Horizontal Impacted Wisdom Tooth: Signs and Removal

December 30, 2023

Every tooth that erupts from our gums comes out vertically. This is the position that can be useful, as we need the biting surface on top to chew food. But what if they try to erupt horizontally?

Imagine the oral health disaster it can bring! It can be highly painful and inconvenient as food and bacteria will keep trapping and causing your jawbone structure to wear down. Read on to find out how to fight this major threat to your oral well-being.

Impacted Wisdom Tooth Symptoms

No impacted wisdom tooth needs to make its presence known. However, you can be smart enough to observe and figure it out yourself. Some of these symptoms include:

  • Pain or Discomfort (mild to severe)
  • Swelling and Tenderness
  • Red or Bleeding Gums
  • Bad Breath
  • Jaw Pain or Stiffness
  • Headaches
  • Difficulty Opening the Mouth (due to pain and soreness)
  • Earache
  • Unpleasant Taste
  • Sinus Problems (if it involves the upper jaw)

Horizontal Impacted Wisdom Tooth Removal

The removal of an impacted wisdom tooth requires an extraction surgery. It can be performed by a specialized oral surgeon or periodontist. Following is an overview of the required surgical procedure:

1. Evaluation and Diagnosis

It all starts with a thorough examination, with the help of X-rays and imaging methods. This will help your healthcare provider to evaluate the current state of the impacted tooth to plan the extraction.

2. Anesthesia

The removal procedure is performed under anesthesia to ensure the patient’s comfort and minimize pain during the surgery. The type of anesthesia used can vary. It can include local anesthesia, intravenous (IV) sedation, or general anesthesia, depending on the complexity of the case and the patient’s preference.

3. Incision and Tissue Reflection

A small incision is made in the gum tissue concealing the impacted tooth. In the case of a horizontally impacted tooth, it is required to reflect some of the surrounding gum tissue and possibly remove a small amount of bone to access the tooth.

4. Tooth Extraction

Once the impacted tooth is visible, your dentist or surgeon carefully removes it. Extraction can involve sectioning the tooth into smaller pieces for easier removal, especially if the tooth is fully or partially nestled in bone.

5. Wound Closure

After the extraction, the incision is closed with stitches. In some cases, dissolvable stitches are used, while in others, the stitches can require removal by a professional.

Horizontally Impacted Wisdom Tooth Removal Recovery Time

The recovery time post-extraction surgery varies from person to person. The first 24-48 hours can be critical and demand extra care, such as bleeding control. After a week, you can notice a reduction in swelling. You can resume your routine activities after 2-4 weeks. Complete recovery can take a few weeks to months.

Key Takeaway

If an impacted wisdom tooth is troubling you as well, whether vertical or horizontal, seek help from our passionate periodontist Dr. Bader Abdeen at Cypress Periodontics and Dental Implants.

Our versatile doctor not only performs successful extraction procedures but also offers extraction socket preservation. Call us at (281) 677-0222 to schedule a sitting.



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