Impacted Teeth: When to Seek Dental Treatment - Dentistry

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Approximately 14 adult teeth have not been replaced?


Hello, doctor.
As mentioned in the subject, in addition to my original complete set of 28 teeth, I have many crooked teeth growing below the roots or deeper, with 14 of them palpable but completely encased in gum tissue.
They are noticeable to touch but do not protrude from the gums, and they do not affect my normal life.
In fact, I only became aware in recent years that my teeth are generally smaller than others, and my gums are more prominent when I smile.
I realize that I visited the dentist very infrequently as a child; I had some cleanings, but the dentist did not mention anything specific.
My four lower incisors occupy some space in my mouth, and I wonder if this affects my speech, as I tend to speak with a lisp.
Should this be addressed?

FENG, 30~39 year old female. Ask Date: 2020/08/26

Dr. Zeng Guanghui reply Dentistry


Hello Mr.
FENG: It is recommended to consult a dentist for a detailed dental examination, including X-rays to confirm whether there are any supernumerary or impacted teeth affecting the occlusion.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/08/26

More Info


When it comes to impacted teeth, particularly those that are not causing immediate discomfort or functional issues, the decision to seek dental treatment can be nuanced. Based on your description, it seems that you have several teeth that are impacted or misaligned, but they are not currently affecting your daily life. However, there are several factors to consider when determining whether treatment is necessary.


Understanding Impacted Teeth
Impacted teeth are those that do not fully emerge into the mouth due to blockage by other teeth or bone. This condition is most commonly associated with wisdom teeth, but it can occur with any tooth. While some impacted teeth may remain asymptomatic, others can lead to complications such as infection, damage to adjacent teeth, or the development of cysts or tumors.


When to Seek Treatment
1. Symptoms of Pain or Discomfort: If you start experiencing pain, swelling, or discomfort in the area of the impacted teeth, it is advisable to consult a dentist. These symptoms can indicate that the teeth are causing problems that may require intervention.

2. Infection: If you notice signs of infection, such as persistent bad breath, swelling, or pus, this is a clear indication that you should seek dental care. Infections can spread and lead to more serious health issues if left untreated.

3. Crowding or Misalignment: If your impacted teeth are causing crowding or misalignment of your other teeth, this can affect your bite and overall oral health. Orthodontic treatment may be necessary to correct these issues.

4. Cysts or Tumors: Regular dental check-ups often include X-rays, which can reveal the presence of cysts or tumors associated with impacted teeth. If such findings are noted, your dentist may recommend extraction or other treatments.

5. Aesthetic Concerns: If you are concerned about the appearance of your teeth, particularly if they are smaller or if you have a noticeable "gummy" smile, discussing cosmetic options with your dentist or an orthodontist may be beneficial. They can provide insights into treatments such as braces, veneers, or gum contouring.


Recommendations
Given that you have not experienced significant issues with your impacted teeth, it may not be urgent to seek treatment. However, it is essential to maintain regular dental check-ups to monitor the situation. Your dentist can assess the position of your teeth and recommend preventive measures or treatments if necessary.

If you are concerned about the appearance of your teeth or if you feel that your speech is affected, it may be worthwhile to consult with an orthodontist. They can evaluate your bite and alignment and suggest options that could improve both function and aesthetics.


Conclusion
In summary, while your impacted teeth may not currently pose a problem, it is crucial to stay vigilant about your oral health. Regular dental visits will help ensure that any potential issues are caught early. If you experience any changes in symptoms or if your concerns about aesthetics or function grow, do not hesitate to seek professional advice. Your oral health is an integral part of your overall well-being, and addressing any concerns proactively can lead to better outcomes in the long run.

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