postoperative care

After a tooth extraction, it is very important to provide proper oral care to prevent infection from entering the operated area and speed up the healing process of the wound. Dentists advise patients at first:

do not drink, eat or smoke (in the first three to four hours after the operation);
limit physical activity;
do not expose the body to extreme temperatures;
eat food with caution, refuse hard, too hot and cold food and do not chew on the operated side of the jaw;
brush your teeth carefully, bypassing the operated area, do not rinse your mouth;
Painkillers can be taken to relieve pain.

Where to find an experienced dentist in Kharkov?

Since only a highly qualified specialist in the field of dental surgery can remove an impacted tooth with a quality guarantee, if retention is suspected or after it has been diagnosed, the patient needs to look for a good doctor. In a big city with a huge number of dental institutions, an independent search for a doctor can take a long time. But it is not necessary to seek a specialist alone.

Your services are offered to you by the free information service "Guide to Dentistry", which exists in order to provide free and impartial assistance in choosing dentistry to each potential client of the Kharkov dental institution. To get advice, you need to call our service and state the essence of the matter.

The staff of the "Guide to Dentistry" will listen to you carefully and quickly select a trusted specialist and a worthy dental institution where you can be provided with high-quality dental care in accordance with your needs and wishes.

Dystopic impacted teeth cause discomfort, sometimes inflammation and swelling of the gums join the inconvenience. Often, such defects lead to displacement of the dentition. If germination is accompanied by problems, you should see a specialist. Despite all the “shortcomings” of the teeth, you don’t want to part with them. However, do not argue with a dentist who claims that an impacted tooth needs to be removed.

Dystopic and impacted tooth

What is an impacted tooth? Retention is a delay in the eruption of permanent teeth. She may be:

Partial. When the tooth erupted, but not completely.
Complete. There is not even a hint of cutting. It is hidden by bone tissue or gums.

Dystopic tooth - what is it? This is incorrectly located in the jaw. It can grow in the wrong place, at the wrong angle, breaking the harmony of the row, on the other side. distoped forms an abnormal bite, tilts the neighboring ones, which spoils the smile.

A tooth may have one such defect or two at once. Wisdom teeth anomalies are very common. They often have two defects at once. A completely impacted "eight" can cause an inflammatory process, caries, periodontal disease and other problems in the oral cavity. Therefore, surgical treatment of a dystopic or impacted wisdom tooth is often prescribed in order to avoid possible troubles and complications.

Surgery: indications and contraindications

The operation is carried out in cases when the following occurs:

But there are also contraindications for removal of wisdom molars if they are dystopic or impacted. These include:

Hypertonic disease.
Severe general condition.
Acute heart disease.
Nervous diseases in the acute stage.
Viral or infectious diseases in an advanced stage.
Diseases of the blood.
Last days before menstruation.
It hasn't been 2 weeks since the abortion.
The impacted "eighth" molar in pregnant women is removed in the second or early third trimester, if it is not possible to postpone for the postpartum period.

Surgical treatment of an impacted tooth, what is it?

The operation to remove an impacted wisdom tooth is not an easy procedure, since the specialist has to work with an uncut tooth, that is, remove it from the gums. Surgery for the patient is painful, so anesthesia is done. It takes up to 3 hours in duration. Operational manipulations can be conditionally formulated in the form of the following stages:

The molars are usually large, so the dentist first crushes them, after which extracts in parts. The recovery postoperative period lasts about a week, then the sutures are removed.

In the case of a running inflammatory process, when the patient already has pus, the removal of the impacted wisdom tooth is carried out urgently. As a rule, surgical treatment is prescribed in a hospital setting. If the operation is planned, the time is set convenient, a mostly non-hot day is chosen.

A dystopian wisdom tooth: what to do with it?

An impacted tooth is not amenable to treatment, unlike a dystopic one, which can be subjected to orthodontic treatment. Patients are usually prescribed to wear braces, they are able to correct the position of the dentition. The process is quite long, with due patience, you can achieve good results.

