Skip to main content

Unerupted and Impacted Teeth: A Guide for Assessment and Treatment

  • Chapter
  • First Online:

Abstract

This chapter provides a comprehensive review of patient assessment and treatment recommendations for patients with unerupted and/or impacted teeth. Risk assessment for treatment options is provided.

How often have I said to you that when you have eliminated the impossible, whatever remains, however improbable, must be the truth.

—The Sign of the Four

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Al-Shimari F, Chandra S, Oda D. Adenomatoid odontogenic tumor: case series of 14 with wide range of clinical presentation. J Clin Exp Dent. 2017;9(11):e1315–21. https://doi.org/10.4317/jced.54216. eCollection 2017 Nov

    Article  PubMed  PubMed Central  Google Scholar 

  • Anon. n.d.

    Google Scholar 

  • Assael LA. Impacted teeth: reflections on Curran, Kugelberg, and Rood. J Oral Maxillofac Surg. 2002;60:611–2.

    Article  Google Scholar 

  • Beeman CS. Third molar management: a case for routine removal in adolescent and young adult orthodontic patients. J Oral Maxillofac Surg. 1999;57(7):824–30.

    Article  Google Scholar 

  • Blakey G, Marciani R, Haug R, Offenbacher S, Phillips C, White R. Periodontal pathology in patients with asymptomatic third molars. J Oral Maxillofac Surg. 2002;60:1227.

    Article  Google Scholar 

  • Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database Syst Rev. 2014;(7):CD004345. https://doi.org/10.1002/14651858.CD004345.pub2.

  • Curran AE, Damm DD, Drummond JF. Pathologically significant pericoronal lesions in adults. J Oral Maxillofac Surg. 2002;60:613–7.

    Article  Google Scholar 

  • Gorecki P, Rainsford KD, Taneja P, Bulsara Y, Pearson D, Saund D, Ahmed B, Dietrich T. Submucosal diclofenac for acute postoperative pain in third molar surgery: a randomized, controlled clinical trial. J Dent Res. 2018;97:381–7. https://doi.org/10.1177/0022034517744207. [Epub ahead of print]

    Article  PubMed  Google Scholar 

  • Hasegawa Y, Terada K, Kageyama I, Tsuchimochi T, Ishikawa F, Nakahara S. Influence of third molar space on angulation and dental arch crowding. Odontology. 2013;101(1):22–8. https://doi.org/10.1007/s10266-012-0065-2. Epub 25 Apr 2012

    Article  PubMed  Google Scholar 

  • Hugoson A, Kugelberg CE. The prevalence of third molars in a Swedish population. An epidemiological study. Community Dent Health. 1988;2:121–38.

    Google Scholar 

  • Kim H, Oh JK, Kim MK, Bae K, Choi H. Reduced antibiotic prescription rates following physician-targeted interventions in a dental practice. Acta Odontol Scand. 2018;76:204–11. https://doi.org/10.1080/00016357.2017.1402209. [Epub ahead of print]

    Article  PubMed  Google Scholar 

  • Kugelberg CF, Ahlstrom U, Ericson S, Hugoson A, Kvint S. Periodontal Healing after impacted lower third molar surgery in adolescents and adults. A prospective study. Int J Oral Maxillofac Surg. 1991;20(1):18–24.

    Article  Google Scholar 

  • Magkavali-Trikka P, Emmanouilidis G, Papadopoulos MA. Mandibular molar uprighting using orthodontic miniscrew implants: a systematic review. Prog Orthod. 2018;19(1):1. https://doi.org/10.1186/s40510-017-0200-2. Review

    Article  PubMed  PubMed Central  Google Scholar 

  • Maglione M, Costantinides F, Bazzocchi G. Classification of impacted mandibular third molars on cone-beam CT imagesJ. Clin Exp Dent. 2015;7(2):e224–31. https://doi.org/10.4317/jced.51984. Published online 1 Apr 2015

    Article  Google Scholar 

  • McBean M, Miloro M. Characteristics of supernumerary teeth in nonsyndromic population in an Urban Dental School Setting. J Oral Maxillofac Surg. 2018;76:933–8. https://doi.org/10.1016/j.joms.2017.10.013. [Epub ahead of print]

    Article  Google Scholar 

  • Morrow A, Dodson T, Gonzalez M, Chuang S, Lang M. Do postoperative antibiotics decrease the frequency of inflammatory complications following third molar removal. J Oral Maxillofac Surg. 2018;76:700–8. https://doi.org/10.1016/j.joms.2017.12.001. [Epub ahead of print]

    Article  PubMed  Google Scholar 

  • Moss K, Ruvo A, Mauriello S, Offenbacher S, White R, Beck J. Reliability of third molar probing measures and the systemic impact of third molar periodontal pathology. J Oral Maxillofac Surg. 2006;64:652–8.

    Article  Google Scholar 

  • Ottria L, Luciani F, Piva P, Alagna A, Arcuri C, Bartuli F. The flap recovery on the impacted lower third molar surgery comparing 3 different flap designs, a clinical study. Oral Implantol (Rome). 2017;10(3):270–5. https://doi.org/10.11138/orl/2017.10.3.270. eCollection 2017 Jul-Sep

    Article  Google Scholar 

  • Pell GJ, Gregory BT. Impacted mandibular third molars: classification and modified techniques for removal. Dent Dig. 1933;39:330–8.

    Google Scholar 

  • Piecuch JF, Arzadon J, Lieblich SE. Prophylactic antibiotics for 3rd molar surgery—a supportive opinion. J Oral Maxillofac Surg. 1995;53(1):53–60.

    Article  Google Scholar 

  • Plaisance F, Kerbrat JB, Goudot P. Three-dimensional reconstructions of CT scans and cone beam CT of impacted maxillary canines in order to locate areas of ankylosis before orthodontic traction. Int Orthod. 2017;15(4):575–87. https://doi.org/10.1016/j.ortho.2017.09.009. Epub 4 Nov 2017

    Article  PubMed  Google Scholar 

  • Ricketts R. A principle of arcial growth of the mandible. Angle Orthod. 1972;42(4):368–86.

    PubMed  Google Scholar 

  • Schwartz-Arad D, Lipovsky A, Pardo M, Adut O, Dolev E. Interpretations of complications following third molar extraction. Quintessence Int. 2017;21:41–7. https://doi.org/10.3290/j.qi.a39334. [Epub ahead of print]

    Article  Google Scholar 

  • Socransky SS, Haffajee AD. Dental biofilms difficult therapeutic targets. Periodontology 2000. 2002;28:12.

    Article  Google Scholar 

  • White R, Offenbacher S, Phillips C, Haug R, Blakey G, Marciani R. Inflammatory mediators and periodontitis in patients with asymptomatic third molars. J Oral Maxillofac Surg. 2002;60:1241.

    Article  Google Scholar 

  • Wower V, Nielsen HO. The fate of impacted lower third molars after the age of 20. A four-year clinical follow-up. Int J oral Maxillofac Surg. 1989;18:277–80.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Leon A. Assael .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Assael, L.A. (2019). Unerupted and Impacted Teeth: A Guide for Assessment and Treatment. In: Ferneini, E., Goupil, M. (eds) Evidence-Based Oral Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91361-2_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-91361-2_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91360-5

  • Online ISBN: 978-3-319-91361-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics