Removal of an impacted tooth

We will remove an impacted tooth painlessly and without injury

Dental surgeons at the custom prosthetics clinic "Kiadent" perform the removal of impacted teeth of any complexity. Our prices for tooth extraction are below the average in Odesa.

What Is Retention?

An impacted tooth is one that is fully formed but has not erupted within the expected timeframe.

Most commonly, wisdom teeth are affected by abnormal eruption, followed by upper canines and lower second premolars. Retention is often accompanied by dystopia, where the unerupted tooth grows in the wrong direction.

Prices

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Full list of services for impacted tooth removal:

Simple removal of an impacted tooth
Complex removal of an impacted tooth

Causes of the Condition

Retention may be caused by:

heredity;
premature removal of baby teeth (scarred gums prevent proper eruption);
insufficient eruptive force (caused by past acute infections or ongoing endocrine system disorders);
overly thick mucosa (which inhibits growth);
malocclusion, crowding;
jaw development anomalies (lack of space for all teeth to grow normally);
hyperdontia (“extra” teeth).

Classification of Impacted Teeth

Depending on the depth of the tooth under the gum's soft tissues, retention may be:

Partial—part of the crown has erupted and is visible to the naked eye;

Complete—the entire tooth is under the gum.

Depending on the crown/root position, retention can be:

vertical (the crown is upright but hasn’t fully erupted);
horizontal (grows perpendicular to the normal growth line);
angular (the segment is tilted to one side);
inverted (the chewing surface faces the alveolar ridge, while the root points toward the periodontium).

Depending on the degree of “stuckness” in the jawbone, retention can be:

submerged (fully in the bone);
non-submerged (situated above the bone).

Impacted Wisdom Teeth

Wisdom teeth often begin to erupt when the dental arch is complete, and the development of the lower and upper jaws is nearly finished. There is insufficient space for them, causing them to “push” the adjacent seventh tooth, erupt only partially (often growing horizontally at an angle), or fail to erupt at all.

Some patients experience no issues with impacted wisdom teeth. For others, removal is recommended to prevent complications.

Complications From Unerupted Teeth

If left untreated, an impacted tooth can lead to the following complications:

caries;
bite issues (shifting of the dental arch);
pericoronitis;
periodontitis;
periostitis (inflammation of the periosteum);
abscess (a purulent pocket on the gum near the impacted tooth or near the palatine tonsils);
osteomyelitis (infection of the jaw’s bone marrow);
facial/neck phlegmon (spreading of pus through soft tissues in the neck and head).

When to Remove and When It Can Be Left

If an impacted tooth can be helped to erupt and occupy a normal position in the dental arch, the dental surgeon may decide it’s worth preserving.

Removal is indicated if the tooth:

causes gum inflammation (purulent or bacterial infection of soft tissues);
presses on nerve endings, causing headaches and neuralgia symptoms;
presses against the roots of adjacent teeth, leading to their resorption;
has a follicular cyst;
causes pericoronitis (food debris caught under a damaged gum flap leads to inflammation);
needs to be removed to create space for orthodontic treatment with braces or aligners.

Doctor's Advice

Removing an impacted tooth is a surgical procedure, and there are some relative (temporary) contraindications:

active infectious/inflammatory process;
immunodeficiency conditions;
blood clotting disorders;
exacerbation of chronic diseases.

If you’re concerned about an unerupted tooth, schedule a consultation with a dental surgeon. After reviewing your clinical picture and weighing the pros and cons, the doctor will decide whether to perform the surgery immediately or postpone the removal of the problematic tooth.

Stages of Impacted Tooth Removal

1. Step. Consultation and Examination
The dental surgeon will visually examine the oral cavity, take an X-ray to assess the location of the problematic tooth, and evaluate the complexity of the extraction.
An X-ray is crucial for visualizing the relationship of the impacted tooth with the mandibular canal or maxillary sinus (to avoid damaging them during extraction). In some cases, a CT scan may be required.
2. Step. Local Anesthesia
The doctor will administer anesthesia to ensure the patient feels no pain during the procedure.
3. Step. Gum Incision
The surgeon will carefully incise the gum to access the partially impacted tooth. If it is completely within the bone, the doctor will remove the bone above it.
4. Step. Removal
Using dental forceps or an elevator, the surgeon will loosen and extract the problematic tooth. If necessary, the tooth may be sectioned and removed in parts.
5. Step. Suturing
After antiseptic treatment of the post-operative site, the doctor will (if necessary) place sutures and provide recommendations for post-operative care. Antibiotic therapy may be prescribed for purulent retention cases.

Rehabilitation Process

What You Should Do

Apply a cold compress for 3-5 minutes (with 10-minute intervals) during the first few hours after impacted tooth removal.
Avoid hard, spicy, or hot foods to prevent irritation and injury to the surgical site.
Replace your toothbrush and avoid using an irrigator in the area of the removed tooth.
Take prescribed medications in the correct dosage.

What You Shouldn’t Do

Avoid eating, drinking hot beverages, or rinsing your mouth for 2-3 hours (to prevent trauma to the surgical site).
Refrain from taking hot baths, visiting saunas/steam rooms, or engaging in fitness activities for 3-4 days after surgery.
Do not consume alcohol (it may trigger bleeding from the surgical wound).
Avoid smoking (or reduce the number of cigarettes to a minimum).

Consult your dental surgeon immediately if: