Removing the retinated fang of the upper jaw. What is a dystoped and retinated tooth of wisdom? Read more about the specifics of the problem

The date: 03.03.2020

Dental teething is not always successful. Patients experience fear and discomfort if the doctor says that "with a retinated tooth there will be a lot of trouble."

What is this phenomenon? What is dangerous not completely cutting tooth? The information will help to understand how to recognize the problem on time, what to do if the unit of the dentition is incorrect, it cannot break out.

general information

The medical term dentists denote the pathological process, in which the fully formed tooth does not break either dislike through the gum tissue. The retinated molar or canine remains in the gum, does not occupy how it is put on its place, does not perform the load entrusted to it.

Retentration most often occurs in adults. Sometimes the appearance of individual units is stretched for months or years. The patient feels soreness, the inflammatory process is often developing.

Serious troubles most often delivers a retinated tooth of wisdom. In some cases, for a long time, an important chewing unit is completely erupted.

Causes of pathology

Problems with the advent of new fangs or molars are developing under the action of various factors. Sometimes the wrong teething is associated with the reasons laid back in the womb.

The main causes of pathology:

the inclined position of the dentition caused by the fetus for various reasons;
the lack of beneficial substances during pregnancy, which was not enough to form adventures of a strong tooth tissue;
too dense gantry fabric, through which it is difficult to make a new teuba;
big Dental Pouch: Fang or Molar cannot cut through the thick shell;
too loose dears provoke the oblique position of the unit;
genetic predisposition. If the parents have lately cut down a certain fang or molar, most likely, the child also moves the time limit;
weakened organism. Permanent teeth do not appear for a long time if the patient recently moved a heavy operation, sick, took potent medicines;
lack of calcium, shortage of vitamins. A meager diet does not provide the organism with substances necessary for the full development of bone tissue. New molars, fangs are so weak that they cannot depose the path from the dental pouch through the gums on the surface;
pathological changes in jaws. This factor is present in children during the period when jaw bones do not have time to grow so to take a greater number of permanent units;
the retinated tooth is closed not only the gums, but also bone tissue. The cause of the defect is the loss of milk tooth during injury. A part of the solid fabric remained in the gum, the new fang or molar makes itself up, but it comes to an impassable layer in the alveolar ridge.

Types of retention

Dentists distinguish between several varieties of the pathological process. Retention is connected not only with third molars: permanent or milk fangs may appear later. Then they also receive the status of retinated.

Retention by the nature of the teething:

timely breakdown of all units, except for one or more fangs;
long, sluggish process with violation of the principle of paired, long intervals between the appearance of certain names.

Note! The retinated inconstant tooth carries a threat to the root. The permanent unit will not be able to take its place, which in the gums is occupied by a milk tooth.

The retinated unit is located in a certain way:

vertical, standard position. The unit, more often the fang, rubs out correctly, but very slowly. The tooth of wisdom often grows otherwise;
control position. The third molar makes himself under a certain angle. The slope is formed towards the language or cheek. If a capricious education does not cause discomfort, the inflammation of the gums does not develop, it is not worth touched;
horizontal location. Dangerous pathology, when a neighboring molar or canister grows exactly, as it should be, and the retinated "lies", moves in a horizontal direction. Such a unit is called dystoped. The task of the doctor is to preserve the chewing unit. A complex operation to remove a dystoped tooth is required.

Signs and symptoms

How to recognize the development of the pathological process inside the gantry fabric? At first there are no noticeable signs, but over time the patient will definitely feel the presence in the gum of the "foreign body", which does not want to break out.

Pay attention to the symptoms that should alert:

first, the lack of the desired unit in its place, when all the deadlines were passed;
secondly, under pressure from a retinated tooth, neighboring units are shifted, soreness is felt, discomfort during food treatment. Permanent pressure causes resorption of healthy neighbors roots.

There are other signs of pathology:

in some people, the incorrectly growing unit is "protruding" through a soft tissue. The patient may feel the outline or some parts;
often there is an inflammatory process on the site of the connection of the reserved and retinated unit. Characteristic complications in the desne in the gums of an unspoken tooth: osteomyelitis of jaws, follicular cysts, abscess, purulent sinusitis or periostitis, phlegmon. The general condition deteriorates, the temperature rises;
often painful complications are manifested: the pulpitis, the pricky caries. With long-term pressure, the top periodontitis (chronic form) is often diagnosed;
sometimes nervous fibers are affected, the patient feels strong pain in the gum. The reason is neuritis trigent nerve or neuralgia.

