Types of Wisdom Teeth Impactions

Are Your Wisdom Teeth Impacted?

Have you ever experienced that nagging pain in the back of your mouth that just won’t go away? You’re not alone. Millions of people deal with wisdom teeth impactions, which often lead to pain, swelling, and even damage to surrounding teeth.

Our Hilliard, OH, dentist explains the types of wisdom teeth impactions patients can experience. If you need your wisdom teeth removed, contact our Hilliard dental office today to schedule an appointment at (614) 771-6060.

What Is a Wisdom Tooth Impaction?

A wisdom tooth impaction occurs as a result of the jaw becoming smaller over time, leaving less room for the third molars to emerge fully. This can lead to many oral health issues, such as cavities, gum disease, and infection in the gum tissue. In many cases, the best course of action to deal with an impacted wisdom tooth is a surgical tooth extraction.

Four Main Types of Wisdom Teeth Impactions

There are four main types of wisdom teeth impactions:

1. Mesial (angular) impaction
2. Vertical impaction
3. Horizontal impaction
4. Distal impaction

Mesial (Angular) Impactions

Mesial impactions are the most common type of wisdom tooth impaction. In this case, the tooth is partially erupted and angled forward, towards the front of the oral cavity, rather than towards the back. This positioning can cause issues with adjacent teeth, as the impacted tooth may press against them and damage them.

The decision to extract a mesial impacted tooth depends on several factors, such as the angle of the tooth and the extent to which it’s impacted. Dentists usually prefer to carefully observe mesial impactions before determining whether extraction is necessary. This allows them to monitor any changes in the tooth’s position and assess the potential risk to surrounding teeth before taking action.

Vertical Impactions

Vertical impactions occur when the wisdom tooth is in the correct position but remains below the gums. In many cases, these impactions don’t require extraction, as they may not cause significant issues. However, there are instances where a vertically impacted wisdom tooth can exert pressure against the bone or displace a neighboring molar, leading to oral health complications.

In these cases, our dentist may suggest surgical removal of the vertically impacted tooth to prevent further damage and alleviate any discomfort. 

Horizontal Impactions

Horizontal impactions, whether partially or fully impacted, happen when the tooth lies entirely sideways beneath the gums, pressing against neighboring teeth. This can result in significant pain and damage to the adjacent teeth, making it essential to address horizontal impactions promptly.

Surgical extraction is the recommended course of action for horizontally impacted wisdom teeth. In some cases, it may also be necessary to remove some of the jawbone to extract the impacted tooth successfully. By removing the horizontally impacted tooth, you can prevent further damage to surrounding teeth and alleviate any pain or discomfort associated with the impaction.

Distal Impactions

Distal impactions are relatively rare and occur when the wisdom tooth is angled toward the back of the mouth. The decision to extract a distal impacted tooth depends on the angle of the tooth and the extent of impaction. In some cases, distal impactions may not require extraction, while in others, the tooth’s position could pose a risk to oral health and require removal.

Symptoms of Impacted Wisdom Teeth

The most common symptoms of impacted wisdom teeth include:

• Pain
• Swelling
• Changes in bite
• Difficulty chewing
• A foul taste in the mouth
• Bleeding

In some cases, the pain can range from mild to severe and may be partially or fully localized to the area of the impacted tooth. However, symptoms may not always accompany impacted wisdom teeth. There might be instances where you have an impacted tooth without any discernible signs. This is why regular dental check-ups are crucial.

How Dentists Determine the Type of Tooth Impaction

When you visit our dentist in Hilliard with concerns about a potentially impacted wisdom tooth, they’ll conduct a dental examination and take X-rays to evaluate the tooth’s position and inclination. This information, combined with your reported symptoms, infections, pain, and any damage to surrounding teeth, will help our dentist determine the type of impaction and the most appropriate treatment plan.

By addressing impacted wisdom teeth as soon as possible, you can maintain your oral health and prevent potential issues such as tooth decay, gum disease, and damage to surrounding teeth.