Impacted tooth — a tooth distopian
Nowadays there are a lot of people who have problems with eruption of permanent teeth. Such abnormalities often include retention and dystopia of the teeth. Of course, there are times when these processes do not cause any discomfort. But often happens so that there is a need for treatment. To begin to understand what this anomaly and what is dangerous?
What is a dystopia and retention
As indicated above, this anomaly of eruption. In the case of retention of a permanent tooth cannot erupt due to any reasons. It can be brought under the gums or partially be covered. Dystopia is the wrong position. That is, it can be rotated to extend beyond the dentition, not stand in its proper place. What is deseperately tooth are defined by these concepts. It also happens that the retention is due to dystopia. Such phenomena occur very frequently with the eighth units.
If the tooth is positioned correctly, then there is a delay of eruption. It grows very slowly, while if it is the eighth-causes a lot of inconvenience. But the retention of the tooth can happen due to other reasons. First and foremost, it is a genetic predisposition. Can also affect factors such as the pathology of the formation of permanent rudiments, early milk teeth change, mechanical injury, a tooth grows in the wrong time, etc.
Why dystopia and impacted often accompany each other
Often happens that growing a tooth can not erupt until the end of what is wrong. Distopian tooth cut harder than others. In norm under the roots of milk are the permanent. As resorption of the roots the rudiments rise up and erupt at the site of his eponymous teeth. If there is a delay of at least one piece, you suffer from nearby. It may appear that this unit takes a horizontal position. Of course in this form it can not be cut either at all or fully.
What may accompany this anomaly
Rarely, when impacted tooth is calm. It is usually around there are signs of inflammation — swelling, redness, pain when polerowanie. Often this phenomenon occurs when eruption of wisdom teeth. Occurs perikoronit — inflammation of the gingival hood over penetrate tooth. In addition, if the impacted tooth is accompanied by another dystopia, it may rest against the adjacent roots, causing inflammation around the adjacent tooth and bone. It is fraught with the loss of both teeth. Impacted teeth and distopian affect the entire dentition and bite. They can disrupt the ratio between the teeth-antagonists. There are situations when the impacted tooth can only be detected on x-ray image.
The clinical picture is dystopic and impacted teeth can be characterized by the presence of small rynochek and ulcers on the inside cheeks. They are formed when biting, if the hill or cutting edge look to the buccal side.
If they are directed in the opposite direction, it is usually much discomfort do not deliver, except as malocclusion and aesthetics. Better immediately after the detection of the slightest inconvenience or pain to see a specialist. Otherwise, the small discomfort can quickly escalate into a big complication. Perhaps the formation of pus not only in soft tissue but also bone or under the periosteum. This may require serious treatment. In addition to join another and common symptoms — malaise, weakness, fever. It may even be a headache. Therefore, it is better not to bring to this state and to consult a specialist.
Separately on dystopia
Distopian teeth are more common than impacted teeth. This anomaly occurs in most cases due to the lack of space in the tooth row. Subsequently, the teeth change their position. They can be rotated around its axis or a little bit out of the dentition. More common dystopia fangs, because they are the last to erupt in the permanent dentition, excluding wisdom teeth. Often we see protruding fangs, especially in the upper jaw. The presence of dystopic teeth can also be related to the peculiar structure of the jawbone. If it is too tight the tooth during the eruption can change your circumstances.
Due to the lack of space appears crowded. More common in the mandible in the anterior. At first glance it seems that anything more significant than the aesthetic indicators. But overcrowding is very often accompanied by diseases of periodontium, in particular gingivitis and periodontitis. In this area harder to clean teeth that brush can not reach all the corners and spaces between crowded teeth. There clogged food debris, which will eventually turn into a dental stones. Their presence is fraught with omission of the gums, bone tissue destruction, and ultimately, loss of the dental organ. Therefore, people who have a congested group of teeth, and there are many, it is often necessary to visit a doctor-periodontist. He will pursue the removal of hard and soft dental plaque and inflammation.