Important! Did you find at least one of the signs? Contact the dentist at the first opportunity. The longer the pathological process develops, the more complications it provokes. Abundant accumulation of pus, the spread of inflammation into a large area creates a threat to life.

Diagnostics

Half-cutting dental is easy to detect, with a retinated unit it is more complicated. In the early stages, there are no painful sensations, there is no noticeable inflammatory process, special equipment in the dental clinic will help to identify the "perturbator of calm".

Basic diagnostic methods:

orthopantomography;
aiming radiography;
when doubt - CT (computed tomography).

Treatment methods

What to do with a retinated unit - the doctor decides. Often the dentist-therapist connects to the discussion of the surgeon and orthodontist. The treatment plan depends on many factors.

If an unrealted unit does not harm the "neighbors", does not play roles in the process of facing food (third molars), doctors often postpone the removal operation. In other cases, extraction of a unit that threatens the normal state of neighboring teeth is required.

With pericoroidarite, the surgeon removes a part of the "hood" - a plot of mucous membrane over the gums. After excision of the mucous flap, the crown "opens" can withstand chewing function. Anesthesia is required, thorough disinfection before and after the mini-operation.

When a retinated tooth needs to be deleted

There are several reasons requiring mandatory extraction of an unrealted unit of tooth row:

dystopia;
pronounced clinical symptoms;
destructive changes in the neck of the tooth;
complications, inflammatory processes in the gantry and bone tissue;
no place for a new unit in the dental row.

Features: Operations:

the use of strong anesthetic;
an incision on the mucous membrane, drilling a boron of a hole sufficient to remove the solid fabric;
a large tooth is pre-crushed into several parts. Each fragment of the surgeon pulls away in turn;
the doctor formed by the Lunka fills the antiseptic;
with a large length of the cut, the surgeon imposes ketgutovy (resolveing) seams on the mucous membrane;
with damage to the roots of neighbors in the dentition, resection of the top, subsequent sealing;
sometimes after a heavy operation, the inflammation of the wells is developing - alveolite;
in the postoperative period, the reception of painkillers, strong antibiotics to suppress the possible inflammation;
a good effect is given antiseptic rinsing with the use of a solution of chlorhexidine, Mirismine.

After operational intervention, be sure to follow the rules of hygiene, do not let the chewing load on the location of the retinated unit. It is forbidden too frequent rinsing of the wells: when the blood clots are unnecessary, the wound is dissolved, the wound is defenseless before any infection.

If he suspected the growth of the new "neighbor" inside the gums, tackling the outlines of the hidden tooth without delay, sign up for the reception to the dentist. Attempts to alleviate pain, remove inflammation with pills, the situation will not save folk remedies.

The lack of attention to the retinated teeth is fraught with negative consequences for solid and soft tissues of the oral cavity. Remember! Timely removal of the third molar or another not cut the unit warns heavy complications.

Video. Surgical removal of a retinated tooth on the lower jaw:

If the doctor advises you to remove a retinated tooth, you should not be afraid of unfamiliar phrase. After all, it means only the fact that you have a tooth, which cannot be cut to the end, because the latter covers bone or muscle tissue.

Prices for removal of a retinated tooth

Operation of the removal of an atypical tooth 14715 P.

Operation Removing the incarnations of teeth of wisdom by hermectomy 30100 P.

Retedinished teeth removal specialists

Poliania Andrey Albertovich

surgeon implantologist

1994-1999 - Ukrainian Medical Dental Academy (UMS).

1999-2000 - Clinical Internature: Clinic Chlx Doctor Flustenger, Friedrichshafen.

2000-2001- Clinical internship of the mind of postgraduate education. Shipika G.Kiev "Department of Chlx".

Waizner Elena Yurevna

surgeon periodontologist candidate of Medical Sciences

2006.- graduated with honors from the Moscow State Medical and Dental University. Evdokimova

2006-2007. - Internature at the Department of Dentistry of General Practice and Anesthesiology MGMS

2007-2009. - Clinical residency at the department of hospital therapeutic dentistry, periodontality and geriatric Dentistry MGMS

What is a retinated tooth?

A retinated tooth is a tooth that cannot completely cut through the gums or bone tissue. Such a tooth remains incorrectly located inside the jaw. As a result, complications arise. Usually the removal of a retinated tooth is the removal of the tooth of wisdom.

Retention that slows down teething can be:

partial in which the tooth appears above the surface of the gums is only partially. Most often, only the upper part is visible;
complete with which the tooth is completely hidden by bone tissue or mucous membrane.

What is a dystoped tooth?

A dystoped tooth is a tooth that is located in a dental row wrong. He can grow not on the place where he needed to be. It grows under an irregular angle, perhaps even turned around its own axis. It affects the rest of the rest, affecting their tilt and breaking the bite that he spoils a smile very much. Very often there are people whose teeth have both of these flaws.

Video about retinated dystoped teeth

Complications that can cause dystoped and retinated teeth

The retinated tooth (in the same way as a dystoped) can lead to different complications. Most often occur:

caries;
periodontitis;
inflammatory process in the gums;
periodontalosis;
biing violations and others.

When the operation to remove retinated teeth is carried out

To prevent the development of complications, doctors produce a removal of a retinated dystoped tooth. This operational intervention is made if:

reted or dystoped teeth cause pain, as well as the swelling of mucous tissues and gums;
the effect of retinated teeth for nerve endings leads to numbness of the face;
there is an increased risk of changing the position of the remaining teeth relative to each other and the jaw in general;
there is a need for a prosthetics procedure, which prevents the presence of a retinated tooth;
the place of the retinated or distened tooth provokes the development of osteomyelitis or periostite;
in the presence of chronic periodontitis or pulpitis;
if necessary, an orthodontic treatment, which may require additional free space in a certain area of \u200b\u200bjaws.

It is worth paying attention to the fact that the presence of caries in the seven is an indication for removing a retinated dystoped tooth of wisdom, even if it is completely healthy. This approach gives a doctor the opportunity to treat the tooth struck by the caries in full.

Photo with examples of dystoped and retinated teeth

Contraindications to remove a retinated tooth

Removal of retinated and dystoped teeth is prohibited when:

common serious condition of the patient;
the presence of a hypertensive crisis;
exacerbation of diseases of the nervous system;
fixation of heart disease in acute form;
diagnosing launched infectious or viral ailments;
the presence of diseases affecting blood;
the last phase of the monthly cycle in women;
for 14 days after the operation of the abutment.

Dental procedures for pregnant women need to be extremely careful. The removal of the retinated tooth of wisdom can be carried out in 2nd and at the beginning of the 3rd trimester.

How the operation to remove retinated teeth is carried out

Removing a retinated dystoped tooth does not apply to the simplest operations. After all, the doctor who conducts surgical intervention, in the literal sense of the word "produces" from soft tissues of gums and bone tissues of the jaw tooth, who could not cut through. The whole procedure takes as many as 3 hours. At the same time, it has to be carried out under anesthesia, because painfulness from it is very strong.

Where better to remove the retinated tooth of wisdom

Moscow is a big city. And many residents need to help the dentist. But not everyone can find someone who has knowledge, experience, skill, while also positive features of a good specialist.

In our clinic caring for patients It is the first and only rule that all other recommendations are adopted. Here work specialists of the highest class. Only here you can get highly qualified help at a favorable value.

What is a retinated and dystoped tooth and whether to remove it? Because of what pathology arises and what is its risk for the health of the oral cavity.

We will also consider the question of how the removal of these teeth occurs, provide photographic materials on this topic.

What is a dystoped and retinated tooth?

A dystoped tooth is a tooth whose growth occurs with the deviations from the norm. Yes, sometimes it leads to serious painful sensations and expensive treatment, but dystopia is far from the worst of the oral cavity.

Tooth growth pathologies There is a large amount, it can grow correctly, but in an inappropriate place. Or vice versa, grow with deviations (under an irregular angle, not the same side) in the place allotted. Depending on these factors, several types of dystopia are distinguished:

vestibular - tooth is deflected to the side;
tortoposition - turn around its axis;
medial and distal - nominated forward or "indulged" in the jaw.

Retentration is also a pathology of the growth of teeth, but it differs from diSTopia. A retinated tooth is one that did not cut through or cut out completely, they are two species:

Not completely cutted, which only partially got out of the gums.
Fully hidden under bone cloth or gums.

In some cases, the tooth can be retinated and dystoped at the same time, most often it occurs with the "eight" (wisdom teeth). Pathology causes strong discomfort to the patient and threatens comprehensive problems not only by the oral cavity, but also other organs and systems.

Photo and scheme

Causes

Why does pathology arise? The main reason for the appearance of retinated or dystoped teeth is hereditary predisposition.

A person has genetically laid the structure of the jaw structure, in which some teeth lack the place. As a rule, it happens with the "eights", which will be last recently.

In addition to this reason, dentists allocate several more factors:

The history of the disease plays a particularly important role, since simple removal will not solve the problem of bite disorders, which requires comprehensive treatment.

