Impacted teeth: what is this pathology and how to fix it

An orthodontist makes such a diagnosis with code K07.3 according to ICD-10 (International Classification of Diseases, 10th revision) if the tooth has erupted with an inclination or displacement, or has completely appeared outside the dental arch. This mainly happens to the lower eighth molars, incisors and canines.

A companion to dystopia can be other anomalies in the position of the teeth - crowding, displaced or open bite, as well as retention.

Reasons for appearance

  • Heredity. If a child inherited, for example, large teeth from his father and a small jaw from his mother, dystopia cannot be avoided. In addition, it can be inherited on its own.
  • Atypical formation of dental tissue primordia in the embryo.
  • Injuries and bad habits: prolonged use of a pacifier, the habit of biting a pencil, etc.
  • Early removal of baby teeth.
  • Peculiarities of eruption time. For example, if fangs appear late, that is, after 9 years, there may no longer be room for them in the arch.
  • Dystopia is often caused by polyodontia (“extra teeth”), macrodentia (abnormally large teeth), partial absence of teeth or a sharp discrepancy between the size of primary and permanent teeth.

Types of dystopia

Depending on how and where the crown is displaced, several types of pathology are distinguished:

  • A tilt towards the vestibule of the mouth means that we are talking about the vestibular position of the dystopic tooth, and if, on the contrary, in the depths of the oral cavity, we are talking about the oral position.
  • When the body of the tooth is completely located outside the arch and moves forward or backward, the dentist will note in the chart the presence of a mesial or distal position, respectively.
  • Is the newbie cutting higher than the rest? – Such an anomaly will be called supraposition. If lower, infra position.
  • Rare anomalies are torto- and transposition. In the first case, the tooth rotates around its axis, in the second, it changes places with its neighbor, for example, a canine takes the place of a premolar.

Depending on which tooth is in the wrong position, dystopia of incisors, canines, molars and premolars or “eights” is distinguished.

Postoperative period - what to do after extraction

Above, we looked at how problem teeth are removed, and now let’s move on to the important question of how to care for the socket and oral cavity after the procedure. This period plays a very important role and requires the patient to responsibly comply with the doctor’s instructions. Otherwise, infection may seep into the wound and cause complications.

So, dental experts provide the following recommendations for oral care after a complex extraction:

  • for the first 3-4 hours you will have to give up eating, drinking and smoking,
  • when carrying out hygienic procedures, including with rinsing solutions prescribed by a doctor, extreme caution must be observed,
  • in the first days it is better to try to chew food on the opposite side,
  • preference should be given to a product that is not too hard at room temperature,
  • You will have to temporarily limit physical activity, give up a hot bath, visit the bathhouse and sauna.


For the first time after removal, you should avoid exercising and eating.
It is very important to monitor the integrity of the blood clot that forms in the socket after the bleeding stops, a couple of hours after the operation. This clot serves as a protective barrier, eliminating the risk of mechanical injury to tissues or infection. Therefore, in the first couple of days, instead of rinsing, you need to do oral baths with the prescribed antiseptic solution. Too intense rinsing and anything that can create a vacuum in the mouth should be banned in the near future.

Dystopic wisdom tooth

The eighth molars are the last to appear, and that is why they are associated with the greatest risk of dystopia.

The bone tissue has already been formed, and often there is no longer room for a newcomer in the dental arch. In addition, any indigenous is preceded by a dairy pioneer who “breaks” the path. The “wise” molar does not have such an assistant, just as there are no neighboring teeth that determine the correct position on the arch.


Dystopic wisdom tooth

Possible complications

A dystopic tooth can injure the oral mucosa, tongue and cheeks, resulting in decubital ulcers.

Anomalies in the position of crowns and malocclusion are a common cause of caries: oral hygiene becomes more complicated, and it is difficult to completely remove plaque and food debris from the interdental spaces.

Another complication is problems with diction and chewing food.

Also, inflammation often occurs above the part of the crown that has not yet erupted - pericoronitis. And in the most difficult cases, the “problem” tooth erupts outside the alveolar arch, which, of course, entails not only serious discomfort, but also diseases of other organs.

