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An ectopic tooth, also known as an impacted tooth, is a tooth that develops in an abnormal position and fails to erupt into its normal location in the oral cavity. [1] [2] Ectopic teeth can cause a variety of symptoms, such as pain, swelling, and infection, and they can lead to more serious complications if left untreated.
If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted, and instead the injury site should be cleaned to allow the adult tooth to begin to erupt). Reassure the patient and keep them calm. If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part.
Impacted wisdom teeth are classified by their direction of impaction, their depth compared to the biting surface of adjacent teeth and the amount of the tooth's crown that extends through gum tissue or bone. Impacted wisdom teeth can also be classified by the presence or absence of symptoms and disease. Screening for the presence of wisdom ...
Deep A, Thakur S, Jayam C. An interesting case of unilateral multiple impacted unerupted teeth in a young adolescent child: A case report and discussion. J Nat Sc Biol Med 2021;12:256‑9. (PDF) An interesting case of unilateral multiple impacted unerupted teeth in a young adolescent child: A case report and discussion.
Because impacted teeth do not erupt, they are retained throughout the individual's lifetime unless extracted or exposed surgically. Teeth may become impacted because of adjacent teeth, dense overlying bone, excessive soft tissue or a genetic abnormality. Most often, the cause of impaction is inadequate arch length and space in which to erupt.
Malocclusion is a common finding, [22] [23] although it is not usually serious enough to require treatment. Those who have more severe malocclusions, which present as a part of craniofacial anomalies, may require orthodontic and sometimes surgical treatment (orthognathic surgery) to correct the problem.
It is most commonly seen in school children. Dental subluxation is one of the most common traumatic injuries in primary dentition. Maxillary central incisors are the most commonly affected teeth. [10] [11] Some studies have proposed that the resilience nature of periodontium favours dislocation than fracture of the tooth itself. [12]
Before the discovery of antibiotics, chronic tooth infections were often linked to a variety of health problems, and therefore removal of a diseased tooth was a common treatment for various medical conditions. Instruments used for dental extractions date back several centuries.
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