What are your teeth in the risk zone?

To different degrees, all the teeth are susceptible to the appearance of dystoped retinated teeth, but most often the pathology suffer:

The teeth of wisdom - partially explained by the above factors affecting the structure of the dentition, and partly the fact that the third molars are atavism, which gradually disappears during the human evolution.
Fangs - If before their appearance, the molars grew incorrectly, then the fangs may well have a growth pathology. Distoped fangs cause much more discomfort than the last molars. This is associated not only with the questions of the aestheticism of the smile, but also with violations in the process of chewing food.

The remaining teeth can also be dystoped, and retinated, but it depends on the individual characteristics of the structure of the human dentition. Distopied cutters occur very rarely and deliver the greatest discomfort.

Removal of a retinated and dystoped tooth

They are really very often removed, but not always. If pathology does not wear a catastrophic nature and found at an early age (patient not more than 15-16 years), then treatment can be carried out by orthodontic methods.

If the pathology is significant and the patient's age does not predispose to the installation of orthodontic structures, the dentist will remove the dystoped tooth. The operation is complex and requires a serious skill with a doctor, it is carried out in several stages:

the doctor makes local anesthesia and with the help of Bormashina drills holes in bone tissue;
using tongs, the dentist removes a problem tooth, paying particular attention to the extraction of all debris from the well;
lunka needs to be treated with antiseptic means and sew.

It is not always a distilled tooth that is not always removed, sometimes due to the lack of place a dentist can remove a healthy tooth and allow it to grow a dystopedal normally. So do not remove fangs with growth pathology, because their absence negatively affects the functioning of the entire seminal system.

Video: Removing the retinated tooth of the lower jaw.

Care after surgery

The most important stage after the removal procedure is the postoperative period. The main goal of the wound after the operation is to prevent infection in it and its speedy healing, so follow the following rules:

carry out carefully, taking into account the state of the damaged area;
the first 2-3 days do not use rinsing, because you can damage them to the healing wreck;
eat food with extreme caution, try to chew a healthy side of the mouth. Food should not be solid, so as not to damage the sore place;
during the first 3-4 hours after the operation, it is impossible to drink and;
if after stopping the anesthesia, pain appeared pain, then you can take;
in the first two days, limit the physical exertion.

Safe wound healing depends not only on the quality of the dentist, but also from how accurately you will adhere to the universal rules described above. The doctor can give additional recommendations that will take into account the condition of your oral cavity.

Effects

Often, people do not take any action against the dystoped and retinated teeth, believing that they do not bring discomfort, or are in fear of a visit to the dentist. This is especially true of the "eights", whose growth pathology does not cause aesthetic inconvenience.

However, the lack of professional treatment of the problem causes a number of serious consequences. What will happen if the patient does not receive a dentist's help in time?

The pathology of the bite creates difficulties in chewing food, which entails problems with the digestive bodies.
Negatively affect other elements of the seminal system, the absence of treatment may entail the loss of neighboring teeth.
A person may experience problems with diction and associated discomfort.
Language and cheek injuries are possible during food intake.

Modern dentistry allows you to quickly and efficiently correct the problem and save you from the complications listed above.

Video: When the tooth of wisdom is desirable to remove? - "Says an expert"

Additional questions

Code of the ICD-10

According to the international classification of diseases, the dystoped teeth are located in the "Reted and Imactic Teeth" section, they are assigned to the K01.0 code.

FAQ

First of all, the one, which in the course of use does not waste the gums. At the same time, the quality of the oral cavity hygiene depends more on whether the teeth are cleaned correctly than from the shape or variety of toothbrush. As for electrical brushes, for unrecorded people, they are a more preferred option; Although it is possible to clean the teeth with a simple (manual) brush. In addition, only a toothbrush is often not enough - floss (special dental filaments) should be used to clean between the teeth).

The rinse is additional hygienic tools that effectively purify the entire oral cavity from harmful bacteria. All of these means can be divided into two large groups - therapeutic and prophylactic and hygienic.

The latter include rinsers that eliminate the unpleasant odor and contribute to fresh breathing.

As for therapeutic and prophylactic, then such relatives are rinses that have antonal / anti-inflammatory / anti-infamous effect and contributing to a decrease in the sensitivity of solid tissues. This is achieved due to the presence of a different kind of biologically active components. Consequently, the rinser must be selected for each particular person individually, as well as toothpaste. And in view of the fact that water is not flushed with water, it only fixes the effect of the current components of the paste.

