Menu

Disimpaction

Removal of Impacted Teeth

The oral cavity often harnesses teeth which, due to certain developmental difficulties, do not erupt in their right place. They often remain dormant inside the bone. However, when they pose a problem due to the forces they exert or when they become foci of infection, their removal is their only cure.

The most common impactions are seen in cases of wisdom teeth(third molars). Sometimes, even canines or other teeth might be found impacted in ones mouth.

Each individual wisdom tooth is unique and depending on how it grows, it can have different impact on bones and/or tissues. Their varied developments may affect other teeth and cause troubles. When they need to be removed, an expert like Dr. Mayank Parmar is one who can easily help you.

The following 4 impactions are commonly found in patients cases.

If the impaction is between the third molar and part of the second molar, this kind is called bone impaction. It can be subcategorized into vertical, horizontal, and angular depending on the way they are intersecting.

    Bone Impaction (Vertical)

  • Impaction would cause pathogenesis inside the cheek bone or jaw bone.
  • Bone Impaction (Horizontal)

  • Besides leading pathogenesis, horizontal placement would hurt the hard tissue of the second molar to cause toothache and cavities.
  • Bone Impaction (Angular)

  • Besides leading pathogenesis, angular placement would hurt the hard tissue of the second molar to cause toothache and cavities.

Vertical Bone Impaction

Horizontal Bone Impaction

Angular Bone Impaction


Left: Bone Impaction (vertical)
Middle: Bone Impaction (horizontal)
Right: Bone Impaction (angular)

 

The last one is called tissue impaction, because the wisdom tooth is directly breaking out of the tissue.

Tissue Impaction

The wisdom tooth almost erupts out of gum, or its half erupts out of gum to cause pseudo-pocket. Besides leading pathogenesis, it easily tracts food debris and causes gum irritation.

Only under the X-Ray can these impactions be clearly identified.

Tissue Impaction

           Tissue Impaction



Removal of Impacted Wisdom Tooth

The following shows how to remove the impacted wisdom tooth (bone impaction).

the impacted wisdom tooth

Incise soft tissue

Suture the soft tissues

1. Locate the impacted wisdom tooth. (left)
2. Incise soft tissue to open. (middle)
3. Remove overlying bone to expose the tooth crown. (middle)
4. Extract the tooth out by whole or in pieces. (middle)
5. Suture the soft tissue back. (right)



  1. Locate the impacted wisdom tooth.(left)
  2. Incise soft tissue to open.(middle)
  3. Remove overlying bone to expose the tooth crown.(middle)
  4. Extract the tooth out by whole or in pieces.(middle)
  5. Suture the soft tissue back.(right)

This procedure is only needed when your wisdom tooth starts bothering you, or upon your dentist recommendation.

Aastha Dental Clinic & Implant Centre

Dr. Mayank M.Parmar
M.D.S. (Periodontist & Oral Implantologist)

Dr.Pooja Mayank Parmar
B.D.S.