However, there is a nuance that imposes an age limit. Braces will not help with retining if you start wearing them after 15 years. Another point of irrelevance of orthodontic treatment is the inclination of the premolar or molar due to lack of space in the jaw. Even if you manage to change his position to the correct one, he will still stand in his usual place.

The dystopian is removed in the same way as in the case of the impacted one. The complexity of the operation and the steps involved are similar.

Rules after surgery

After removal it is necessary adhere to a number of rules:

Wound resulting from removal heals for about a month. All this time, you need to monitor your state of health, and with the following signs of a violation of the natural course of recovery, you should seek help from a dentist:

Pain does not subside, you have to constantly take painkillers.
Doesn't stop bleeding.
The temperature has risen.
The swelling of the gums became more pronounced.

The presence of an impacted or dystopian wisdom tooth is a dubious “treasure”. Even if there is no pain and it does not cause discomfort, it is necessary to get rid of such defects. Since most of the processes that are destructive in nature are not visible at the initial stages.

Dystopic and impacted tooth

What is an impacted tooth? Retention is a delay in the eruption of permanent teeth. She may be:

Partial. When the tooth erupted, but not completely.
Complete. There is not even a hint of cutting. It is hidden by bone tissue or gums.

Surgery: indications and contraindications

The operation is carried out in cases when the following occurs:

But there are also contraindications for removal of wisdom molars if they are dystopic or impacted. These include:

Hypertonic disease.
Severe general condition.
Acute heart disease.
Nervous diseases in the acute stage.
Viral or infectious diseases in an advanced stage.
Diseases of the blood.
Last days before menstruation.
It hasn't been 2 weeks since the abortion.
The impacted "eighth" molar in pregnant women is removed in the second or early third trimester, if it is not possible to postpone for the postpartum period.

Surgical treatment of an impacted tooth, what is it?

The molars are usually large, so the dentist first crushes them, after which extracts in parts. The recovery postoperative period lasts about a week, then the sutures are removed.

A dystopian wisdom tooth: what to do with it?

The dystopian is removed in the same way as in the case of the impacted one. The complexity of the operation and the steps involved are similar.

Rules after surgery

After removal it is necessary adhere to a number of rules:

Pain does not subside, you have to constantly take painkillers.
Doesn't stop bleeding.
The temperature has risen.
The swelling of the gums became more pronounced.

impacted tooth

Impacted and dystopic teeth: treat or remove

What is retention

complete - the tooth has not erupted and is completely hidden inside the bone under the gum. It cannot be seen or felt,
partial - the tooth has not completely erupted and only a separate part of it looks out from under the gum.

What is dystopia

Based on these possible options, dystopic teeth may have the following disorders:

tilt left or right
change in the axis of growth,
violation of the position relative to the rest of the teeth in the row - they are literally "pressed" into the mouth or shifted forward, towards the lips or cheek.

Ignoring such a pathology can cause the formation of a malocclusion, which in turn will negatively affect the aesthetic appeal of a smile.

Important! Retention and dystopia can complement each other i.e. an abnormally growing tooth can be impacted and vice versa. It hurts, interferes, constantly disturbs the patient. The development of dual pathology is fraught with a serious threat to the health of not only the oral cavity, but also the body as a whole. By the way, it is most often found in the so-called wise "eights".

Causes of retention and dystopia

So why do these pathologies occur and can they be avoided? The causes of anomalies may be the following:

genetic predisposition: the patient could inherit the structural features of the jaw,
the presence of wisdom teeth: they erupt quite late and most often combine both retention and dystopia at the same time. Eruption of "eights" can be difficult due to abnormalities in embryonic development (for example, with increased density of soft tissues),
jaw injuries resulting from mechanical damage,
bite anomalies: this may be, for example, the presence of supernumerary teeth - they are “superfluous” and take the place allotted by the main ones, which grow later. Due to bite defects, the load on the jaws increases, which can lead to their destruction, deep damage to the periodontal tissue and functional disorders of the temporomandibular joint,
dental diseases: inflammatory processes in the mouth, caries, premature loss or vice versa, the prolonged presence of milk teeth prevent the formation of a correct permanent bite,
diseases: rickets, infectious and somatic disorders that have depleted the body and disrupted metabolism.