What measures should be taken in the presence of impacted and dystopic teeth organs
In these situations there can be no question of carrying out of medical measures in the home. First, it is impossible. Because the patient may try to remove your own symptoms of inflammation, but it will be temporary. He will not be able to remove the cause. It is able to make only a specialist.
Treatment is largely determined by the course of the disease, clinical characteristics. If there is a possibility somehow to correct the situation without removing the tooth, carry out the necessary manipulation. The sooner you get a noticeable anomaly, the easier it is to fix.
Treatment without removal
First and foremost, if there are inflammatory symptoms, they need:
- To stop.
- Cure cavities and a cleaning.
- To be eligible for treatment dissapereance and impacted teeth.
If doing it in adolescence, it is likely to completely restore normal occlusion. The later the patient to contact the patient, the lower the effectiveness of the treatment. Correct bite with gistaminovymi teeth with braces. But unfortunately, it is not always possible to do without losses. Sometimes you have to remove healthy tooth to make room for other units Often remove one of the premolars. Treatment braces a long process, requiring great responsibility and a serious approach to the problem in the first place, from the patient. If you do not vacate the place and there is a possibility that the jaw has been expanded, distopian tooth after treatment, in spite of its duration, can return to its previous incorrect position. In cases where orthodontic treatment is not helping, have to use a surgical.
Removal of impacted and gistaminovogo body
Say impacted tooth, especially if it is the eighth better to remove it immediately. Because it will still bring a lot of inconvenience. If it is in the correct position, then of course, there’s no reason to touch it. But if it lies horizontally, then the risk of inflammation exists. Because, as it will grow it may rest against the adjacent tooth. Even if he started to erupt, and gets in the buccal side, the treatment is removal. Keep eight not advisable, because its treatment is more problematic. But also for interference removal has its contraindications:
- Disease related to blood pressure and heart;
- The aggravated nerve pathology;
- The General severe condition of the patient;
- The period of menstruation;
- The first trimester of pregnancy;
- Within two weeks after abortion;
- Diseases of the blood.
Surgery for removal of impacted tooth
In fact, any removal is surgery. With regard to impacted and dystopic teeth, it’s not a simple removal. In the first place, the operation is complicated by the fact that the tooth is not erupted at all, or to the end. Second, its the wrong location. If it is rotated around the axis of its or looking in one direction or another, its harder to catch with forceps. Therefore, at a time when normal deletion takes up to forty minutes, the operation may continue for up to three hours. Here is how it is done in stages:
- An incision in the gums;
- Prosvetlenie bone tissue;
- The molar division into several fragments if necessary;
- Removal of bone fragments;
- The imposition of suture material.
The stitches from the gum is removed in about a week. The patient must follow the same steps that you normally uninstall more strictly. No Smoking, taking a hot roughage for two to three hours. About the rinsing, it is better to forget. In this day of needed physical rest. It is recommended after the surgery immediately can go home. It is advisable not to drive.
What to do after the surgery
In fact, many patients do not fully understand the seriousness of the situation and disregard the rules. This can cause the wound to fester. To avoid this you need to:
- To abandon exercise;
- First day to chew on the opposite side;
- Not to do compresses, lotions, etc.;
- Not warming party, where there was removal;
- To avoid swelling is to apply local cold to the cheek every two to three hours ten minutes;
- After undergoing anesthesia, intensive accepts analgesic means.
If within a few days the pain becomes more intense, increases swelling, there is bleeding from the wound should quickly contact your doctor. Because it is possible that there is a festering wound. It is impossible to postpone the visit.
They can be infectious-inflammatory nature. But the reason may either be a negligence of a doctor or irresponsibility of the patient. In the first case, the possible entry of infection during the operation or insufficient treatment of the wound after tooth extraction, especially if there is purulent contents. In the second situation, when the patient ignores the doctor’s advice, there is alveolitis — inflammation of the hole. Because of the falling food residues or removal of a blood clot in some way that protects the wound occurs and inflammation. So we need more serious and responsible attitude to this problem that the treatment was effective and successful.