ICD-10 (Dentistry)

​The article presents the international classification of diseases, tenth revision, relating to the dental profile.

K00—K14 Diseases of the oral cavity, salivary glands and jaws (click on the appropriate block to expand subcategories)
K00 Disorders of development and eruption of teeth
Excluding: impacted and impacted teeth (K01)

K00.0Edentia
  • hypodontia
  • oligodontia
K00.1Supernumerary teeth
  • distomolar teeth
  • fourth molar
  • mesiodentia (middle tooth)
  • paramolar teeth
  • extra teeth
K00.2Anomalies in the size and shape of teeth
  • fusion of teeth
  • dental fusion
  • germination of teeth
  • protrusion of teeth, “tooth in tooth”, invagination of teeth
  • enamel pearls
  • macrodentia
  • microdentia
  • spear-shaped (conical) teeth
  • "bull's tooth"
  • paramolar accessory cusps

Excluding: Carabelli tubercular anomaly, considered as a normal variant and subject to coding

K00.3Mottled teeth
  • dental fluorosis
  • enamel mottling
  • non-fluorotic darkening of enamel

Excluding: deposits (growths) on teeth (K03.6)

K00.4Tooth formation disorders
  • aplasia and hypoplasia of cement
  • enamel cracks
  • enamel hypoplasia (neonatal, postnatal, prenatal)
  • regional odontodysplasia
  • Turner teeth

Excludes: Hutchinson's incisors and mulberry-shaped molars in congenital syphilis (A50.5), mottled teeth (K00.3)

K00.5Hereditary disorders of dental structure, not classified elsewhere
  • underdevelopment of enamel
  • underdevelopment of dentin
  • underdevelopment of the tooth
  • dentin dysplasia
  • conch teeth
K00.6Teething disorders
  • early teething
  • Natal teeth (erupted at birth)
  • neonatal teeth (in a newborn, erupted prematurely)
  • premature eruption, loss of primary (temporary) teeth
  • delayed change of primary teeth
K00.7Teething syndrome
K00.8Other dental development disorders
  • change in tooth color during formation
  • pronounced staining of teeth NOS (no further specification)
K00.9Dental development disorder, unspecified
  • odontogenesis disorder NOS (not otherwise specified)

K01 Impacted and impacted teeth
Excluding: impacted and impacted teeth with malposition of them or adjacent teeth (K07.3)

K01.0Impacted teeth
An impacted tooth is a tooth that has changed its position during eruption without obstruction from an adjacent tooth.
K01.1Impact teeth
An impact tooth is a tooth that has changed its position during eruption due to an obstacle from an adjacent tooth.

K02 Dental caries

K02.0Enamel caries
  • “chalk spot” stage (initial caries)
K02.1Dentin caries
K02.2Cement caries
K02.3Suspended dental caries
K02.4Odontoclasia
  • childhood melanodentia
  • melanodontoclasia
K02.8Other dental caries
K02.9Dental caries, unspecified

K03 Other diseases of hard dental tissues
Excluding: bruxism, teeth grinding NOS (not otherwise specified) (F45.8), dental caries (K02)

K03.0Increased tooth wear
  • tooth abrasion: aproximal, occlusal
K03.1Grinding of teeth
  • grinding of teeth: caused by tooth powder
  • habitual
  • professional
  • ritual
  • traditional
  • wedge-shaped defect NOS (no further specification)
K03.2Tooth erosion
  • due to: diet
  • medicines and medicines
  • permanent job
  • idiopathic
  • professional
  • NOS (no further details)
K03.3Pathological tooth resorption
  • internal pulp granuloma
  • resorption of hard dental tissues (external)
K03.4Hypercementosis
  • cementum hyperplasia
K03.5Ankylosis of teeth
K03.6Deposits (growths) on teeth
  • subgingival and supragingival calculus
  • deposits (growths) on teeth: betel nuts
  • black
  • green
  • white
  • orange
  • tobacco
  • teeth staining
K03.7Change in color of hard tissues of teeth after eruption
Excluding: deposits (growths) on teeth (K03.6)
K03.8Other specified diseases of dental hard tissues
  • irradiated enamel
  • sensitive dentin

If it is necessary to identify the radiation that caused the injury, use an additional code of external causes (class XX).

K03.9Disease of hard dental tissues, unspecified

K04 Diseases of the pulp and periapical tissues

K04.0Pulpitis
  • pulp abscess and polyp
  • pulpitis: acute
  • chronic (hyperplastic, ulcerative)
  • purulent
K04.1Pulp necrosis
  • pulp gangrene
K04.2Pulp degeneration
  • denticles
  • pulp calcifications and stones
K04.3Improper formation of hard tissue in the pulp
  • formation of secondary, or irregular, dentin
K04.4Acute apical periodontitis of pulpal origin
  • acute apical periodontitis NOS (not otherwise specified)
K04.5Chronic apical periodontitis
  • apical or periapical granuloma
  • apical periodontitis NOS (not otherwise specified)
K04.6Periapical abscess with cavity
  • dental abscess with cavity
  • dentoalveolar abscess with cavity
K04.7Periapical abscess without cavity
  • dental abscess NOS (not otherwise specified)
  • dentoalveolar abscess NOS (not otherwise specified)
  • periapical abscess NOS (not otherwise specified)
K04.8Root cyst
  • apical (periodontal) cyst
  • periapical cyst
  • residual root cyst

Excludes: periodontal lateral cyst (K09.0)

K04.9Other and unspecified diseases of the pulp and periapical tissues

K05 Gingivitis and periodontal diseases

K05.0Acute gingivitis
Excludes: acute necrotizing ulcerative gingivitis (A69.1), gingivostomatitis caused by herpes simplex virus (B00.2)
K05.1Chronic gingivitis
  • desquamative
  • hyperplastic
  • simple marginal
  • ulcerative
  • NOS (no further details)
K05.2Acute periodontitis
  • acute pericoronitis
  • periodontal abscess
  • periodontal abscess

Excluding:

  • acute apical periodontitis of pulpal origin (K04.4)
  • periapical abscess (K04.7)
  • periapical abscess with cavity (K04.6)
K05.3Chronic periodontitis
  • chronic pericoronitis
  • periodontitis: simple
  • difficult
  • NOS (no further details)
K05.4Periodontal disease
  • juvenile periodontal disease
K05.5Other periodontal diseases
K05.6Periodontal disease, unspecified

K06 Other changes in the gingiva and edentulous alveolar margin
Excluding: atrophy of the edentulous alveolar margin (K08.2), gingivitis: acute (K05.0), chronic, NOS (not otherwise specified) (K05.1)

K06.0Gum recession
  • gum recession (generalized, local, post-infectious, post-operative)
K06.1Gingival hypertrophy
  • gingival fibromatosis
K06.2Lesions of the gums and edentulous alveolar margin caused by trauma.
If necessary, identify the cause, use an additional code for external causes (class XX)
K06.8Other specified changes in the gingiva and edentulous alveolar margin
  • fibrous epulis
  • atrophic ridge
  • giant cell epulis
  • giant cell peripheral granuloma
  • pyogenic granuloma of the gums
K06.9Changes in the gingiva and edentulous alveolar margin, unspecified

K07 Maxillofacial anomalies (including malocclusions)
Excludes: atrophy and hypertrophy of the half of the face (Q67.4), unilateral condylar hyperplasia or hypoplasia (K10.8)

K07.0Main anomalies in jaw size
  • hyperplasia, hypoplasia (lower and upper jaw)
  • macrognathia (lower and upper jaw)
  • micrognathia (lower and upper jaw)

Excludes: acromegaly (E22.0), Robin's syndrome (Q87.0)

K07.1Anomalies of maxillo-cranial relationships
  • jaw asymmetry
  • prognathia (lower and upper jaw)
  • retrognathia (lower and upper jaw)
K07.2Anomalies of dental arch relationships
  • displaced bite (anterior, posterior)
  • distal bite
  • mesial bite
  • displacement of dental arches from the midline
  • open bite (anterior, posterior)
  • overbite: deep
  • horizontal
  • vertical
  • fan-shaped bite
  • posterior lingual bite of the lower teeth
K07.3Anomalies of teeth position
  • crowding of the tooth(s)
  • diastema of the tooth (teeth)
  • displacement of tooth(s)
  • rotation of tooth(s)
  • violation of interdental spaces
  • transposition of tooth(s)
  • Impacted or impacted teeth with improper positioning of them or adjacent teeth