Important! Make sure that the diet contains coarse vegetable and animal fibers, hard vegetables and fruits. It was thanks to this that the jaws of our ancestors received the necessary load, as a result of which the risk of bone tissue atrophy and retention was excluded.

Symptoms and Diagnosis

Important! With retention, some patients complain of pain, including when chewing food, inconvenience when opening the mouth. Cervical caries, pulpitis, chronic periodontitis often appear on impacted teeth. Another sign is the formation of follicular cysts. They can suppurate and provoke sinusitis, abscesses, purulent-necrotic processes of the jaws.

What to do with "abnormal" teeth

Important! Even if you do not have obvious signs of retention or dystopia, the best prevention of complications will be annual check-ups at the dentist and x-rays, which will reveal hidden processes. After a thorough diagnosis of the disease, only a qualified specialist will prescribe the correct treatment and give recommendations for care.

Postoperative care

The period after surgery plays a significant role in the successful completion of treatment. Usually the patient receives recommendations that must be followed very carefully:

within 3-4 hours after the operation, you can not eat, drink, smoke,
during hygiene procedures, it is necessary to be especially careful and not get carried away with intense pressure, and even rinsing in the wound area,
when chewing food, you need to use the healthy side: the food should be soft, not too cold or hot, so as not to injure the wound,
in the first two days after the operation, physical activity should be limited.

To minimize the risk of complications, it is enough to monitor the condition of the jaw in children during its development, as well as timely treat emerging problems.

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Dystopic and impacted teeth: the essence of pathology, removal

Turning to the dentist with complaints of discomfort and toothache, many patients receive a referral for the extraction of an impacted or dystopic tooth. A person who is ignorant of dentistry, such a recommendation can be confusing and make you panic. However, it is often a radical solution to the problem may be the only correct one.

Concept, types of dystopia

Dystopic teeth are those whose eruption and growth develop with deviations. Usually, such a pathology entails the incorrect location of all other teeth, discomfort for the patient, and the need for dental treatment.

The photo shows examples of vestibular and medial tooth dystopia

There are many types of dystopia. For example, the tooth itself can be of the correct shape, but grow in the wrong place, or occupy the right place relative to neighboring teeth, but have an abnormal shape, an incorrect growth angle, or be located on the wrong side.

In medicine, the following types of pathology are distinguished:

Vestibular dystopia. Means the growth of the tooth at an inclination in one direction or another.
Torposition. The tooth is turned in the opposite direction.
Medial dystopia. The tooth protrudes beyond the dentition.
Distal. The tooth seems to be pressed into the jaw.

The essence and types of retention

Retention also means the pathological development of teeth, but is somewhat different from dystopia. An impacted tooth is a tooth that is fully formed in the gum tissue and periosteum, but not cut outward, or cut only partially. Sometimes such a pathology is asymptomatic, but more often there is an infection, discomfort in the form of pain, phlegmon, abscesses.

What is an impacted tooth, you can see in this photo:

Science knows 2 types of retention:

With full retention, the tooth is hidden under the gum and bone tissue, it cannot be seen when examining the jaw. And with a partial degree of development of the pathology, the crown can be seen when examining the oral cavity, but its main part is still hidden under the gum.

Reasons for the appearance

The main factor in the appearance of impacted and dystopic teeth is detrimental heredity. All people have a genetic program for the formation of the dentition, and for some teeth there is not enough space for growth.

Specialists in the field of dentistry note several more reasons for the development of such a pathology:

If a single tooth grows before all the following, which could play the role of landmarks.
Sometimes one extra tooth appears in the row, and there is not enough room for all the rest to develop properly.
Excessively dense tissue of the tooth socket.
Loose periodontal structure.
Dense arrangement of crowns.
Traumatic injuries also often lead to bite deformation.
Ultra-early loss of milk teeth often leads to incorrect formation of the entire row.

Types of teeth prone to pathology

The most commonly observed dystopia or retention of the following types of teeth:

A displaced wisdom tooth is a common pathology. The cause of this phenomenon may be heredity or trauma to the jaw. In addition, the molars of the third row are considered a sign of atavism, which may gradually disappear in the course of evolutionary development.
Fangs. This pathology occurs at the age of 10–12 due to the abnormal development of molar type teeth. A dystopian or impacted canine usually means not only a violation of the aesthetics of the oral cavity, but also constant problems when chewing solid food. Besides canine with medial dystopia can permanently injure the soft tissues of the cheeks and tongue, causing discomfort to the patient, provoking the danger of an inflammatory process.

Possible consequences of pathology

Often patients get used to malocclusion without going to the dentist. Especially often this happens when the patient does not experience pain and other discomfort. However, in the absence of timely treatment, the presence of an impacted or dystopic tooth can lead to other violations of the state of the body.

Incorrect bite does not allow you to completely chew food, which is fraught with incomplete digestion, and subsequently - diseases of the stomach and intestines.
With an incorrect location or the presence of extra dystopic teeth, there are frequent cases of loss of an absolutely healthy neighboring one.
If the dentition is formed incorrectly, there may be violations of diction, problems with the pronunciation of certain sounds.
There are frequent cases of traumatic injuries of the inner part of the cheek and tongue.

Removal of impacted and dystopic teeth

Indications for the extraction of an impacted tooth are:

pathological location, lack of space in the dentition;
delay in the loss of retrograde teeth;
destruction of the tooth neck;
if the impacted tooth is superfluous and interferes with the normal growth of the rest;
dentists advise removing such teeth in the presence of complications.

Removal of an impacted and dystopic tooth implies a high invasiveness of the intervention, since it is necessary to exfoliate the mucosa and periosteum, extract the tooth from the bone with a bur, extract it from the bone tissue using forceps, and suture. If the roots of neighboring teeth are exposed, the doctor resects them, and then performs a retrograde filling procedure.

When there are no indications for the removal of an impacted or dystopic tooth, doctors perform an intervention to excise the gums or periosteum. The next stage of therapy will be orthodontic treatment in the form of braces or special buttons.

With regular injury to the cheeks and tongue due to dystopia or retention, dentists can perform a grinding procedure for dental tubercles. However, most often with such pathologies, a radical solution to the problem is recommended. Sometimes, after such a procedure, prosthetics may be required.

Impacted wisdom tooth removal procedure:

Anesthesia of the gum surface with a special gel or spray.
Administration of an anesthetic injection.
Incision of the gums with a scalpel, exposure of the wall of the bed.
Hole drilling for access to the wisdom tooth.
Cutting and extraction of the dental crown.
Separation and extraction of dental roots.
Cleaning and disinfection of the wound, sometimes - the imposition of turunda with iodine.
If the turunda was not installed, a suture is applied after antiseptic treatment.

The removal of a dystopian wisdom tooth occurs in a similar way.

Postoperative period

After the operation, the patient's teeth need enhanced care and medical supervision.

If turunda was applied, during the first three days from the moment of intervention, you need to visit the dentist to monitor the condition of the wound, and perform disinfection procedures. After this time, the dentist will remove the swab and stitch it up.
Daily brushing of teeth should be carried out in a gentle manner, avoiding injury to the operated area.
For 3 days after the operation, the use of rinses for the oral cavity is prohibited..
All food should be pureed, chewing on the operated side is prohibited.
In the first few hours after the intervention, it is not recommended to drink, eat, or use tobacco products.
If the patient is worried about severe pain, then it is not forbidden to take an analgesic pill.
For 2-3 days after the operation, you should not get involved in physical exercises.

