Impaction of Third Molars

Impaction of third molars, also known as impacted wisdom teeth, occurs when the third molars (wisdom teeth) do not have enough space to erupt into the mouth or develop normally. This can cause the tooth to become trapped in the jawbone and gum tissue, leading to potential complications.

Causes of Impaction

The main causes of impaction of third molars include:

• Lack of space in the jawbone for the tooth to erupt
• Abnormal shape or size of the tooth
• Overcrowding of teeth in the mouth
• Genetic factors, such as a smaller jaw size

Symptoms of Impaction

Symptoms of impaction of third molars may include:

• Pain or tenderness in the gums and jaw
• Swelling or redness of the gums
• Bleeding or discharge from the affected area
• Bad breath or unpleasant taste
• Difficulty opening the mouth or chewing

Types of Impaction

There are several types of impaction, including:

• Mesial impaction: The tooth is angled towards the adjacent tooth
• Distal impaction: The tooth is angled away from the adjacent tooth
• Vertical impaction: The tooth is unable to erupt due to lack of space
• Horizontal impaction: The tooth is lying horizontally in the jawbone

Treatment Options

Treatment options for impaction of third molars include:

• Surgical removal of the impacted tooth (extraction)
• Coronectomy: Removal of the crown of the tooth, leaving the roots intact
• Monitoring and observation to see if the tooth will erupt on its own

Risks and Complications

Risks and complications associated with impaction of third molars include:

• Infection or abscess formation
• Cysts or tumors forming around the impacted tooth
• Damage to adjacent teeth or jawbone
• Nerve damage or numbness in the face or mouth

Prevention

To prevent impaction of third molars, regular dental check-ups and monitoring of wisdom tooth development are recommended. In some cases, preventive extraction of wisdom teeth may be recommended to avoid potential complications.

Frequently Asked Questions (FAQs)

What is impaction of third molars?
Impaction occurs when there is not enough space for the third molar to erupt normally.

Where are third molars typically located?
Third molars, also known as wisdom teeth, are usually found in the back of the mouth, one on each side of the upper and lower jaw.

What causes impaction of third molars?
Insufficient space in the jaw or abnormal growth pattern can cause impaction.

Can impaction of third molars cause pain?
Impaction may cause pain, swelling, or infection, but some individuals may not experience symptoms.

How is impaction of third molars diagnosed?
Diagnosis typically involves clinical examination and radiographic imaging, such as X-rays or CT scans.

What are the treatment options for impacted third molars?
Treatment options include surgical removal, monitoring, or attempting to create space for eruption.

Are there risks associated with surgical removal of impacted third molars?
Risks may include infection, nerve damage, and dry socket, among others.

Can impaction of third molars lead to other health issues?
Potential complications may include cysts, tumors, or damage to adjacent teeth.

Is it possible for impacted third molars to erupt normally on their own?
In some cases, impacted third molars may partially or fully erupt, but this is not always guaranteed.

Should all impacted third molars be removed?
Not necessarily, as the decision to remove depends on individual circumstances and symptoms.