IMPACTED TOOTH

The English wisdomtooth is derived from Latin dens sapientiae. The same
root is shared by German Weisheitszahn, Dutch verstandskies, Afrikaans
verstandtand, Belgian-Dutch wijsheidstand, Norwegian visdomstann,
Danish and Swedish visdomstand, Finnish viisaudenhammas, French dent
de sagesse, Portuguese dente siso or dente do juzo, Spanish muela del juicio
or muela cordal, Italian dente del giudizio, Romanian msea de minte,
Slovenian modrostni zob, Croatian and Serbian umnjaci, Hungarian
blcsessgfog, Czech zuby moudrosti, Polish zby mdroci, Russian
, Bulgarian (meaning wise man), Estonian
tarkusehammas, Lithuanian protiniai dantys, Hebrew ( shen bina)
and Greek (fronheemeetes).

Turkish refers directly to the age at which wisdom teeth appear

and calls it 20 ya dii (20th year tooth). In Arabic, its name is Ders-ala'qel () , literally meaning "The tooth of the mind" and hence
similar to occidental names. In Korean, its name is Sa-rang-nee (,
love teeth) referring to the young age and the pain of the first love. In
Japanese, its name is Oyashirazu (), literally meaning
"unknown to the parents," from the idea that they erupt after a child
has moved away. The Indonesian term gigi bungsu for the latest teeth a
person cuts refers to bungsu "youngest child". In Thailand the wisdom
tooth is described fan-khut () "huddling tooth" due to its shortage
of place

Definition
An impacted tooth is a tooth that fails to
fully pass through the gums.
Impacted tooth is any tooth that is
prevented from reaching its normal
position in the mouth by tissue, bone, or
another tooth (archer, 1975)
ED : Erruptio difficilis

Causes
Sistemic
Prenatal : herediter, hormonal,
genetic defect (cleft palate,
ectodermal displasia,..)
Post natal : acquired (TB,
malnutrition,..)

Local
Abnormality position
Density of arround bones
Chronic inflamation of gum
that covered it
Early extraction of deciduous
teeth

 Others theory : Antropologic

 The cause may be overcrowding,

often because the jaw is too small to
fit the third set of molars.
Teeth may also become twisted,
tilted, or displaced as they try to
emerge, resulting in impacted teeth.

 Impacted wisdom teeth are very

common. They are often painless and
cause no apparent trouble.
Impacted tooth pushes on the next
tooth, eventually causing a
misalignment of the bite.
A partially emerged tooth can trap food,
plaque & debris in the soft tissue
around it, leading to inflammation that is
called pericoronitis/operculitis.

Pericoronitis Symtoms
Pain or tenderness of the gums
(gingiva) or jaw bone
Unpleasant taste when biting
down on or near the area
Bad breath

 Redness and swelling of the gums

around the impacted tooth
Swollen lymph nodes of the neck/
sub mandible (occasionally)
Difficulty opening the mouth
(occasionally)

Complications
Recurrent infection of a partially
buried tooth
Abscess of the tooth/gums
Malocclusion of the teeth
Chronic discomfort in the mouth
"Plaque traps"

 Prolonged headache or jaw

ache
Vertigo, Tinitus
Malocclution
Transform to odontogen cyst

Others Impacted tooth

Upper 3-rd molars

Upper canines & pre molars
Upper 2-nd incisive
Lower canines & Pre molars

Examination
X-ray panoramic taken when :
Cannot open the mouth
To confirm the presence 1 or more teeth
that have not emerged

Treatment
Goal : to relieve irritation caused by
impact tooth
No infection no treatment
Cause infection tooth removal,
odontectomy
Antibiotic & analgetics