Exposición de dientes impactados

¿Qué es un diente impactado?

An impacted tooth simplemente significa que es “atascado” y no puede estallar en función de. Con frecuencia los pacientes desarrollan problemas con los terceros molares impactados, o muelas del juicio. Estos dientes se ponen “atascado” en la parte posterior de la mandíbula y puede desarrollar infecciones dolorosas, among a host of other problems, such as Dientes de sabiduría impactados.

Debido a que rara vez hay una necesidad funcional de las muelas del juicio, they are usually extracted if they develop problems. The maxillary cuspid (upper eyetooth) is the second most common tooth to become impacted. El canino es un diente fundamental y juega un papel importante en su “mordedura”. The cuspid teeth are very strong biting teeth and have the longest roots of any human teeth. They are designed to be the first teeth that touch when your jaws close together so they guide the rest of the teeth into the proper bite.

Normally, los caninos superiores son los últimos de los “parte delantera” dientes estallen en lugar. They usually come into place around age 13 and cause any space left between the upper front teeth to close tighter together. If a cuspid tooth gets impacted, every effort is made to get it to erupt into its proper position. The techniques involved to aid eruption can be applied to any impacted tooth in the upper or lower jaw, but most commonly they are applied to the maxillary cuspid (upper eye) dientes. Sixty percent of these impacted eyeteeth are located on the palatal (roof of the mouth) side of the dental arch. The remaining impacted eye teeth are found in the middle of the supporting bone, but are stuck in an elevated position above the roots of the adjacent teeth, or are out to the facial side of the dental arch.

Early Recognition of Impacted Eyeteeth Is the Key to Successful Treatment

The older the patient the more likely an impacted eyetooth will not erupt by natural forces alone, even if the space is available for the tooth to fit in the dental arch. A panoramic x-ray, along with a dental examination, will help determine whether all the adult teeth are present or if some adult teeth are missing.

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El tratamiento puede requerir la remisión a un cirujano oral para la extracción de los dientes más de retenida del bebé y / o dientes adultos seleccionados que están bloqueando la erupción de la importantísima colmillos. The oral surgeon will also need to remove any extra teeth (supernumerary teeth) or growths that are blocking the eruption of any adult teeth.

Impacted tooth success by patient’s age:

  • 11-12 años – con espacio abierto para erupción, good chance for success.
  • 13-14 años – el colmillo impactado no entrará en erupción por sí mismo, even with the space cleared for its eruption.
  • Over 40 años – probabilidad mucho mayor de que el diente se fusione en su posición. The only option is to extract the impacted tooth and replace it with a crown on a dental implant or a fixed bridge.

What happens if the eyetooth will not erupt when proper space is available?

In cases where the eyeteeth will not erupt spontaneously, the orthodontist and oral surgeon will work together to get these teeth to erupt. Each case must be evaluated on an individual basis, but treatment will usually involve a combined effort between the orthodontist and the oral surgeon. The oral surgeon will expose and bracket the impacted eyetooth.

The goal is to erupt the impacted tooth and not to extract it. Once the tooth has moved into its final position, the gum around it will be evaluated. In some circumstances, puede haber algunos menores “cirugía de encías” requerido.



Exposure and Bracketing of an Impacted Cuspid



What to expect from surgery to expose & bracket an impacted tooth

La surgery to expose and bracket an impacted tooth is a very straightforward surgical procedure that is performed in the oral surgeon’s office. Para la mayoría de los pacientes, se lleva a cabo usando gas de la risa y locales anestesia. In selected cases it will be performed under IV sedation if the patient desires to be asleep, pero esto generalmente no es necesario para este procedimiento. Si el procedimiento sólo requiere exponer el diente sin horquillado, the time required will be shortened by about one half. Estos temas se discuten en detalle en su consulta preoperatoria con su médico.

Refer to Instrucciones preoperatorias Anestesia para una revisión de los detalles. Simplemente llame a las oficinas de Ashok N. Veeranki, DDS, FIBCSOMS, FACS en Manteca en Manteca de Cirugía Oral Teléfono de la oficina 209-823-9371 o Tracy en Tracy Cirugía Oral Teléfono de la oficina 209-836-3870 para obtener más información o ayuda.