What are impacted and dystopic teeth?

We treat or remove: what to do with teeth that have not erupted or have not erupted completely

Sometimes the wrong position of the tooth is considered an exclusively aesthetic flaw, and therefore they are in no hurry to correct it. But if it grows or has already grown in the wrong position, or maybe it didn’t completely cut through or remained hidden under the gum tissue, this can turn into serious problems in the future. Further in this article, we will talk about such concepts as a dystopic and impacted tooth, about what these phenomena are and what methods are used today to solve such problems.

What is dystopia

Consider what a dystopian tooth really means. So they say if it grows incorrectly, with abnormal deviations. It can be tilted to the side, and then you have to deal with vestibular dystopia. Other varieties of this anomaly include medial and distal - if the tooth strongly protrudes forward or goes back, respectively. There is also such a thing as tortoposition - in this case, it will be rotated around its axis. To understand how such a phenomenon looks live, take a look at the photo below.

Thus, dystopia is one of the varieties of malocclusion. It can touch both one tooth and the entire row. The sooner parents begin to deal with the treatment of such pathologies in their children, the easier and faster it is possible to solve the problem.

What is retention

Now let's look at what an impacted tooth means. This concept means that the element was formed, but did not cut through to the end or did not even appear above the gum. If you look at the picture below, it will be clear what is at stake.

The impacted element may not completely erupt, that is, remain inside the bone tissue, or appear as one edge of the crown. In this case, it is customary to speak of full or partial retention, respectively.

Important! One pathology does not exclude another: a tooth can be impacted and dystopic at the same time. Often this phenomenon is diagnosed in relation to wisdom teeth.

Why does pathology develop

Is it possible to predict the appearance of the considered defects? Today, experts in the field of dentistry note that the most common cause of this disorder is a genetic factor. However, even in the absence of a hereditary predisposition, the risk of encountering a similar problem still remains. Among the provoking factors are the following:

lack of neighboring units,
overcompleteness,
injuries due to which the bite was broken,
pathologies in the formation of rudiments,
developmental pathologies of the jaws,
premature loss of milk units,
connective tissue diseases.

When choosing a treatment method, the doctor takes into account the history of the disease. In some situations, simple removal is not enough. Most bite defects require complex therapy.

Symptoms of retention and dystopia

A completely closed impacted tooth sometimes does not cause much concern and is often found only during a hardware study. Meanwhile, in the area of its contact with neighboring tissues, cervical caries, pulpitis, periodontitis can develop, in some cases follicular cysts, inflammation and suppuration are formed. Doctors highlight the characteristic signs of retention, which should be paid special attention to: protrusion of the gums and a "gap" in the alveolar arch.

Tilted dystopian teeth often lead to injury to the inner surface of the cheeks, lips and tongue. The constant presence of open wounds on the mucosa is a direct path for microbes and infection, so often such bite defects become the root cause of the development of inflammatory processes in soft tissues. Often, gum pockets form over the part that remains hidden under the gum, in which pathogenic bacteria actively multiply. In some situations, such problems lead to impaired diction and chewing function.

Diagnosis of the disease

How to understand that a tooth is impacted or dystopic? Most often, the defect can be seen with the naked eye, because such anomalies usually cause serious aesthetic damage to the smile. If there is any suspicion of misalignment of the tooth, you should consult a specialist. For diagnostic purposes, doctors use hardware research methods - radiography, orthopantomography, computed tomography.

Attention! Most often, dystopias are subject to wisdom teeth and fangs. Dystopic incisors are the most rare, and such cases cause the greatest discomfort to the patient 1 .

Sometimes, due to retention and dystopia, wounds, ulcers, and inflammations form on the gums. Touching the surrounding tissues becomes painful. When such symptoms appear, you should immediately seek help from a specialist - only a doctor will be able to identify the form of the anomaly and determine the cause of its occurrence.

