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An erupting tooth is a condition that can occur in all teeth in the jaw but is most common in canines and wisdom teeth. Recognizing signs are often not too obvious, so it is difficult to detect based on clinical alone. Sometimes the treatment of an erupting tooth is not indicated for removal, depending on the specific case.
1. What is underground teething?
Underground teeth are characterized by growing deep inside the jawbone or just below the gums but cannot separate the gums and emerge. Fully erupted teeth can fully erupt like other normal teeth, but they can also be in the form of a capsule.
Incised teeth can occur in all permanent teeth, in which the most common impacted teeth are wisdom teeth or teeth 8 due to late eruption, lack of space for teeth to emerge and this tooth often erupts misaligned, followed by teeth canines of the upper jaw, premolars of the lower jaw, and the central incisors of the upper jaw. So, at the age of teething, if you find that a certain tooth is missing, it may be due to a tooth loss or an erupting tooth.
The condition of teeth erupting is one of the causes that affects oral health and aesthetics, the fact that the teeth grow underground increases the risk of dental infections, destroys adjacent teeth or damages nerves. terrible.
2. Signs of teeth erupting
Signs that may suggest the condition of teeth erupting such as:
According to the age of teething, the appearance of teeth is later than normal. In some positions where there are baby teeth, baby teeth still exist. No teeth were palpable in the mouth along the alveolar region or abnormally protruding gums appeared when palpating the alveolar bone. Seeing the red swollen gums as a sign of teething but no teeth emerging. Especially common in wisdom teeth growing underground, you often see the wisdom tooth growing area painful, the gums are red and swollen, after a while, you can see it again, but you don't see any teeth protruding, if in the lower jaw position. the higher the risk of underground growth. Pain and sensitivity: But teeth that erupt underground can still grow to the maximum, affecting the surrounding teeth. Leads to pain or sensitivity when chewing. Sometimes these teeth cause nerve damage leading to numbness, pain spreading to the temples and head area. Bad breath and bitter feeling in the mouth: Although it grows underground, the gums are swollen, so it can still cause food particles to be trapped, if not cleaned, this will be an area where many bacteria accumulate, from which causes bad breath, bad breath. Recognizing the status of teeth impacted by clinical signs helps to orient the disease and to determine it is necessary to conduct dental x-rays to determine whether the teeth are impacted and to assess the extent of the teeth.
3. Should teeth be extracted?
Whether or not to extract an erupting tooth depends on many factors, so a thorough examination is necessary to decide whether to extract an erupting tooth or not.
When should not extract teeth erupting?
Extraction of underground teeth is a surgery that requires opening the gums to see the teeth, so there can be many problems like other surgeries, so we only extract underground teeth when it is really necessary. . Some of the following cases we do not need or should not extract underground teeth:
In the case of impacted teeth, there are clinical and subclinical signs after being diagnosed but do not cause or have potential risk of leading For complications, extraction is not necessary. The case of this underground tooth growing in the bone does not cause any pain, so if these teeth are stable and benign, there is no need to have surgery to remove the tooth, because this tooth will stay in the jawbone. permanently unaffected. The cases of impacted teeth, although causing some complications affecting other teeth, but when carefully examined, there is a risk of dangerous complications when performing surgery. At this time, the doctor will carefully consider the benefits, risks and medical treatment, not intervention to extract teeth. When should teeth be extracted?
Extraction of an erupting tooth is only indicated when an erupting tooth has signs of malignancy, affecting the health of the mouth and other teeth, and the strength of the jawbone.
Some cases should have wisdom teeth extracted, including:
Cases of wisdom teeth erupting: Most cases of wisdom teeth erupting are indicated to be extracted, unless it is not possible to proceed. Because they often grow out of place, it can be dangerous for the 7th tooth, leaving it for a long time, leading to the 7th molar will wobble and become weaker. Malignant often erupting teeth: In these cases, the tooth follicle continues to grow, not stopping. As the volume of the jawbone is gradually reduced, the firmness of the jaw is also not good, and it is easy to be injured on impact. Therefore, surgical extraction of underground teeth to help make the self-compensating bone stronger. In case, although the teeth are usually benign, but hinder the treatment of prosthetic implants or hinder the orthodontic treatment, extraction is still indicated.
Thus, if you reach the age of teething, but you do not see enough teeth, you should go to medical facilities to be examined and diagnosed early on the condition of teeth erupting. However, whether or not to remove an erupting tooth depends on many factors that need a full examination to assess the risk factors and benefits of tooth extraction.
Dental - Jaw - Facial - Vinmec International General Hospital specializes in examining and treating all common dental problems in adults and children. The hospital has a team of qualified doctors and dentists and a system of advanced machinery to help support the examination process well and shorten the time.
Therefore, when there is any problem, you can go to the hospital to be checked for appropriate instructions from a specialist doctor. Avoiding leaving for a long time will affect the structure and aesthetics of the teeth.
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