Such cleaning is completely safe for dentals and less injures soft tissue of the oral cavity. The fact is that in dental clinics it is selected by the special level of oscillations, which acts on the density of the stone that disrupts its structure and separating from enamel. In addition, in places where the tissues are processed by the skaler (this is the name of the device for cleaning the teeth), there is a special cavitation effect (after all, oxygen molecules are isolated from aqueous drops, which come to the processing zone and cooled the tool tip). Cell membranes of pathogenic microorganisms are broken by these molecules, which is why the microbes are dying.

It turns out that the ultrasound cleaning works comprehensively (provided that really high-quality equipment is used) both on the stone and the microflora as a whole, cleaning it. And you can't tell this mechanical cleaning. Moreover, ultrasound cleaning is more pleasant for the patient and takes less time.

According to dentists, the treatment of teeth must be carried out regardless of your position. Especially since a pregnant woman is encouraged to visit the dentist every one or two months, because, as you know, when you wear a baby, the teeth are substantially weakened, suffer from the deficiency of phosphorus and calcium, and therefore at times the risk of caries and even teeth is increasing. For the treatment of pregnant women, it is necessary to use harmless means of anesthesia. The most suitable course of treatment should be selected by an exclusively qualified dentist, it will also write the required drugs that strengthen dental enamel.

Treat the teeth of wisdom is quite difficult due to their anatomical structure. Nevertheless, qualified specialists are successfully treated. The prosthetics of wisdom teeth is recommended when one (or several) a neighboring tooth is missing or necessary to remove it (if you also delete the tooth of wisdom, then you will become simply chewed). In addition, the removal of the tooth wisdom is undesirable if it is located in the jaw in the right place, has its own antagonist tooth and takes part in the process of chewing. It should also be taken into account the fact that poor-quality treatment can lead to the most serious complications.

Here, definitely, much depends on the taste of a person. So, there are absolutely inconspicuous systems that are fastened to the inside of the teeth (known as linguals), and there are transparent. But the most popular are metallic bracket systems that have colored metal / elastic ligatures. It's really fashionable!

You should begin with the fact that it is just unattractive. If it is not enough for you, we present the next argument - the stone and the collapse on the teeth often provoke an unpleasant smell of mouth. And this is not enough for you? In this case, we move on: if the dental stone is "growing", it will inevitably lead to irritation and inflammation of the gums, that is, creating favorable conditions for periodontitis (the disease in which the sewage pockets are formed, the pus constantly flows out, and the teeth themselves are movable ). And this is the direct path to the loss of healthy teeth. Moreover, the number of harmful bacteria is increasing, which is why the increased cariosis of the teeth is observed.

The service life of the faithful implant will be decades. In accordance with statistical data, at least 90 percent of implants operate perfectly 10 years after installation, while the service life is an average of 40 years. Which is characteristic, this period will depend on both the design of the product, and on how carefully the patient is caressing. That is why during cleaning it is mandatory to use an irrigator. In addition, you need to at least once a year to visit the dentist. All these measures will significantly reduce the risk of implant loss.

The removal of the cyst of the tooth can be made by therapeutic or surgical method. In the second case, we are talking about the removal of the tooth with further clearance of the gums. In addition, there are those modern methods that allow to keep the tooth. This, first of all, cystectomy is a rather complicated operation, which is to remove the cyst and the affected top of the root. Another method is the hemistion at which the root and fragment of the tooth over it is removed, after which it (part) is restored by the crown.

As for therapeutic treatment, it consists in clearing the cyst through the root canal. Also a difficult option, the more not always effective. Which of the methods to choose? It will solve the doctor together with the patient.

In the first case, professional systems are used to change the color of the teeth, which are at a carbamide peroxide or hydrogen peroxide. Obviously, preference is better to give precisely professional whitening.

What is a retinated and dystoped tooth and whether to remove it? Because of what pathology arises and what is its risk for the health of the oral cavity.

We will also consider the question of how the removal of these teeth occurs, provide photographic materials on this topic.

What is a dystoped and retinated tooth?

vestibular - tooth is deflected to the side;
tortoposition - turn around its axis;
medial and distal - nominated forward or "indulged" in the jaw.

Retentration is also a pathology of the growth of teeth, but it differs from diSTopia. A retinated tooth is one that did not cut through or cut out completely, they are two species:

Not completely cutted, which only partially got out of the gums.
Fully hidden under bone cloth or gums.

Photo and scheme

Why does pathology arise? The main reason for the appearance of retinated or dystoped teeth is hereditary predisposition.