Excludes: impacted and impacted teeth with normal position (K01)

K07.4Malocclusion, unspecified
K07.5Maxillofacial anomalies of functional origin
  • improper jaw closure
  • malocclusion: due to disturbances in swallowing, mouth breathing, tongue, lip or finger sucking

Excludes: bruxism, teeth grinding NOS (not otherwise specified) (F45.8)

K07.6Temporomandibular joint diseases
  • syndrome, or complex, Kosten
  • Looseness of the temporomandibular joint
  • "clicking" jaw
  • temporomandibular joint pain dysfunction syndrome

Excludes: current case of jaw dislocation (S03.0), sprain and strain of jaw joint(s) (S03.4)

K07.8Other maxillofacial anomalies
K07.9Maxillofacial anomaly, unspecified

K08 Other changes in teeth and their supporting apparatus

K08.0Exfoliation of teeth due to systemic disorders
K08.1Loss of teeth due to accident, extraction or localized periodontal disease
K08.2Atrophy of the edentulous alveolar margin
K08.3Delayed tooth root (retentive root)
K08.8Other specified changes in teeth and their supporting apparatus
  • hypertrophy of the alveolar margin NOS (not otherwise specified)
  • irregular shape of the alveolar process
  • toothache NOS (not otherwise specified)
K08.9Changes in teeth and their supporting apparatus, unspecified

K09 Cysts of the oral region, not elsewhere classified
Including: lesions with histological features of an aneurysmal cyst and other fibro-osseous lesion Excluding: radicular cyst (K04.8)

K09.0Cysts formed during the formation of teeth
  • cyst: containing teeth
  • formed during teething
  • follicular
  • gums
  • lateral periodontal
  • rudimentary
  • horny cyst
K09.1Growth (non-odontogenic) cysts of the mouth area
  • globulomaxillary cyst (maxillary sinus cyst)
  • incisor canal cyst
  • midpalatal cyst
  • nasopalatine cyst
  • palatine papillary cyst
K09.2Other jaw cysts
  • jaw cyst: aneurysmal, hemorrhagic, traumatic, NOS (not otherwise specified)

Excludes: occult bone cyst of the jaw, Stafne cyst (K10.0)

K09.8Other specified cysts of the oral area, not classified elsewhere
  • oral dermoid cyst
  • epidermoid cyst of the oral cavity
  • lymphoepithelial cyst of the oral cavity
  • Epstein's pearl
  • nasoalveolar cyst
  • nasolabial cyst
K09.9Oral cyst, unspecified

K10 Other jaw diseases

K10.0Jaw development disorders
  • hidden bone cyst of the jaw
  • Stafne cyst
  • torus of the mandible and hard palate
K10.1Giant cell granuloma, central
  • giant cell granuloma NOS (not otherwise specified)

Excludes: peripheral giant cell granuloma (K06.8)

K10.2Inflammatory diseases of the jaws
  • Osteitis of the jaw (acute, chronic, purulent)
  • osteomyelitis (neonatal) of the jaw (acute, chronic, purulent)
  • radiation osteonecrosis of the jaw (acute, chronic, purulent)
  • periostitis of the jaw (acute, chronic, purulent)
  • jawbone sequestration

If necessary, identify the radiation that caused the injury, use an additional code of external causes (class XX)

K10.3Alveolitis of the jaws
  • alveolar osteitis
  • dry socket
K10.8Other specified diseases of the jaws
  • Cherubism
  • exostosis of the jaw
  • fibrous dysplasia of the jaw
  • unilateral condylar hyperplasia, unilateral condylar hypoplasia
K10.9Disease of the jaw, unspecified

