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You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Dr. HJ Turner and Dr. DJ Turner at our Spartanburg, SC office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

Healthy teeth make you happy to share your smile with the world. But there’s more to your smile than its beauty! There’s a lot of hard work going on, too.

Teeth Are Designed for Healthy Eating

Humans are omnivores, which means we can eat both meat and plants. That’s why our teeth have different shapes—they’re designed to help us eat different kinds of food. 

• Incisors, our front teeth, have sharper edges to help cut through meats and other harder foods when we bite.
• Canines, the pointed teeth, help tear food into bite-size bits.
• Premolars are flat topped and have two cusps, or raised points, which help grind food. 
• Molars are the flat-topped teeth in the back of the mouth. They have four cusps to grind and crush food into a paste. 

So: Incisors and canines bite and tear food into smaller pieces, and then molars and premolars crush and grind those pieces into a paste. Bite, tear, crush, grind—that’s a lot of work! But it’s the key to healthy digestion. 

Chewing is the first step in digestion. Digestion means breaking down our food into parts which our bodies can use as fuel to grow. When you chew your food well, it’s easier for your body to break that food down, to swallow it, and to get the proteins, vitamins, and minerals in your healthy diet. 

But when your teeth hurt, it’s hard to chew food well, which makes digestion harder and sometimes uncomfortable. To get the most from your healthy diet, you need healthy teeth!

Teeth Have Other Important Jobs, Too

• They Help Us Speak

Our teeth work with our tongues and lips to form many of the sounds which make up speech. Try saying the word “teeth,” and see how your tongue and teeth work together!

• They Help Shape Our Faces

Our teeth look great in smiles. But there’s more! Your teeth and the way they fit together in your jaw help shape the look of your chin, lips, cheeks, and the front and sides of your face. 

• They Help Make a Healthy Bite

Our teeth and jaws are designed to work together. When something’s not lined up just right, that’s called a malocclusion, or bad bite, and can cause problems with eating, speaking, and self-confidence. Your dentist might recommend orthodontic treatment to help your teeth and jaws look their best and work their best. 

Teeth Can Only Work Their Best with Your Help

You’re in charge! 

• Brush twice and floss at least once every day to clean away plaque and food particles from your teeth. This helps to protect them from cavities. 
• Eat a healthy diet to give you the vitamins and minerals which keep your teeth strong.
• Make sure you wear mouth protection when you play sports or do activities where you may fall, or collide with another person, or be hit with equipment like balls, bats, and pucks.   
• See your dentist regularly for exams and cleanings.

Talk to your pediatric dentist to learn more about how to help your teeth work their best for you—and be ready to share that beautiful smile!

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

• Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
• Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
• Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
• If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Spartanburg, SC office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

• Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
• If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
• Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Dr. HJ Turner and Dr. DJ Turner will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

• Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
• Keep the area clean with gentle rinsing instead of brushing and flossing.
• Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Dr. HJ Turner and Dr. DJ Turner for advice!

The third molars have long been known as your “wisdom teeth,” because they are the last teeth to erupt from the gums – usually sometime during the late teens to early twenties. This is a time in life that many consider an “age of wisdom”; hence the term, “wisdom teeth.”

Extracting the third molars does not have any effect on your actual wisdom … and Dr. HJ Turner and Dr. DJ Turner and our staff are sorry to say that holding on to them can’t make you smarter, either. So if you somehow feel that you became wiser and smarter when your wisdom teeth appeared, chalk it up to age rather than teeth.

In fact, you may just be showing how smart you are by having your wisdom teeth removed. Mankind once relied on the wisdom teeth to replace teeth that were damaged or missing, thanks to a poor diet. But dietary changes and advances in modern dentistry make it possible for many people to hold on to their teeth for many decades, which eliminated the need for third molars.

For many people, wisdom teeth cause nothing but problems: becoming impacted, irritating surrounding gum tissue, or even causing other teeth to become crooked or overlap. By removing them, patients often enjoy a lower risk of decay, infection, and aesthetic complications.

So rest assured that extracting your wisdom teeth will have no effect on your immediate or long-term intelligence.