Principles of treatment: is it possible to avoid surgery

Treatment of retention and dystopia usually comes down to the use of a combination of individually selected procedures. In childhood and adolescence, some disorders are corrected with orthodontic techniques, including corrective plates and braces. For the treatment of adult patients, prosthetics are more often used.

However, it is often necessary to resort to surgical disclosure of a defective tooth or its removal. As a rule, such decisions are made in relation to impacted eights - it is quite difficult to treat them, and their functional load is minimal. Abnormally located elements of the dentition are unconditionally removed in case of complications, as well as at high risks of damage to neighboring units.

Extraction of an abnormal tooth

Features of surgical intervention depend on the specific situation. Sometimes, if the impacted tooth is large enough, its extraction is performed in several stages. After the procedure, medicine is applied to the open wound, and the incision on the gum is sutured.

“I was looking for a surgeon to remove a wisdom tooth, which not only did not erupt, but was also rotated around its axis. Moreover, the therapist first told me, they say, I would not touch him, otherwise you will become numb, swell up ... Can you imagine?! I left upset, then, according to reviews, I found a wonderful doctor who brilliantly coped with the removal. In general, if you have a similar situation, do not pull! You can't fix the problem on your own!"

Yana, Moscow, fragment of a message on a thematic forum

When removing an uncut element, it is necessary to remove the gum area under which it is hidden. If an atypical tooth is completely covered with bone tissue, then a bur is used. Then the edges are smoothed, and the wound is treated and sutured. During the procedure, the surgeon can use a scalpel or a laser.

Sometimes a doctor may decide to remove not an abnormal, but a healthy tooth - if this allows the dystopic one to grow correctly, which is preferable to keep. This is often done in case of canine pathology.

Features of care after surgery

The recovery period can be quite difficult. If the doctor has not prescribed a different option, then you must adhere to the following rules:

the first 2-4 hours after the operation it is not recommended to drink, eat, rinse your mouth, smoke,
special attention at this time should be given to regular oral hygiene,
do not use rinse aids for the first three days,
give up sports for at least a couple of days after the operation.

Also, the doctor often prescribes antibiotics and painkillers, treatment of the cavity with chlorhexidine. To avoid complications, the patient must strictly follow all the recommendations of a specialist.

How to avoid complications

In some situations, swelling occurs after surgery. This phenomenon is considered normal if the symptom gradually disappears - with the normal development of the situation, the swelling should disappear within a week. There may also be some bleeding from the wound. To stop it, a special medicine is applied to the hole. It is better to give up for a while the use of hard, as well as too cold and hot food and drinks. Daily cleaning should be as gentle and gentle as possible.

Prolonged bleeding, numbness, discomfort when opening the mouth, inflammation, damage to neighboring areas - a reason for an immediate visit to the dentist.

Approximate prices in clinics

Prices for treatment, as well as the removal of abnormal teeth, are made up of a number of factors and depend on the degree of complexity of the pathology, possible concomitant treatment, the qualifications of the surgeon and the pricing policy of the dental center. The cost of removing an impacted element can reach the amount of 6,000 rubles. Please note that you will have to pay separately for the X-ray examination. So, a picture of one tooth will cost about 350 rubles, while an orthopantomogram will cost 1000-1200 rubles.

The curved position of individual elements of the jaw system is a phenomenon that usually does not occur suddenly and out of nowhere. Therefore, parents from an early age need to carefully monitor the process of growth and formation of the jaw apparatus of their children. The sooner an anomaly is detected, the easier it will be to solve the problem, perhaps even without resorting to surgical intervention.

Removal of an impacted and dystopic tooth

Each tooth is characterized only by its inherent position in the jaw, the angle of inclination in relation to neighboring teeth. A dystopian tooth is a tooth that is in the wrong position in the jaw. It may be characterized by inappropriate localization, excessive tilt, or be rotated around its axis. Such a pathological situation creates problems for the surrounding teeth, since a dystopic tooth has a negative impact on their position, contributes to the development of malocclusion. Pathology can be observed with any tooth of the upper or lower jaw.

