Can Impacted Wisdom Teeth Be Corrected with Orthodontics? - Dentistry

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Horizontal wisdom tooth


Can impacted wisdom teeth be guided to grow in the correct direction through orthodontic treatment? (Currently, I have no cavities in my teeth.) Thank you for your response.

A-Hsien, 20~29 year old female. Ask Date: 2021/09/14

Dr. Lin Jiayong reply Dentistry


Hello: If the wisdom tooth is impacted, it indicates that there is originally no space for it to grow.
To extract it, it may be necessary to remove the adjacent healthy teeth to create space.
It is recommended to discuss your true treatment goals with an orthodontist before considering whether tooth extraction and orthodontic treatment are necessary.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/14

More Info


Impacted wisdom teeth, also known as third molars, can present a significant challenge in dental health. When these teeth are unable to fully erupt due to lack of space or improper positioning, they can lead to various complications, including pain, infection, and damage to adjacent teeth. The question of whether orthodontics can correct impacted wisdom teeth is a common concern among patients seeking to maintain optimal oral health.

Orthodontic treatment primarily focuses on aligning and positioning teeth to improve bite and aesthetics. However, when it comes to impacted wisdom teeth, the situation is more complex. While orthodontics can help create space in the dental arch, it is generally not the primary method used to address impacted wisdom teeth. Instead, the management of impacted wisdom teeth often involves surgical intervention.

In some cases, orthodontic treatment may be used in conjunction with surgical procedures. For example, if there is a significant crowding issue due to the presence of impacted wisdom teeth, an orthodontist may recommend extracting the wisdom teeth before or during the orthodontic treatment. This approach can help create the necessary space for the remaining teeth to align properly. However, it is crucial to note that orthodontics alone cannot reposition impacted wisdom teeth into their correct position if they are fully impacted.

The decision to extract or manage impacted wisdom teeth should be made on a case-by-case basis, considering factors such as the position of the teeth, the age of the patient, and any associated symptoms. If the impacted wisdom teeth are asymptomatic and not causing any dental issues, some dentists may recommend monitoring them rather than immediate extraction. However, if there are signs of infection, decay, or damage to adjacent teeth, extraction is often advised.

In summary, while orthodontics can play a role in managing the overall alignment of teeth, it is not typically a standalone solution for impacted wisdom teeth. Surgical extraction remains the most effective method for addressing this issue. If you are considering orthodontic treatment and have concerns about your wisdom teeth, it is essential to consult with both an orthodontist and an oral surgeon. They can provide a comprehensive evaluation and develop a treatment plan tailored to your specific needs.

In addition to the immediate concerns regarding impacted wisdom teeth, it is also important to consider the long-term implications of dental health. Maintaining good oral hygiene, regular dental check-ups, and addressing any dental issues promptly can significantly impact your overall well-being. Research has shown that oral health is closely linked to systemic health, including conditions such as cardiovascular disease and diabetes. Therefore, taking proactive steps to manage your dental health can contribute to better overall health outcomes.

In conclusion, while orthodontics can help in certain aspects of dental alignment, impacted wisdom teeth typically require surgical intervention. It is vital to work closely with dental professionals to determine the best course of action for your specific situation, ensuring that your dental health is maintained and any potential complications are addressed effectively.

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