K11 Diseases of the salivary glands

K11.0Salivary gland atrophy
K11.1Salivary gland hypertrophy
K11.2Sialadenitis
Excludes: mumps (B26), Hereford uveoparotid fever (D86.8)
K11.3Salivary gland abscess
K11.4Salivary gland fistula
Ex: congenital salivary gland fistula (Q38.4)
K11.5Sialolithiasis
  • salivary gland or duct stones
K11.6Salivary gland mucocele
  • mucous cyst of the salivary gland with exudate, mucous retention cyst of the salivary gland
  • ranula
K11.7Disorders of the secretion of the salivary glands
  • hypoptialism
  • ptyalism
  • xerostomia

Excludes: dry mouth NOS (R68.2)

K11.8Other diseases of the salivary glands
  • benign lymphoepithelial lesion of the salivary gland
  • Mikulicz's disease
  • necrotizing sialometaplasia
  • sialectasia
  • salivary duct stenosis
  • narrowing of the salivary duct

Excludes: sicca syndrome (Sjögren's disease) (M35.0)

K11.9Salivary gland disease, unspecified
  • sialoadenopathy NOS (not otherwise specified)

K12 Stomatitis and related lesions
Excluding:

  • decaying mouth ulcer, gangrenous stomatitis, noma (A69.0)
  • cheilitis (K13.0)
  • gingivostomatitis caused by herpes simplex virus (B00.2)
K12.0Recurrent oral aphthae
  • aphthous stomatitis (large, small)
  • Bednar's aphthae
  • recurrent muconecrotizing periadenitis
  • recurrent aphthous ulcer
  • stomatitis herpetiformis
K12.1Other forms of stomatitis
  • dental stomatitis
  • ulcerative stomatitis
  • vesicular stomatitis
  • stomatitis NOS (not otherwise specified)
K12.2Cellulitis and oral abscess
  • inflammation of the tissue of the oral cavity (bottom)
  • abscess of the submandibular region

Excluding:

  • periapical abscess (K04.6—K04.7)
  • periodontal abscess (K05.2)
  • peritonsillar abscess (J36)
  • salivary gland abscess (K11.3)
  • tongue abscess (K14.0)

K13 Other diseases of the lips and oral mucosa
Including: changes in the epithelium of the tongue Excluding:

  • some changes in the gingiva and edentulous alveolar margin (K05-K06)
  • cysts of the mouth area (K09)
  • tongue diseases (K14)
  • stomatitis and related lesions (K12)
K13.0Lip diseases
  • angular cheilitis
  • exfoliative
  • glandular
  • NOS (no further details)
  • cheilodynia
  • cheilosis
  • lip commissure fissure (jam) NOS (not otherwise specified)
  • Excluding:

    • ariboflavinosis (E53.0)
    • Radiation-associated cheilitis (L55–L59)
    • fissure of the commissure of the lips (jam): due to candidiasis (B37.8), due to riboflavin deficiency (E53.0)
K13.1Biting cheeks and lips
K13.2Leukoplakia and other changes in the oral epithelium, including the tongue
  • erythroplakia of the oral epithelium, including the tongue
  • leukedema of the oral epithelium, including the tongue
  • nicotinic leukokeratosis of the palate
  • smoker's sky

Excludes: hairy leukoplakia (K13.3)

K13.3Hairy leukoplakia
K13.4Granuloma and granuloma-like lesions of the oral mucosa
  • eosinophilic granuloma of the oral mucosa
  • pyogenic granuloma of the oral mucosa
  • verrucous xanthoma of the oral mucosa
K13.5Submucosal fibrosis of the oral cavity
  • submucosal fibrosis of the tongue
K13.6Hyperplasia of the oral mucosa due to irritation
Excludes: hyperplasia of the edentulous alveolar margin due to irritation (denture hyperplasia) (K06.2)
K13.7Other and unspecified lesions of the oral mucosa
  • focal oral mucinosis

K14 Diseases of the tongue
Excluding:

  • erythroplakia, focal epithelial hyperplasia, leukedema, leukoplakia of the tongue (K13.2)
  • hairy leukoplakia (K13.3)
  • congenital macroglossia (Q38.2)
  • submucosal fibrosis of the tongue (K13.5)
K14.0Glossitis
  • tongue abscess
  • ulceration of the tongue (traumatic)

