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How to Determine If Impacted Teeth Need Surgery?

Impacted teeth can be a common dental concern for many individuals. When a tooth fails to emerge fully or is blocked by other teeth, it becomes impacted. This condition can lead to various complications if left untreated. One of the primary questions that individuals with impacted teeth may have is whether or not surgery is necessary. In this blog, we will explore the factors that determine whether impacted teeth require surgery and how you can know if you need it.

Before delving into the need for surgery, it’s essential to understand the concept of impacted teeth. Teeth can become impacted when they are unable to break through the gums due to lack of space or other obstructive factors. Wisdom teeth are a common example of impacted teeth. These are the third set of molars at the back of your mouth that typically emerge between the ages of 17 and 25. However, due to evolutionary changes in diet and jaw structure, wisdom teeth often lack sufficient space to grow properly.

Signs and Symptoms

The presence of impacted teeth can exhibit various signs and symptoms, indicating the need for intervention. While not all impacted teeth will require surgery, it’s crucial to recognize these indicators:

  • Pain and Discomfort: Impacted teeth can cause pain, discomfort, and tenderness in the jaw, especially around the affected area.
  • Swelling and Redness: Swelling, redness, or inflammation of the gums near the impacted tooth may occur.
  • Difficulty Chewing: Impacted teeth can make it challenging to chew properly, leading to discomfort while eating.
  • Bad Breath: Partially emerged impacted teeth can create pockets where food particles and bacteria accumulate, leading to bad breath.
  • Headaches: If impacted teeth cause misalignment or pressure on adjacent teeth, it could result in headaches or migraines.
  • Infections: Bacterial growth around an impacted tooth can lead to infections, causing pain and potential systemic issues if not treated promptly.
  • Changes in Bite: Impacted teeth can disrupt your bite alignment, leading to an uneven bite pattern.


Assessment by a Dental Professional

While the signs and symptoms mentioned above may indicate a need for surgical intervention, only a qualified dental professional can determine the necessity of surgery. A thorough examination, which may include X-rays and other imaging techniques, will help the dentist assess the severity of the impaction, its impact on surrounding teeth, and overall oral health.

Types of Impactions

There are different types of impacted teeth, each requiring a different approach:

  • Soft Tissue Impaction: In this case, the tooth is covered by gum tissue and has not penetrated the gumline. Surgery is often required to expose the tooth and aid its eruption.
  • Partial Bony Impaction: The tooth has partially broken through the jawbone but hasn’t fully emerged. Surgery may be necessary to remove the obstructing bone and assist the tooth’s proper growth.
  • Complete Bony Impaction: The tooth is entirely encased within the jawbone. Surgical removal might be necessary to prevent complications.
  • Mesioangular Impaction: The tooth is angled towards the front of the mouth. Depending on the angle and potential for future issues, surgery may be recommended.
  • Horizontal Impaction: The tooth is positioned horizontally within the jawbone. Surgery is often required to prevent damage to adjacent teeth and surrounding structures.


Benefits of Surgical Intervention

While the decision for surgical intervention ultimately lies with the dental professional, there are several benefits to consider:

  • Pain Relief: Surgery can alleviate the discomfort and pain associated with impacted teeth.
  • Prevention of Complications: Surgical removal can prevent potential infections, damage to adjacent teeth, and other oral health issues.
  • Improved Oral Health: Removing impacted teeth can contribute to better oral hygiene and prevent bad breath caused by bacterial accumulation.
  • Orthodontic Considerations: Impacted teeth can disrupt orthodontic treatment. Surgical removal may be necessary to ensure successful orthodontic outcomes.


In conclusion, impacted teeth can lead to a range of uncomfortable symptoms and potential complications. While not all impacted teeth require surgery, it’s important to recognize the signs and symptoms and seek professional advice. A dental professional’s assessment, including X-rays and examinations, is crucial in determining whether surgical intervention is necessary. Early detection and timely treatment can help prevent further oral health issues and ensure a healthier smile in the long run. If you suspect you have impacted teeth, consult with GLOJAS experts for a comprehensive evaluation and personalized guidance on the most suitable course of action.

At Glojas, we welcome clients to reach out to us directly to schedule a free initial consultation. We offer guidance and valuable insights on how best to address your specific challenges. Let us assist you in navigating your journey with confidence and clarity.

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