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Impacted Tooth

An impacted tooth gets blocked on the way into your mouth. Wisdom teeth or third molars often are impacted. Wisdom teeth usually begin to come in between the ages of 17 and 21. Dentists call these teeth third molars. They may become impacted because there's not enough room in your mouth for them. A wisdom tooth also might be trying to come in sideways. Or, it might be tilted in your jaw. An impacted tooth can be painless. You may not even realize it's there. However, when an impacted wisdom tooth tries to come in, the flap of gum on top of it can swell. This can hurt. You might feel pain in nearby teeth, or in the ear on that side of your face. Plus, food particles can get stuck near the gum flap. This can lead to an infection called pericoronitis or operculitis. If untreated, this infection can spread to the throat or into the neck. Impacted teeth can get cavities. An impacted tooth can push on the neighboring molar. This can lead to tooth movement, decay or gum disease. It also can change the way your teeth come together. Rarely, impacted teeth can cause cysts or other growths in the jaw.

Should wisdom teeth be removed?

Wisdom teeth often cause no problems. They are described as impacted when there is not enough space for them at the back of the mouth. In such a case it might erupt towards the cheek or it might impinge on the second molar. Impacted wisdom teeth can cause pain, swelling, infection or damage to the teeth next to them. If the gum around the wisdom tooth is swollen the jaw may become stiff and sore. Infection at the back of the mouth can cause bad breath and a bad taste. The surgical removal (extraction) of one or more wisdom teeth can relieve these problems. People who have impacted wisdom teeth that are not causing problems do not need to have them removed.


1.Strictly follow the instruction given by the dentist.

2.Keep the gauze piece in the mouth and keep on biting constantly at least for one hour.

3.Wait until the effect of anesthesia wears off before eating anything solid.

4.Take medicines regularly. it can be dangerous to stop medication without your dentists knowledge.


1.Don’t spit at least for 24 hours as this may dislodge the clot leading to the dry socket.

2.Don’t Smoke for 48 hours as this may delay the healing process.

3.Don’t eat any hot hot thing as this may cause swelling.

Care to be taken after tooth removal:

1.After tooth removal, the length of time you experience numbness varies, depending on the type of anesthetic you've received. While your mouth is numb, be careful not to bite your cheek, lip or tongue. The numbness should subside within a few hours. If it doesn't subside, contact your dentist.

2.Remove the gauze/cotton pack placed on the extraction site after an hour’s time or as directed by your dentist. Apply cold compresses to the face. An ice bag or cold, moist cloth can be used periodically. The dentist may give you specific instructions on how long and how often to use a cold compress.

3.Do not suck on the wound or touch with your tongue or finger and avoid rinsing your mouth too vigorously. These activities may remove the clot of blood formed which is essential for proper healing of the wound.

4.Do not smoke for the next 24 hours as this will delay healing. Drink lots of liquids and eat soft, cold and nutritious foods. Avoid alcoholic beverages and hard to chew food items. Begin eating solid foods the next day or as soon as you feel comfortable to chew. For about 2-3 days, try to chew food on the side opposite the extraction site.

5.You can start rinsing your mouth gently with warm salt water (one teaspoon salt in half a glass of warm water) after 24 hours of extraction. Rinsing should be done 3-4 times a day and after every meal to keep food particles out of the extraction site.

6.Brush twice daily as usual but avoid brushing on the extraction site for a few days. Take the prescribed medication as directed by your dentist. These may be given to control pain and prevent infection. If you have prolonged or severe pain, swelling, bleeding or fever, call your dentist immediately.

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