A person has genetically laid the structure of the jaw structure, in which some teeth lack the place. As a rule, this happens with the "eights", which will last last.

In addition to this reason, dentists allocate several more factors:

if the tooth grows out of turn and there are no neighboring, which perform the role of reference;
"Extra" or ultra-commission teeth - atavism, which entails a shortage of space for teeth growing after oversight;
mechanical injuries of jaws, which caused the changes in the bite;
pathology in the formation of dentities;
early loss of dairy teeth with subsequent pathological growth of permanent.

The history of the disease plays a particularly important role, since simple removal will not solve the problem of bite disorders, which requires comprehensive treatment.

What are your teeth in the risk zone?

To different degrees, all the teeth are susceptible to the appearance of dystoped retinated teeth, but most often the pathology suffer:

The teeth of wisdom - partially explained by the above factors affecting the structure of the dentition, and partly the fact that the third molars are atavism, which gradually disappears during the human evolution.
Fangs - If before their appearance, the molars grew incorrectly, then the fangs may well have a growth pathology. Distoped fangs cause much more discomfort than the last molars. This is associated not only with the questions of the aestheticism of the smile, but also with violations in the process of chewing food.

Removal of a retinated and dystoped tooth

the doctor makes local anesthesia and with the help of Bormashina drills holes in bone tissue;
using tongs, the dentist removes a problem tooth, paying particular attention to the extraction of all debris from the well;
lunka needs to be treated with antiseptic means and sew.

Video: Removing the retinated tooth of the lower jaw.

Care after surgery

casual oral cavity hygiene carry out carefully, taking into account the state of the damaged area;
the first 2-3 days do not use rinsing, because you can damage them to the healing wreck;
eat food with extreme caution, try to chew a healthy side of the mouth. Food should not be solid, so as not to damage the sore place;
during the first 3-4 hours after the operation, it is impossible to drink and smoke;
if after stopping the anesthesia, pain appeared pain, you can take painkillers;
in the first two days, limit the physical exertion.

Effects

However, the lack of professional treatment of the problem causes a number of serious consequences. What will happen if the patient does not receive a dentist's help in time?

The pathology of the bite creates difficulties in chewing food, which entails problems with the digestive bodies.
Negatively affect other elements of the seminal system, the absence of treatment may entail the loss of neighboring teeth.
A person may experience problems with diction and associated discomfort.
Language and cheek injuries are possible during food intake.

Modern dentistry allows you to quickly and efficiently correct the problem and save you from the complications listed above.

Video: When the tooth of wisdom is desirable to remove? - "Says an expert"

Additional questions

According to the international classification of diseases, the dystoped teeth are located in the "Reted and Imactic Teeth" section, they are assigned to the K01.0 code.

Distoped and retinated teeth: the essence of pathology, removal

Turning to a dentist with complaints about discomfort and dental pains, many patients receive a direction to remove a retinated or dystoped tooth. A person who is intense in dentistry, such a recommendation can put in a dead end and force to panic. However, it is often precisely the radical solution of the problem can be the only true.

Concept, types of dystopia

Distopied are teeth, teething and growth of which are developing with deviations. Usually, such pathology entails the incorrect location of all other teeth, uncomfortable sensations in the patient, as well as the need for dental treatment.

In the photo examples of vestibular and medial dystopia tooth

Types of dystopia There is a lot. For example, the tooth itself can be the right form, but it does not grow there, where it is necessary, or occupy the right place with respect to neighboring teeth, but have a pathological form, an incorrect angle of growth, be located not to that side.

In medicine, such varieties of pathology are distinguished:

Vestibular dystopia. Means the growth of the tooth under the tilt in one direction or another.
Torposage. The tooth is deployed in the opposite direction.
Medial dystopia. Tooth is beyond the limits of the dentition.
Distal. The tooth seemed to be sold inside the jaw.

Entity and variation of retention

Retention also means the pathological development of teeth, but somewhat varies with dystopia. The retinated is the tooth, fully formed in the tissue of the gums and periosteum, but not cut outward, or the cut only partially. Sometimes such pathology proceeds asymptomatic, but more often the development of infection, discomfort in the form of pain, phlegmon, abscesses is observed.

What is a retinated tooth, you can see in this photo:

Science is known 2 variations:

full;
partial.

With a complete retention, the tooth is hidden under the gum and bone tissue, it is impossible to see it when inspecting the jaw. And with a partial degree of development of pathology, the crown can see the crown when inspecting the oral cavity, but its main part is still hidden under the gum.

