An impacted tooth can be any tooth, but for 3rd molar is a very common problem at age of 19-26years, but this problem can come at any age(after 17years) if the 3rd molar tooth is impacted or partially impacted. You may get a very painful experience for wisdom tooth; this pain can commonly migrate to Head, Ear, and neck. If may experience tooth pain, whether sharp and throbbing or dull and ache, with swelling, it can be difficult to bite and chew, concentrate, get through the day, even sleep at night.



What is Wisdom tooth?
Wisdom teeth grow in at the back of the mouth upper and lower jaw, behind your molars, it’s the 3rd & last molar tooth. A wisdom tooth can cause pain at the time of eruption or if it is impacted or partially impacted.

What is Impacted Tooth?
Impacted tooth a tooth, which got blocked inside the gum line & it’s an un-erupted tooth. Patients frequently develop problems with impacted 3rd molar (wisdom) teeth, but any tooth can be impacted, other canine & premolar is generally seen. For 3rd molar tooth fully impacted or partially impacted is seen, but generally for canine & premolar fully impacted is seen. These teeth get stuck in the back of the jaw and didn’t get a place to erupt can develop painful infections.

Common Classification of impacted tooth: Depending on the angulation the tooth might be classified as:

  • Mesioangular
  • Horizontal
  • Vertical
  • Distoangular
  • Buccal
  • Lingual
  • Palatal

Wisdom(3rd Molar) Impacted tooth Sign & Symptoms, It can include:

  • Localized pain & swelling
  • Pain can commonly migrate to Head, Ear, and neck
  • Swelling of the gum, face & overlying tissue after getting an infection
  • Pain when chewing or biting
  • Swelling, Pus formation & difficult to swallow
  • Difficulty opening your jaw, Pain when you open your mouth
  • Bad breath or Halitosis
  • A bad taste in the mouth
  • Pain can occur for few days and then disappear. It can come back.
  • Swelling & tenderness of gland
  • Sometime it may cause Abscess and Tumour and cyst

Impacted tooth other than Wisdom(3rd Molar) Sign & Symptoms, It can include:

  • If a tooth is impacted, then generally fully impacted is seen.
  • Pain & swelling, generally difficult to identify the origin of pain, misunderstood with other pain.
  • Pain can commonly migrate to Head, Ear, and neck
  • Swelling & tenderness of gland
  • Sometime it may cause Abscess and Tumour and cyst

What are the Consequences of Impacted teeth?
• Pain & Swelling
• It can badly affect the adjacent tooth, can cause caries, infection & pain.

• Trismus – Difficulty opening your jaw, it also can cause  Paresthesia(Numbness of some area).

• Sometime it may cause Abscess and Tumour and cyst. A chronic traumatic ulcer can cause Cancer or any other infection & complication.

Diagnosis of Wisdom Tooth Pain :
• Clinic Diagnosis- Your dentist will examine the problem area.
• A doctor will take X-rays. Small IOPAR X-rays or OPG X-ray is Generally advised. It can show where your wisdom teeth are and if they are impacted or not. If a tooth is fully impacted then it only can be identified by X-ray, with clinical examination it can’t be identified.

Treatments of Wisdom tooth pain :
• for Partially impacted tooth advised rinsing with warm salted water 3-4times/day. Betadine or Chlorhexidine mouthwash can be used with warm salted water & rinse twice daily for 1week. It helps to reduce infection so fast.
• If you are facing a problem with your Wisdom tooth then immediately visit Dentist for proper treatment.
• Tab Paracetamol 500 MG + Aceclofenac 100 MG(this is adult dose, for a normal person) helps to reduce the pain temporary. With this proper Antibiotic, the dose is needed.
• Treatment will be depending on the condition, diagnosis & age of the patient. If a tooth is partially impacted & gum is overlapping on tooth then gum can be surgically removed, it can help to reduce the problems. If any wisdom tooth causes chronic trauma(Traumatic Ulcer), then get the proper treatment, any chronic trauma later can cause Cancer or any other infection & complication.
• If a wisdom tooth is creating a problem and if a tooth is impacted or partially impacted & if it is inside the bone then permanent treatment will be the surgical removed the wisdom tooth. But if tooth fully impacted then an incision can also be from outside.

Impacted tooth Surgical removal

Author: Dr. Anuran Ghosh Mondal, Howrah, West Bengal, India

Mob: 9432580313/ 8961669091


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