Teeth Impactions and Corrective Dental Procedures

Published: 01st March 2010
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Wisdom teeth impaction cannot be entirely avoided However, these procedures are undertaken using local and general anesthesia to ensure ease and comfort. Wisdom teeth are the third permanent molars. Wisdom teeth appear between the ages of 16 and 24. In many cases they need to be taken out because the size of the jaw is not enough to hold extra molars. There are normally two wisdom teeth in the upper jaw and two in the lower jaw, but some people have fewer than four or even none at all. Wisdom teeth can cause various oral health or dental problems, including overcrowding and impaction. Common problems associated with impacted wisdom teeth include gum infections and tooth decay. Discrepancies such as hypodontia and supernumerary wisdom teeth can occur in the development of wisdom teeth.
* Hypodontia is a condition in which the wisdom teeth are missing due to their failure to develop.
* A superlunary tooth is an extra tooth that develops in addition to the normal 32. Extra teeth can cause crowding and lead to poor oral hygiene.

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Teeth impactions
Impacted wisdom teeth can be of a number of types, depending on how they develop out of the gum line, relative to normal teeth.
* Mesioangular impaction, where the tooth is angled forward, is the most common type of wisdom teeth impaction.
* Vertical impaction happens when the formed tooth does not fully erupt (or emerge) though the gum line.
* Distoangular impaction happens when the tooth angles backwards.
* Horizontal impaction occurs when the tooth develops at a full 90 degree angle forward. It develops sideways rather than normally upward.
Search the dentist directory to review dentist profiles and find a dentist who offers local services for tooth whitening, general and cosmetic dentistry, dental implants, veneers, dentures, teeth cleaning, family dentists.Each type causes its own associated problems. But all of these can be rectified by oral surgery.

Bony Impaction vs. Soft Tissue Impaction
Impactions can also be divided into two categories depending on their location.
* Bony impaction occurs when the wisdom teeth are housed in the jawbone, rather than in the soft tissue of the gums.
* Soft tissue impaction occurs when eruption of wisdom teeth happens outside the jawbone, but without coming out of the gum line.

Operculum and Treatment
At times, wisdom tooth does not erupt fully though the gums. It creates an extension of soft tissue of the gum over the biting surface of the tooth, called an operculum. The operculum can get irritated while chewing on food and become infected leading to pericoronitis. This condition causes intense pain, swelling, redness and gives out a bad smell. It also makes it difficult to open the mouth.
Teeth covered with operculum are hard to clean with regular brushing. They are best cleaned using cleaning techniques available at a dental clinic.
If the operculum cannot be taken out, extraction of the wisdom tooth is recommended. The other option is a treatment called operculectomy to remove the operculum. But, it is a risky procedure and is not a recommended treatment anymore in oral surgery. You can find a dentist for Operculum and Treatment for wisdom teeth. If you're not sure, call us for help. Just dial our toll-free number 24 hours a day, seven days a week, and a live operator will be there to help you with your dentist search.

Before Tooth Impaction Surgery
As pre-operational procedure, the oral surgeon would examine the X-rays taken by the dentist. He would then carry out a physical examination of the mouth to feel the impacted tooth. If the oral surgeon feels that infection is present in the tooth, he would recommend immediate treatment. If he feels that the case of the impacted tooth is not an emergency case, he may plan the operation to fit the schedule of the patient.

Surgical Procedures
Oral surgery can be done in a dental clinic or in the hospital under general anesthesia. This depends upon whether the wisdom tooth is impacted or not.
The surgery will involve making a cut in the gum to reach the impacted wisdom tooth. On normal situations, the surgeon may just use dental tools to remove the impacted tooth. In some cases, surgery may involve removing pieces of the jaw. The gum will then will be stitched up and gauze used to pack the area to reduce bleeding. The surgery could take anything between one to four hours, depending on complexity of impaction.

After Tooth Impaction Surgery
After the tooth is removed, you will most likely be asked to bite down softly on a piece of gauze for 30 to 45 minutes to limit bleeding. You can expect some pain and swelling, but it will usually subside in a few days. If there is prolonged swelling, severe pain, bleeding or fever, you should call your dentist.
We will discuss more about the Wisdom Teeth Impaction and Oral Surgery future articles. Please consult your dentist for more details & specific medications for maintaining teeth impactions, how surgical procedures can be used to rectify each situation and what to expect before, during and after surgery. Here is a free online tool to find a dentist http://www.freedentistfinder.com

In this article Mark focus on Wisdom Teeth Impaction and Oral Surgery. Freedentistfinder.com is a dentist directory that allows you to find a dentist by specialty and location for operculum and treatment. You can find the more information on his blog at http://www.freedentistfinder.com/blogs

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