Excludes: atrophic glossitis (K14.4)

K14.1"Geographical" language
  • benign migratory glossitis
  • exfoliative glossitis
K14.2Median rhomboid glossitis
K14.3Hypertrophy of the tongue papillae
  • glossophytia ("black hairy tongue")
  • coated tongue
  • hypertrophy of foliate papillae
  • lingua villosa nigra
K14.4Atrophy of the tongue papillae
  • atrophic glossitis
K14.5Folded tongue
  • cleft tongue
  • grooved tongue
  • wrinkled tongue

Excludes: congenital cleft tongue (Q38.3)

K14.6Glossodynia
  • burning sensation in tongue
  • glossalgia
K14.8Other tongue diseases
  • tongue atrophy
  • serrated tongue
  • enlarged tongue
  • hypertrophied tongue
K14.9Tongue disease, unspecified
  • glossopathy NOS (not otherwise specified)

Dental diseases from other sections.

A69.0Necrotizing ulcerative stomatitis
  • Gangrenous stomatitis
  • Fusospirochetous gangrene
  • Noma
  • Fast-breaking oral ulcers
A69.1Other Vincent infections - Fusospirochetous pharyngitis - Necrotizing ulcerative (acute): • gingivitis • gingivostomatitis - Spirochetal stomatitis - Vincent's ulcerative film sore throat: • tonsillitis • gingivitis
B00.2Herpetic gingivostomatitis and pharyngotonsillitis
B26Parotitis:
  • Mumps orchitis
  • Mumps meningitis
  • Mumps encephalitis
  • Mumps pancreatitis
  • Mumps with other complications
  • Mumps, uncomplicated
B37.8Candidiasis of other localizations
Candidiasis: • cheilitis • enteritis
D86.8Sarcoidosis of other specified and combined localizations:
  • Iridocyclitis in sarcoidosis
  • Multiple cranial nerve palsies in sarcoidosis
  • Sarcoid: arthropathy, myocarditis, myositis
  • Uveoparotitic fever, Herfordt's disease
E22.0Acromegaly and pituitary gigantism
Excluded:
  1. hypersecretion of growth hormone releasing hormone
  2. constitutional:
  • high growth
  • gigantism
E53.0Riboflavin deficiency
  • Ariboflavinosis
F45.8Any other disturbances in sensation, function, and behavior that are not associated with physical disorders and that are not mediated through the autonomic nervous system are limited to specific systems or parts of the body and are closely related in time to stressful events or problems. Psychogenic:
  • dysmenorrhea
  • dysphagia, including "globus hystericus"
  • itching
  • torticollis
  • teeth grinding
J36Peritonsillar abscess
  • Tonsil abscess
  • Peritonsillar cellulitis
  • Quincy

Excluded:

  • retropharyngeal abscess
  • tonsillitis: • NOS (not otherwise specified) • acute [tonsillitis] • chronic
L55—L59Diseases of the skin and subcutaneous tissue associated with exposure to radiation
  • L55 Sunburn
  • L56 Other acute skin changes caused by ultraviolet radiation
  • L57 Skin changes caused by chronic exposure to non-ionizing radiation
  • L58 Radiation dermatitis
  • L59 Other diseases of the skin and subcutaneous tissue associated with radiation
M35.0Sicca Sjögren's syndrome
Sjögren's syndrome with:
  • keratoconjunctivitis
  • lung damage
  • myopathy
  • tubulointerstitial kidney damage
Q38.2Macroglossia
Q38.3Other congenital abnormalities of the tongue
  • Aglossia
  • Forked tongue
  • Congenital: • tongue commissure • tongue fissure • tongue anomaly NOS
  • Hypoglossia
  • Tongue hypoplasia
  • Microglossia
Q38.4Congenital anomalies of the salivary glands and ducts:
  • Absence of salivary gland or duct
  • Accessory salivary gland
  • Atresia of the salivary gland or duct
  • Congenital fistula of the salivary gland
Q67.4Other congenital deformities of the skull, face and jaw
Q87.0Syndromes of congenital anomalies affecting primarily the appearance of the face
  • Acrocephalopolysyndactyly
  • Acrocephalosyndactyly [Aperta]
  • Cryptophthalmos syndrome
  • Cyclopia
  • Goldenhar syndrome
  • Mobius syndrome
  • oro-facial-digital syndrome
  • Robin syndrome
  • Treacher Collins
  • The face of a whistling man
R68.2Dry mouth, unspecified
Excluded:

decreased secretion of salivary glands (K11.7)

dry mouth caused by:

