What Can Be Done to Treat an Impacted Tooth?
Posted on 2/16/2026 by Dr. Michael Allard |
 Let's talk about impacted teeth. Imagine a tooth trying to come in, but something is blocking its path. It's like a car stuck in traffic! This is what we call an impacted tooth, and it can happen to any tooth, but it's most common with wisdom teeth. So, what happens when a tooth gets stuck, and what can be done about it?
Understanding Impacted Teeth
An impacted tooth can be stuck for a number of reasons. Sometimes, there just isn't enough room in your jaw. Other times, a tooth might be growing in at an angle or is blocked by another tooth. The position of the tooth bud and genetics can also play a role. Whatever the reason, the tooth can't erupt fully into its proper position.
Impacted teeth can cause several problems. They can push on other teeth, causing pain and shifting. This can mess up your bite and make it harder to clean your teeth properly. Impacted teeth can also increase your risk of infection, gum disease, and even cysts or tumors around the impacted tooth.
Monitoring and Observation
Sometimes, if an impacted tooth isn't causing any problems, your dentist might recommend simply monitoring it. This means regular checkups and x-rays to keep an eye on the tooth and make sure it's not causing any damage. This approach is most common when the tooth is deeply impacted and the risks of removing it outweigh the benefits. This is sometimes the case in older adults.
Assisting Eruption
In some cases, especially with younger patients, there are options to help the impacted tooth erupt on its own. If a baby tooth is blocking the path, your dentist might remove it. Sometimes, an orthodontist can use braces to create space for the impacted tooth and guide it into its correct position.
Surgical Removal
The most common treatment for an impacted tooth that's causing problems is surgical removal. This procedure is typically performed by an oral surgeon. Before the procedure, the surgeon will take x-rays to get a clear picture of the tooth's position and its relationship to nearby nerves and other structures.
During the procedure, you'll be given local anesthesia to numb the area, and in some cases, you may also receive sedation to help you relax. The surgeon will make a small incision in the gum tissue to expose the impacted tooth. Sometimes, it's necessary to remove some bone to access the tooth. In some instances, the tooth may be sectioned into smaller pieces to make it easier to remove. After the tooth is removed, the area is cleaned, and the gums are stitched back together.
Aftercare
After the procedure, it's important to follow your surgeon's instructions carefully. This usually includes taking pain medication, using an ice pack to reduce swelling, and eating soft foods. You'll also need to keep the area clean to prevent infection. Your oral care routine is essential for healing and will need to be modified for a period of time.
The Role of Your Dentist
Your dentist plays a key role in identifying and managing impacted teeth. During your regular checkups, your dentist will examine your teeth and take x-rays to look for any signs of impaction. They can then refer you to an oral surgeon if treatment is needed.
Maintaining good oral hygiene is also important to prevent problems associated with impacted teeth. Regular brushing, flossing, and professional cleanings can help keep your mouth healthy and reduce your risk of infection and gum disease. Restoration dentistry might be required if an impacted tooth has damaged other teeth.
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