An impacted tooth is characterized by incomplete eruption. At the same time, it may be noted

partial retention, when there is an insignificant part of the crown part of the tooth;

Full retention, in which the entire tooth remains covered by bone tissue or gums.

Often there is an impacted dystopic tooth. This development of the situation is most typical for a wisdom tooth. An impacted tooth causes a lot of problems, its eruption is accompanied by:

Pain in the gum area

development of periostitis, pulpitis, periodontitis;

Change in the position of adjacent teeth.

In addition, the implementation of therapeutic measures in this case is complicated by its localization and difficult access by a specialist.

Therapeutic tactics for a dystopic tooth

In the case of a dystopic tooth, treatment tactics are determined by its location and the effect it has on adjacent teeth. The most acceptable solution is the use of orthodontic treatment with fixed structures, braces. However, in cases where a dystopic tooth is due to a lack of space in the jaw, this treatment method is ineffective. The only correct way to correct the situation is to remove it.

Surgical intervention in this case is characterized as complex, consists of the same stages as the extraction of an impacted tooth. The deletion may take several hours. There may be cases of removal of such teeth in parts. At the same time, contraindications to the removal of a dystopic tooth are

diseases of the blood system associated with impaired coagulation;

Cardiovascular pathology in the stage of decompensation;

high blood pressure of any origin;

Complicated tooth extraction is always in the competence of the most qualified surgeon, who has sufficient experience in performing similar interventions. The specialists of the Dentist clinic have repeatedly proved their professional level with high-quality removals. At the same time, the development of postoperative complications was minimized.

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To prevent the most unpleasant diseases, it requires

An impacted tooth is one that has not fully erupted. Its germ is in the jaw bone. It had already formed, but for one reason or another could not break through.

This feature appears for the following reasons:

The gum tissue is thick and difficult for the tooth to break through.
loose gums - the reason that the root will deviate from its normal position;
early loss of a milk tooth, after which an adjacent one is displaced to an empty place;
incorrect formation of rudiments during fetal development (the wall of the capsule that surrounds the rudiment is very thick);
hyperdontia (additional set of rudiments);
violations during the change of dairy;
malocclusion;
rickets;
general weakening of the body during the period of tooth growth;
heredity;
anticancer chemotherapy.

What does unerupted and semi-retinated teeth mean, should they be removed?

Sometimes only part of the crown erupts through the gum mucosa. For this case, the term "semi-retinated" is used.

It can be detected with a dental probe or felt with a finger.

If he did not grow at all, his crown did not come to the surface, then they speak of complete retention. In this case, an accurate diagnosis can only be made with the help of an x-ray.

Vertically growing, lying horizontally, dystopic

Depending on how the non-erupted tooth is placed in the tissues of the gums (or the bone part of the jaw), different cases are distinguished:

Vertical arrangement - the tooth has no deviations from the normal axial line and is located perpendicular to the gum. Retention occurs due to the fact that dense gum tissue surrounds it or there is not enough space for eruption.
If a tooth lying on its side is visible on an x-ray, a horizontal retention is diagnosed.

Dystopic teeth, as a rule, erupt, but deviate from the norm in their position:

towards the teeth that are in front of it (medial retention);
in the direction from the person in front (distal retention);
inverse, when the root is located above its crown (rare);
buccal tilt (the crown is directed towards the cheek);
lingual tilt (the crown “looks” at the tongue, inside the oral cavity);
buccoversion - is in a supine position and the coronal part is directed outward;
lingoversion - the position of the tooth, opposite to the buccoversion.