Causes of appearance

The main factor in the appearance of retinated and dystoped teeth is a detrimental heredity. All people have a genetic program for the formation of a tooth row, and some teeth are not enough space for growth.

Specialists in the field of dentistry celebrate a few more reasons for the development of such pathology:

If a separate tooth grows before all the following, which could play the role of landmarks.
Sometimes one excess tooth appears in the row, and all the rest lacks the place for the right development.
Neighten dense transshipment fabric.
Loose structure of periodonta.
Tight location of crowns.
Traumatic damage also often lead to the deformation of the bite.
The overseas loss of milk teeth often entails the incorrect formation of the entire row.

Types of teeth subject to pathology

The most often observed dystopia or retention of the following types of teeth:

A dystoped tooth of wisdom is a frequent pathology. The reason for such a phenomenon may be heredity or jaw injury. In addition, the molars of the third row are considered a sign of atavism, which can gradually disappear during evolutionary development.
Fangs. This pathology occurs in 10-12 years due to the malfunction of the molar type teeth. A dystoped or retinated fang usually denotes not only the disorder of the aesthetics of the oral cavity, but also constant problems with chewing solid food. In addition fang with medial dystopia can constantly hurt the soft tissues of cheeks and language, causing a patient discomfort, provoking the danger of the inflammatory process.

Possible consequences of pathology

Often patients get used to the wrong bite, not referring to dentists. It is especially often that the patient does not experience pain and other discomfort. However, in the absence of timely treatment, the presence of a retinated or dystoped tooth may entail other violations of the body's condition.

The wrong bite does not allow to fully chew food, which is fraught with incomplete digestion, and subsequently - diseases of the stomach and intestines.
If there is an incorrect location or presence of unnecessary dystoped teeth, there are no cases of falling out of absolutely healthy adjacent.
If the dental range is incorrect, disorders of diction, problems with the pronunciation of those other sounds are possible.
There are often cases of traumatic damage to the inside of the cheek and language.

Removal of retinated and dystoped teeth

Indications to remove the retinated tooth are:

pathological location, lack of space in the dentition;
delay in the fallout of retrograde teeth;
degradation of dental neck;
if the retinated tooth is superfluous and interferes with the normal growth of the rest;
dentists advise to remove such teeth in the presence of complications.

Removing a retinated and dystoped tooth involves high traumatic interventions, since it is necessary to exfoliate the mucous membrane and periosteum, removing the tooth from the bone with the help of boron, extracting from bone tissue using forceps, as well as seam imposition. If the roots of neighboring teeth are naked, the doctor conducts their resection, and then makes the procedure of retrograde sealing.

When there are no testimony to remove a retinated or dystoped tooth, the doctors conduct an intervention on the excision of gums or periosteum. The next step of therapy will be orthodontic treatment in the form of installing braces or special buttons.

With regular injury to the cheeks and language due to dystopia or retention, dentists can carry out the procedure for grinding of dental tubercles. However, most often with such pathologies it is recommended a radical solution to the problem. Sometimes after such a procedure, teeth prosthetics may be required.

The removal procedure of the retinated tooth of wisdom:

The anesthesia of the surface of the gums with a special gel or spray.
Introduction of an anesthetic drug injection.
The incision of the gums of the scalpel, the exposure of the wall of the bed.
Drilling well to access the wisdom tooth.
Sing and removal of dental crowns.
Separation and extraction of dental roots.
Cleaning and disinfection of the wound, sometimes - the imposition of turunds with iodine.
If Turunda was not installed, after antiseptic processing, seam is superimposed.

Removal of a dystoped tooth of wisdom occurs in a similar scheme.

Postoperative period

After the operation, the patient's teeth need enhanced care and medical control.

If there was an imposition of tourands, during the first three days from the date of intervention, you need to visit the dentist to control the wound state, make disinfection procedures. After this time, the dentist will remove the tampon and impose seam.
The daily cleaning of the teeth should be carried out gently, avoiding injury to the operated area.
Over 3 days after surgery, the use of rinsers for oral cavity is prohibited.
All food must be a rubbing, chewing on the operated side is prohibited.
In the first few hours after the intervention, it is not recommended to drink, eat, use tobacco products.
If the patient is bothering severe pain, it means that analgesic tablet is not taken.
For 2-3 days after surgery, do not get involved in physical exercises.

Operation to remove a retinated dystoped tooth

Removal of a retinated dystoped tooth is a complex procedure that is carried out in order to deliver a person from a serious dental problem.

If you want to know which teeth are called retinated and dystoped and in what cases you need to delete them, then read this article.