  • dehydration
  • sicca [Sjögren's] syndrome
S03.0Jaw dislocation:
  • Jaw (cartilage) (meniscus)
  • Lower jaw
  • Temporomandibular joint
S03.4Sprain and strain of the joint (ligaments) of the jaw
Temporomandibular joint (ligament)
class XXExternal causes of morbidity and mortality:
  • Pedestrian injured in a traffic accident
  • Cyclist injured in a traffic accident
  • Motorcyclist injured in a traffic accident
  • Occupant of a three-wheeled motor vehicle injured in a traffic accident
  • A person who was in a car and was injured as a result of a transport accident
  • An occupant of a pickup truck or van who is injured in a transportation accident
  • Person who was in a heavy truck and was injured as a result of a transport accident
  • A person on a bus who was injured in a traffic accident
  • Accidents involving other land vehicles
  • Water transport accidents
  • Accidents in air transport and space flights
  • Other and unspecified transport accidents
  • Falls
  • Impact of non-living mechanical forces
  • Impact of living mechanical forces
  • Accidental drowning and submersion
  • Other respiratory hazards
  • Accidents caused by electrical current, radiation and extreme levels of ambient temperature or atmospheric pressure
  • Exposure to smoke, fire and flames
  • Contact with hot and incandescent substances (objects)
  • Contact with poisonous animals and plants
  • Impact of the forces of nature
  • Accidental poisoning and exposure to toxic substances
  • Overexertion, travel and hardship
  • Accidental exposure to other and unspecified factors
  • Deliberate self-harm
  • Attack
  • Damage with uncertain intent
  • Legal actions and military operations
  • Drugs, medications and biological substances that cause adverse reactions during therapeutic use
  • Accidental harm to a patient during therapeutic and surgical interventions
  • Medical devices and devices associated with accidents arising from their use for diagnostic and therapeutic purposes
  • Surgical and other medical procedures as the cause of an abnormal response or late complication in a patient without mention of accidental harm during their performance
  • Consequences of external causes of morbidity and mortality

Treatment of dystopia

The method of therapy depends on the condition of the dystopic tooth and its useful load. Sometimes it is enough just to polish the sharp edges and give it a shape that will not injure the mucous membrane.

Most often, when a tooth is in an incorrect position, they resort to orthodontic treatment methods. Braces allow you to cope with serious malocclusions. If there is no room for a tooth, and this is, for example, a canine that is important from the point of view of functionality and aesthetics, then you will have to remove its neighbors and only then begin orthodontic treatment.


Treatment of dystopia with braces

When to remove a dystopic tooth

Removal is not a pleasant procedure, and therefore is always a last resort. It is used in the following cases:

  • in the presence of pulpitis, periodontitis or cysts;
  • if it is a wisdom tooth complicating the treatment of caries of the seventh molars;
  • when the anomaly is accompanied by osteomyelitis or periostitis;
  • if surrounding tissues are seriously injured.

If there are no such indications, the dentist will do everything possible to save the dystopic tooth. Note that it is optimal to undergo treatment before the end of growth of the facial skeleton, that is, up to 14-16 years. In this case, you will see results faster, and they will be noticeably better than if you consult a specialist later.

Find out what retention is fraught with and how to eliminate it.

Diagnostics

In most cases, pathological tooth root resorption is asymptomatic and is detected during routine radiographic examination. At the present stage, the number of detected resorptions has increased due to the introduction of cone beam computed tomography (CBCT).

In his study, K. Aziz [9] proved that a two-dimensional image often does not reflect the true nature or extent of the resorptive process.

K. Vasconcelos [67] in his report indicates that CBCT helps to determine the presence and topography of the resorptive area of ​​the root, which determines treatment tactics.

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