Impacted Teeth

Impacted Teeth Treatments in Doncaster

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Teeth are impacted when they fail to erupt through the gum tissue. This can be due to the tooth developing ectopically (incorrect position), lack of space in the arches or other abnormalities.

Wisdom teeth are commonly impacted as they are the last tooth to develop in the back of the arch and commonly there is lack of space. These teeth are usually extracted by an Oral Surgeon in late teen years and very seldom contribute to making space in the arch for orthodontic alignment.

Teeth that are commonly impacted that require orthodontic treatment are upper canines, upper incisors and second premolars. 

Possible Problems

Impacted teeth may never erupt into the dental arch without treatment. Hence, adjacent teeth may drift into its place, resulting in more crowding, collapse of the arch and shift of the dental midline. In unfortunate cases, the impacted tooth can damage adjacent teeth roots as it attempts to erupt. For example, an impacted upper canine can damage roots of adjacent upper incisors leading to the loss of a few upper front teeth. This will require extensive dental treatment — implants and crowns — in the long run.  

Treatment Options

Teeth that are impacted should ideally be moved into the dental arch or given enough space to encourage natural eruption at their “normal” eruption times. The latter is because during the stage of root formation, teeth have potential to erupt. Upper canines usually erupt at 11 – 12 years and upper incisors approx. 6 – 8 years of age. If these teeth are delayed in eruption and are suspected to be impacted, an assessment by an orthodontist is mandatory.

When early treatment results in eruption of the impacted tooth, surgical treatment is avoided. In a case of impacted upper canines and crowding, early expansion with a RME is helpful. This creates space to encourage the canines to descend towards the arch. However, if the impacted tooth fails to erupt, a combination of surgical exposure and orthodontic traction can be applied to move the tooth into the arch.

In cases of severe impaction and if dental extractions are required to make space for crowding, the surgical removal of the impacted tooth is indicated.

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