Removal of a dystopic tooth

We will try to save the tooth. If it doesn’t work out, we’ll remove it carefully, quickly and without pain.

What It Is and Types of Malpositioned Teeth

A malpositioned tooth is one that has taken an abnormal position in the dental arch: erupting at an angle or horizontally. Canines and wisdom teeth (third molars) are the most commonly affected, though cases involving premolars and lower incisors also occur.

Based on the direction of pathological development, malposition is classified as:

medial (tilted forward);
distal (tilted backward);
vestibular (tilted toward the cheek);
oral (tilted toward the tongue);
torsoposition (the tooth is rotated around its axis);
transposition (the tooth occupies the position of another);
supraposition (the tooth is abnormally higher/lower than others);
infraposition (the tooth is pushed forward compared to adjacent teeth in the arch).

Sometimes malposition is combined with retention, where the fully formed tooth is not only positioned abnormally in the arch but also partially or completely covered by the gum.

Cost of Removing a Malpositioned Tooth

Full list of services for malpositioned tooth removal:

Simple removal of a malpositioned tooth
Complex removal of a malpositioned tooth

Causes of Malpositioned Teeth

Infection of the permanent tooth germ by a primary tooth with periodontitis
Delayed eruption of a primary tooth
Premature or late loss of a primary tooth
Jaw development pathology due to trauma, rickets, endocrine disorders, etc.
Childhood habits (thumb-sucking, pencil-biting)
Growths on the roots (cementomas)
Displacement of the tooth follicle by a tumor (adamantinoma, osteoma, cyst, odontoma)
Maternal genetic disorders (early toxicosis, anemia)

Doctor's Advice

Patients often delay visiting a dental clinic due to fear of pain during tooth extraction, which leads to complications.

At the "Kiadent" clinic, modern local anesthesia methods eliminate pain during the extraction of problem teeth. Patients only feel tactile sensations.

You don’t need to be afraid of having a malpositioned tooth removed. Visit us, and we’ll remove it quickly and painlessly!

Complications Caused by Malpositioned Teeth

Malposition can cause the following complications:

Injury to the tongue and mucosa while chewing (a tooth tilted toward the tongue or cheek can constantly irritate or injure them)
Malocclusion (the abnormal tooth puts pressure on adjacent teeth, leading to crowding)
Development of deep caries due to difficulty in cleaning the abnormally placed premolar/molar
Pericoronitis (impacted, malpositioned wisdom teeth often provoke purulent inflammation of soft tissues)

When a tooth abnormally positioned in the arch doesn’t impair chewing function or cause the above complications but only leads to occasional tongue or cheek biting, smoothing the contact areas may suffice.

Indications for Removal

In some clinical cases, malpositioned teeth can be successfully treated using braces (e.g., minor and front molars). However, extraction is recommended if the tooth:

Impairs chewing function
Interferes with normal speech or distorts diction
Exerts pressure on adjacent teeth, leading to crowding
Causes chronic trauma to surrounding soft tissues
Is the source of complications
Is affected by caries, pulpitis, or periodontitis and cannot be treated
Has a cyst at the root
Impedes orthodontic treatment

When Is It Contraindicated to Remove a Tooth?

Surgical removal is temporarily postponed in the following cases:

Infectious disease (cold, flu, etc.)
Recent myocardial infarction
First or third trimester of pregnancy
Herpetic stomatitis

For patients with diabetes, blood clotting disorders, or CNS pathology, preparatory measures are needed before performing the extraction of a malpositioned tooth.

What if an emergency extraction is required but contraindications exist?

The procedure may be conducted in a hospital setting. For example, patients with blood clotting disorders are prescribed a course of special medication (clotting factor) by a hematologist, and the extraction is performed only after clearance for surgery in a hospital environment.

Stages of Removing a Malpositioned Tooth

1. Step. Visual Examination and Diagnostics
During the examination, the dental surgeon assesses oral hygiene, evaluates the position of the malpositioned tooth, listens to the patient’s complaints, and collects medical history.
To understand the tooth’s position and rule out tumors, the dentist performs a focused X-ray or panoramic X-ray (OPG). In some clinical cases, a CT scan may be required.
2. Step. Anesthesia and Removal
To eliminate pain during the operation, the dentist administers local anesthesia. Using forceps or an elevator, the dentist loosens and removes the tooth.
If the malpositioned tooth hasn’t erupted (completely covered by the gum), the dental surgeon carefully makes a gum incision to access the tooth before removing it.
3. Step. Antiseptic Treatment
The socket is treated with an antiseptic, and sutures are placed (removed after 7-10 days). Antibiotics may be prescribed.
Dental surgeons at "Kiadent" specialize in minimally traumatic removal of malpositioned, impacted teeth, preserving bone tissue and the natural contours of the alveolar socket (socket preservation). This prevents the need for bone grafting for future dental implant placement.

Recovery After Surgery

After removing a malpositioned tooth, it is important to follow these rules:

Brush your teeth twice daily (avoid the surgical site to prevent trauma to the wound)
Chew food on the opposite side
Gently rinse your mouth with an antiseptic solution (hold it in your mouth and spit it out without sharp movements)
Follow your doctor’s medication instructions strictly

What Not to Do