Indications for extraction of jaw units overgrown with gums

Removal of an impacted tooth is carried out when its abnormal position leads to negative consequences:

The retention of one tooth impedes the normal growth of the remaining units of the row and leads to malocclusion.
An impacted tooth injures the cheeks and tongue, which leads to persistent inflammation and ulceration of the oral mucosa.
Before installing a bracket system, when it is necessary to eliminate all the causes leading to a pathological bite.
With pericoronitis - inflammation in the gum area. A condition when the mucous membrane partially covers the tooth, and infection accumulates under this “hood”, which leads to constant pain, swelling.
Before installing prostheses, when the impacted unit interferes with access to the adjacent tooth.

Important! Before the impacted tooth is removed, the orthodontist examines the person. If orthodontic treatment is not possible, if indicated, extraction of the unerupted tooth is prescribed.

Extraction of an impacted tooth means its complete extraction from the gum or jaw bone. This procedure is a full-fledged operation, which is often performed in a hospital.

Features of the removal of wisdom teeth under the gum

How is the operation to pull out teeth that have not yet erupted?

Planned (for example, after unsuccessful treatment by an orthodontist).
Emergency (for example, with osteomyelitis, acute inflammatory processes) - the issue is resolved on the day of treatment.
Urgent (destruction of the crown, infection) - the issue is resolved within 2-3 days.

Attention! The operation is performed in the presence of a dental surgeon under strong painkillers. This is necessary, since the impact can be carried out both on soft tissues and on the bone, if the roots have already grown into the jaw.

The removal of an impacted wisdom tooth in the lower jaw takes place in several stages:

Local anesthesia is performed.
The gum is dissected with a scalpel. Access to the impacted lower wisdom tooth is determined by the topography of the latter.

When it is located near the seventh tooth, the incision is made in front from the outer side of the neck of the seventh to the transitional fold, and behind - from the front edge of the branch obliquely back and downwards also to the transitional fold. Both incisions are connected along the inner edge of the alveolar process.

The flap is retracted.
If it is in the gum, the procedure of its dislocation and extraction begins.
When the impacted tooth remains in the bone tissue, it is first necessary to drill a hole in it with a drill machine.
Remove in parts or entirely with the help of elevators or tongs.
The well is cleaned with a curette and washed with antiseptics.
Bone wound plasty is performed with biomaterials (auto-bone, hydroxyapatite, tricalcium phosphate).
The mucosal flap returns to its original place, sutures are applied.
Stops bleeding from the hole.

Possible complications after removal: swelling, numbness, trauma

Dry socket, which is characterized by an unpleasant odor and pain. These symptoms appear on the 2nd - 3rd day after the manipulation.
During the operation, nerve endings may be affected. The consequence of this will be numbness of the lips, tongue, chin. Usually the symptom goes away on its own after a while, but in difficult cases, the process can be delayed.
Injury to soft tissues leads to swelling, pain, and sometimes an inflammatory process appears.
Often, the removal of an impacted tooth is accompanied by bleeding, hematoma, cyst formation, and flux.
Sometimes the temperature rises.

Recovery

Do not eat or drink for 3 hours after the procedure.
Do not open your mouth wide, as this may cause the sutures to separate.
The tampon is removed 10-20 minutes after application.
During the day after the operation, you can not eat solid food, cold and hot dishes.
Do not touch the hole, neither with your hands nor with your tongue.
Temporarily (1 - 3 days) do not rinse or brush your mouth. Carry out the procedure with the permission of the doctor. Use antiseptic solutions for this: Chlorhexidine, Miramistin, Rivanol.
Take painkillers. Especially in the first days after surgery. You can use Ketanov, Nimesil, Tempalgin, Nurofen.
To treat purulent inflammation, doctors often prescribe antibiotics.
In any unforeseen situations associated with the appearance of pain, consult a doctor.

Important! Do not use warm compresses to relieve pain. They create an environment conducive to the growth of bacteria that can get into an open wound and again provoke the appearance of pus.

How long does it take for gums to heal

The recovery period takes from 5 to 7 days. The rate of healing is affected by the general health of the patient and the extent of the disease.

Impacted teeth do not always make themselves felt. However, if it was found, it is better to remove it. This will help avoid complications in the future.