On the causes of dental retention and dystopia

There are two types of retention, differing among themselves the degree of regression of the growth of the crown.

A partially retinated tooth is cut through the spratic tissue itself, but it grows in the wrong direction and presses on the crowns located next door.

A fully retinated tooth is hidden under the gums of the gum or under the bone tissue of other previously grown fangs or molars. The last case is considered the most difficult to correct.

The direction of growth of the retinated tooth may be different: vertical, horizontal, medial or distal.

The medial growth vector is considered one of the most common and in the case of disturbing. The tooth with such a type of growth is located at an angle to the already growing crowns.

If the retinated canine or molar is located under the bone tissue of already formed indigenous teeth, then such a dental situation is called "bone immersion".

There are several factors that may affect the appearance of retinated dystoped teeth.

These include:

heredity;
constant stress tested by the child during the period of rubbering of indigenous fangs or molars;
various infectious diseases affecting the gum mucous tissues;
the dense structure of the tissues of the gums (it is extremely rare);
initially improper formation of the maxillary apparatus associated with early anomalies in the development of the fetus;
delays in the growth of teeth, provoked by total avitaminosis;
incorrect breastfeeding.

The result of the presence of a retinated dystoped tooth in the oral cavity can be the emergence of serious inflammatory processes leading to the development of new, painful pathologies.

In addition, even one retinated tooth growing in an incorrect location may cause incorrect bite, which is bad both with a functional and aesthetic point of view.

In some cases, people who have a correctly formed jaw apparatus are faced with the advent of retinated molars only in the period of growing so-called "wisdom teeth" - eighth molars.

If you are starting to experience the symptoms characteristic of the teething of molars in the conscious age, then do not allow this process to "Samotek" and in obligatory to visit an experienced and professional dentist, who will send you to the passage of X-ray study of the actual state of jaws.

If the snapshot obtained during this study will demonstrate the activity of a retinated dystoped tooth of wisdom, the molar should be removed to avoid the emergence of problems that it can provoke, breaking independently.

On the removal of retinated and dystoped fangs and molars

Removing a dystoped tooth, the position of which is complicated by noticeable retention, should be carried out with particular accuracy.

In some cases, the doctor may insist on the need to introduce a patient into anesthesia to properly hold a procedure with great complexity.

As a rule, under the anesthesia, the removal of those retinated dystopic crowns, which are not located in the tissues of the gums, and in bone tissues.

Indications for this operation are:

the presence of a strong toothbrope;
pronounced edema of the gums;
the presence of signs of rapidly developing osteomyelitis or periostitis;
numbness of a person caused by constant pressure on the nervous endings;
chronic periodontitis or pulpitis;
brightly expressed swelling cheeks.

There are also a number of specific contraindications prohibiting or distinguishing this procedure aimed at removing a retinated and dystoped "problematic" tooth.

These include:

problems with arterial pressure (hypertensive);
various blood diseases;
psycho-emotional violations and serious diseases of the central nervous system;
some pathology of the cardiovascular system;
the presence of viral infectious diseases in the aggravation stage;
pregnancy.

It should be related that pregnancy is not an unconditional contraindication to this procedure.

However, if possible, the removal of a dystoped retinated tooth is better to postpone at least to the third trimester.

On average, an operation aimed at removing an incorrectly growing molar or canine, lasts for two or three hours and consists of several important steps.

For a start, the doctor handles the "problem zone" of the patient's jaw apparatus using tampons impregnated with special antiseptic means.

After that, the doctor makes a neat incision in the gum, opening access to bone tissue.

The next step in the procedure is the careful extraction of incorrectly growing canine or molar.

The wound formed as a result of these operations is re-processed using a special antiseptic, tamboy and then sewn.

Crowns with small sizes are removed from non-defined alveol. Larger crowns are previously crushed into parts, removing them in stages.

After the removal procedure of the retinated dystoped tooth is completed, the patient is directed to a repeated radiographic study. The results of this study must confirm the absence of a tooth particles in gum or bone tissue.

There are also alternative ways to remove retinated teeth, but they all have greater potential trauma, as they assume the conduct of hollowing or scraping.

They are resorted to their initiation only in extreme cases, with the complete absence of adequate alternatives.

Incorrectly conducted dental operation can be due to the traumatization of the nerve of the lower jaw, lead to the rupture of the hymorovy sinuses or to the fired neighboring crowns.

To avoid the emergence of these most serious complications, only experienced and qualified doctors specializing in these dental procedures should be trusted.